Pain Care Essentials

Introduction
Part I: The Multidimensionality of Pain: Neurobiology, Scope, and Impact
1. Pain pathways: Structural organization and development
2. Nociceptive processing: Neurochemistry and neurophysiology
3. The impact of pain: Epidemiology, economics, cultural influences, ethics
4. The appraisal of pain: Measurement, classification, and nomenclature
5. The spectrum of pain experience
Part II: Clinical Skills in the Assessment and Care of Pain
6. Clinical assessment of pain: The pain narrative, examination, clinical stance
7. Diagnostic reasoning in the pain-focused encounter
8. Professionalism in pain care: Compassion, decision-making, behavior change difficult conversations, ethical standards, pain self-management
Part III: Pain Treatments and Approaches to Management
9. Pharmacological treatments I: Standard systemic analgesic agents
10. Pharmacological treatments II: Anti-depressants, anti-convulsants, etc.
11. Interventional and surgical management of pain
12. Rehabilitational approaches to pain and applications in outpatient practice
Part IV: Pain Care in Clinical Context
13. Pain emergencies and life-threatening complications of pain treatments
14. Acute pain: Peri-operative, trauma-related, and obstetric pain
15. Urgent pain problems (migraine, acute lower back pain, etc)
16. Common chronic pain-associated conditions (neck pain, lower back pain, neuropathy)
17. Extremes of pain: CRPS, trigeminal neuralgia, congenital pain insensitivity
18. Pediatric pain
19. Pain in older patients
20. Pain, addiction, and psychiatric illness
Appendices: Commonly used pain medications; Adjustments for liver and renal failure; Opioid conversion table; Exam template; Integrated back pain flow diagram

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• Reabilitação
• Neurologia e neurofisiologia clínica
• Dôr e gestão da dôr