- Define “pain” as per the International Association for the Study of Pain (IASP).
- List commonly used analgesic drug classes and individual drugs; describe
their mechanism of action and identify common and major side effects.
- Recognize the indications for usage of patient-controlled analgesia (PCA)
and define the necessary components.
- Define tolerance, dependence, addiction and pseudo-addiction.
- Demonstrate ability to calculate equal-analgesic doses of common opioids
using an equianalgesic table.
- Demonstrate ability to convert from one opioid formulation (parenteral,
oral, transdermal) to another.
- Manage acute pain using patient-controlled analgesia (PCA) for both
opioid-naive patients and patients already on chronic maintenance opioid
therapy, and manage transition back to an oral pain regimen.
- Differentiate pain assessment techniques in pediatric, adult and geriatric
- Identify preventative and therapeutic measures for opioid-associated side
multimodal approach to pain management, including non-pharmacologic
- Select the best medication formulation based on
patient dosing needs.
- Summarize the rationale for the following
recommendations from the 2016 Center for Disease Control Guidelines for the
Management of Chronic Pain:
- Consider opioid therapy only if expected
benefits for pain and function outweigh risks
- Before starting opioid therapy for chronic pain,
establish realistic treatment goals for pain and function with the
- When opioids are used for acute pain prescribe
the lowest effective dose; immediate release formulations; and quantity
no greater than the expected duration of pain severe enough to require
CDC Guidelines for Prescribing Opiates for Pain Control
What is the best
method of treating acutely worsened chronic pain?
Patient Controlled Analgesia
Chronic Pain Management
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