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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Peripheral Artery Disease IV: Nursing Management01:26

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The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

Development of a comprehensive e-learning resource in pain management.

Leanne M Yanni1, John W Priestley, Jeanne B Schlesinger

  • 1Department of Internal Medicine, Division of General Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA. lyanni@mcvh-vcu.edu

Pain Medicine (Malden, Mass.)
|October 1, 2008
PubMed
Summary

A new e-learning curriculum for chronic nonmalignant pain management (CNMP) was developed to address training gaps. Initial evaluations show high trainee satisfaction and intent to change practice, indicating its potential to improve pain care.

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Area of Science:

  • Medical Education
  • Pain Management
  • E-learning

Background:

  • Chronic nonmalignant pain (CNMP) affects many patients, yet healthcare providers often lack confidence and training in its management.
  • A significant gap exists in comprehensive pain management curricula for medical trainees and professionals.

Purpose of the Study:

  • To describe the development of the Virginia Commonwealth University (VCU) Chronic Nonmalignant Pain Management curriculum.
  • To present initial evaluation data on the effectiveness and utility of this e-learning resource.

Main Methods:

  • The curriculum comprises six modules aligned with 20 Accreditation Council for Graduate Medical Education competency-based objectives.
  • Instructional design principles were employed to ensure utility across various learner levels and medical disciplines.

Main Results:

  • Over 430 trainees and 24 physician reviewers evaluated the curriculum.
  • 85.7% would reuse resources, 86.3% felt CNMP treatment was more important, 73.9% intended practice changes, and 92.3% would recommend it.
  • Qualitative feedback was positive, and pre/posttest data informed content revisions.

Conclusions:

  • The VCU Chronic Nonmalignant Pain Management curriculum is a valuable e-learning tool that can address a critical training deficit.
  • Initial evaluation data have guided curriculum improvements, with ongoing evaluation planned for further refinement.