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Betty Miller: An Older Female with Right Shoulder Pain

Betty Miller is a 77-year-old female who has had right shoulder pain for 4 weeks. Through the case study, you will follow Betty through a visit to her primary care provider and pharmacist; a home health services for nursing, social services and physical therapy; and a primary care provider follow-up visit.

Breast Pain

Follow three case studies that cover pain with breastfeeding, mastitis, and postmastectomy pain syndrome along with other breast pain topics.

Charlie: Opioid Misuse Following Wisdom Teeth Extraction (Teenager)

Charlie is a 17-year-old Caucasian male, accompanied by mother Sarah. He is about to undergo surgical extraction of maxillary third molars. . This case centers on the appropriate prescribing of opioids for post operative dental pain. It describes the role of the pharmacist in identifying suspected opioid misuse, abuse and diversion. Finally the case presents an example of opioid misuse and diversion and the consequences of such misuse.

Courtney: Perioperative Pain Management for Pediatric Patients

This module follows Courtney, a now 19-year-old woman who underwent surgery to correct idiopathic scoliosis at 14. It discusses the appropriate approach to the management of pain with adolescents undergoing surgery for idiopathic scoliosis.

Devon: Sickle Cell Disease and Pain

‘Devon’s Disparate Dealings: Sickle Cell Disease and Pain’ presents the case of a 15-year-old black male with sickle cell disease who presents to the emergency department in severe pain.

Donald Williams: Older Adult Right Total Knee Arthroplasty

Donald Williams is a a 77-year-old veteran with osteoarthritis and an old football injury to his right knee. He has just undergone a right knee total arthroplasty 5 days ago.

Eric: Acute Pain Management in Patients with Opioid Use Disorder

Eric is a 23-year-old man actively using IV heroin. He presents with right leg pain and swelling after injecting heroin into the muscle. 

Harold: Trauma Pain

Harold is an adult male with pain from trauma experienced in a car accident. This case covers assessing the aspects of the pain experience in a trauma patient with substance use disorder by integrating the health history into the treatment decision-making process, examining multimodal approaches to treat acute trauma across transitions of care, recognizing the biopsychosocial impact of the treatment of acute pain in patients with substance use disorder, and designing an appropriate treatment plan using case-based learning to address acute trauma related pain in patient with substance use disorder.

Interprofessional Management of Acute to Chronic Leg Pain

CA is a 48-year-old female patient who is status post left total knee replacement arthroplasty under a general anesthetic. Patient controlled analgesia was initiated in the post-anesthesia care unit. After transfer to the regular ward, the patient complains of worsening acute post-surgical pain coupled with chronic pain from inflammatory degenerative joint disease.

Jane: Acute Dental Pain

A 35-year-old woman presents to the hospital emergency department with pain in the lower jaw.

Joan: Pain Policy Analysis and Advocacy

Joan is a breast cancer survivor turned patient advocate. Learn about policy and advocacy through her journey following a double mastectomy and subsequent surgeries.

Luisa Sanchez: Hispanic Older Adult with Acute Neck Pain

Luisa is a 69-year-old Hispanic woman who is having acute neck pain. Her pain began two weeks ago, after she spent two days making tamales for a church function.

Maeve: Ear Pain

Maeve, a 28-year-old female with limited access to dental care and no dental insurance, is seen with a chief complaint of right temporomandibular pain causing pain in the right ear.

Margaret Anderson: An Older Adult with Limited Communication

Margaret Andersen is an 85-year-old woman with limited communication who demonstrates changes in behavior two weeks after entering a nursing care facility.

Melanie: Acute to Chronic Orofacial Pain

Melanie is a 15-year-old girl with jaw clicking with and without pain, and frequent headaches over the last three months. This course illustrates the foundational underpinnings of pain, pain assessment and pain management strategies using a longitudinal case of acute to persistent/chronic orofacial pain with mixed nociceptive and neuropathic phenotypes.

Morgan: Adolescent Headache Case

This is a case of a fourteen year old girl with worsening headaches. The case covers four months, beginning with entries into her video diary ("vlog" or "video blog"). She explores several approaches to headache management in a series of encounters with health professionals.

Mr. Clark: Gout in an Older Adult

Mr. Clark is an 80 year old, moderately overweight Caucasian male who awoke two nights ago with severe pain in his left foot. He has tried elevating his foot and has taken ibuprofen, with minimal pain relief. His wife states that he has some problems with his memory. She states that he has not been able to sleep, and asks the urgent care staff to give him something for the pain as well as something to help him sleep.

Mr. Gateway: Acute and Chronic Head Pain

Mr. Gateway is a 52-year-old male smoker with a history of substance abuse with recurrent laryngeal cancer who presents with increased throat and neck pain, dysphagia (pain with swallowing), and dehydration.

Mr. Jones, Mrs. Hubbard, Mrs. Miller, and Mr. Nguyen

Follow 52-year-old Mr. Jones, 78-year-old Mrs. Hubbard, 38-year-old Mrs. Miller, and 45-year-old Mr. Nguyen as their care teams navigate opioid management for their acute pain once hospitalized.

Mr. Lane: Acute Farm Injury with Chronic Pain

This case presentation follows a 43-year-old farmer named Mr. Lane who injured his right arm after it got stuck in a combine. He was then air lifted to a tertiary care center. The case includes Mr. Lane's initial injury, acute pain, and the development of chronic pain and acute on chronic pain.

Mrs. Jackson: The Transition from Acute to Chronic Pain in a Cancer Survivor

Ms. Jackson is a 38-year-old, African American nurse who completed treatment for triple negative breast cancer 5 months ago. She opted for bilateral mastectomy, radiation, and chemotherapy. The patient is frustrated that she still experiences pain, states “it’s ruining my life."

Ms. Mondragon’s Acute and Chronic Injuries After a Fall

Ms. Mondragon is a thin, 71-year-old, widowed Hispanic Spanish-Speaking woman whose son is serving as interpreter in the emergency department. Ms. M. fell this morning in her kitchen. She presents with upper back pain, groin pain, and left hip pain radiating anteriorly to the knee.

Ms. Tatum Trauma Pain and Opioid Use Disorder

Ms. Tatum is a 30 year-old woman with a history of opioid use disorder (heroin and fentanyl) who has been treated for 2 months with buprenorphine/naloxone (Suboxone) in a substance use disorder treatment program. 4 months after she transitioned her medications to her PCP, she was in a Motor Vehicle Accident and sustained multiple left-sided rib fractures as well as a jaw fracture. She has severe pain in the face, neck, and ribs and needs an acute pain management plan.

Neuropathic Pain Mechanisms, Neuromodulating Agents and Medical Home Model

This foundational course covers terms and concepts of neuropathic pain, anatomical basis for neuropathic pain, clinical applications of aberrant nociceptive processing; general concepts of pharmacological treatment of neuropathic pain, anticonvulsants, anti-depressants and other neuromodulating agents; medical home models, treatment planning in the medical home context, motivating patients to participate in comprehensive care.

Opioids: Perspectives, Use Cases and Safe Management

In this foundational module, learn more about the global challenge of pain care, applications of opioids globally, features of specific opioids available locally; opioids in context, definitions of tolerance and physical dependence, management of chronic non-cancer pain; safe management definitions: clear lines and gray areas, societal impact of prescription drug abuse, assessment and management of risk in the physician’s office.

Pain Prevalence, Assessment and Treatment

This foundational module covers US versus global pain prevalence, barriers to pain treatment, and assessment of how own pain experiences and pain treatment attitudes will impact patient care.

Sarah: Widespread Pain and Fibromyalgia

Sarah suffers whiplash following a car accident. She then goes on to develop widespread pain and associated fatigue. Her pain interferes with work and daily activities.

Sharee: Adolescent Sickle Cell Disease

Sharee is a teenage girl coping with pain crises related to sickle cell disease (SCD). The case provides a history of the disease onset and progression from infancy though high school as seen from her perspective explained by case principals. The case then provides details of a pain crisis episode as she prepares to transition from high school to college.