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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.
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.
Recognizing medication overuse headache in patients presenting with chronic migraine. In this case study, we present a 39-year-old woman who has been experiencing near daily headache for the last 4 months and her successful treatment.
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.
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.
Mr. Wakefield is a young Army veteran with chronic low back pain and depression. His physical exam demonstrates musculoskeletal pain and lumbar facet arthropathy (joint pain in his lower back).
Mrs. Christine Farley has been suffering from temporomandibular joint (jaw) and myofascial (muscular) pain, and you are asked to be part of her inter-professional team to advise on how to best help manage her pain.
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."
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.
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.
Owen Jones is a 46-year-old man who presents for followup of low back pain with intermittent radicular symptoms and numbness which started ~ 2 years ago following a lifting related injury. He describes the pain as, "Sharp, pinching, and sore."
Pam is a 41-year-old woman diagnosed with breast cancer approximately one year ago. Pam underwent treatment including a bilateral mastectomy and subsequent breast reconstruction. Now she is experiencing pain that she feels should be improving.