Clinical Pain Management

Adatok

A Tantárgybejelentőben megadott hivatalos adatok az alábbi tanévre: 2021-2022

Tematika

This training should aim, amongst other objectives, to provide students with insights into the processes of the nociceptive and perioperative pain syndromes and to provide them with the framework they need in differentiating some chronic pain states. Based on the curriculum of the Pain course students meet with the parts of clinical pain management and case reports from the daily practice (The completion of Pain and Pain Management course is highly suggested before this course) The Clinical Pain Management course can provide a good opportunity for taking comprehensive pieces of information from the field of clinical pain modulation, the novel techniques of pain management and some alternative methods. Our strategy is to provide an integrated approach in the field of clinical pain management.

Előadások

Gyakorlatok

Szemináriumok

• 1. Pain theories and role in the daily practice. Classification of pain, aethyology, prevalence and measurement
• 2. The pathway of pain; nociception, perception, modulation, brain cortical and integrated subcortical structures. Functional approach.
• 3. Affective, emotional and behavioural contributions to pain experience. Expectations, fears, anxiety, depression, catastrophysing. Psychological flexibility, mindfulness, cognitiv behavioural therapy.
• 4. The role of regional anaesthesia in multimodal approach of pain management.
• 5. Chronic pain patient, interview, examination. Communication with the patient, breaking bad news. The difficult patient.
• 6. Pain modulation I. Administration of peripherally acting analgesics, side effects, interactions, contraindications
• 7. Pain modulation II. The endogenous opioid and cannabinoid system Administration, side effects, interactions, contraindications; Drug delivery pumps and new PCA techniques
• 8. Pain modulation III. Low back pain, diagnosis, treatment, neurological, surgical approaches, neuromodulation
• 9. Pain modulation IV. NMDA receptor antagonists, A2-AR-agonists and other adjuvant agents in neuropathic pain; classical neuropathic disorders, chemotherapy induced neuropathy.
• 10. Fibromyalgia, CRPS, osteoarthritis, Role of exercise and yoga.
• 11. Palliative treatment; pain management techniques, psychological care in old adults with ongoing cancer pain.
• 12. Pain management in specific pain conditions, chr pancreatitis, various cancer pain states. Interventional approaches, selective nerve blockades, extended release epidural agents. Finishing the course.

A tananyag elsajátításához szükséges segédanyagok

Kötelező irodalom

-

Saját oktatási anyag

Jegyzet

Ajánlott irodalom

A félév elfogadásának feltételei

Maximum of 15 % absence allowed

Félévközi ellenőrzések

Test examination

Távolmaradás pótlásának lehetőségei

Discuss with the lecturer

Vizsgakérdések

Pain theories and role in daily practice. Classification of pain, aetiology, prevalence and measurement
The pathway of pain; nociception, perception, modulation, brain cortical and integrated subcortical structures. Functional approach.
Affective, emotional and behavioural contributions to the pain experience. Expectations, fears, anxiety, depression, catastrophising. Psychological flexibility, mindfulness, cognitive behavioural therapy.
The role of regional anaesthesia in the multimodal approach of pain management.
Chronic pain patient, interview, examination. Communication with the patient, breaking bad news. The difficult patient.
Pain modulation I. Administration of peripherally acting analgesics, side effects, interactions, contraindications
Pain modulation II. The endogenous opioid and cannabinoid system Administration, side effects, interactions, contraindications; Drug delivery pumps and new PCA techniques
Pain modulation III. Low back pain, diagnosis, treatment, neurological, surgical approaches, neuromodulation
Pain modulation IV. NMDA receptor antagonists, A2-AR-agonists and other adjuvant agents in neuropathic pain; classical neuropathic disorders, chemotherapy-induced neuropathy.
Fibromyalgia, CRPS, osteoarthritis, Role of exercise and yoga
Palliative treatment; pain management techniques, psychological care in old adults with ongoing cancer pain.
Pain management in specific pain conditions, chronic pancreatitis, various cancer pain states. Interventional approaches, selective nerve blockades, extended-release epidural agents. Finishing the course.

Vizsgáztatók

Gyakorlatok, szemináriumok oktatói

• Dr. Almási Róbert Gyula
• Dr. Balás István
• Dr. Csathó Árpád István
• Dr. Csikós Ágnes Erika
• Dr. Molnár Tihamér Szabolcs