1. | Define the scope of cancer pain management. | |
2. | List 4 causes of pain in cancer patients. | |
3. | Discuss the probability of successful management of cancer pain. | |
4. | List 2 important reasons for controlling cancer pain. | |
5. | Discuss the relationship between cancer pain and quality of life. | |
6. | Define pain. | |
7. | List 3 barriers to cancer pain management. | |
8. | Discuss the relationship between cost and reimbursement for pain management. | |
9. | List 4 components of the intial pain assessment. | |
10. | State the primary source for pain assessment data. | |
11. | State 3 characteristics of a good pain assessment tool. | |
12. | State 3 times when pain should be assessed and documented. | |
13. | Discuss 3 potential causes for discrepancies between behaviors and a patient's self- report of pain. | |
14. | List 8 common cancer pain syndromes. | |
15. | List the 3 major classes of drugs used in cancer pain management. | |
16. | State 3 recommendations for pharmacologic management of cancer pain. | |
17. | Discuss the importance of aroung-the-clock administration of pain medication. | |
18. | List 3 major side effects of NSAIDs. | |
19. | Define the following and give an example of each type of opioid:
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20. | State why meperidine should not be used in long-term management of cancer pain. | |
21. | Define opioid tolerance and discuss its clinical implications. | |
22. | Define opioid physical dependence and state the clinical application of this concept. | |
23. | List 4 routes of analgesic administration and discuss the pros and cons of each. | |
24. | List 5 side effects of opioids and discuss the nursing management of each. | |
25. | Define adjuvant drug and give 3 examples. | |
26. | Discuss the role of placebos in management of cancer pain. | |
27. | Discuss 3 principles to include indischarge planning of the patient being treated for cancer pain. | |
28. | List 3 physical modalities of pain management and state one precaution to follow with each. | |
29. | Discuss the role of exercise in cancer pain management. | |
30. | List 3 effect of prolonged immobilization. | |
31. | Discuss the role of psychological interventions in cancer pain management. | |
32. | List 3 advantages of relaxation techniques and imagery as part of a pain management approach. | |
33. | Define the following terms in relation to pain management:
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34. | Discuss the role of patient education in cancer pain management. | |
35. | Discuss the role of pastoral care in cancer pain management. | |
36. | State the panel consensus regarding invasive palliative approaches to pain management. | |
37. | List 3 indications for palliative radiation therapy. | |
38. | State 3 precautions to be followed when administering radiation therapy. | |
39. | Define and give an example of each of the following:
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40. | Discuss the role of anesthetic techniques in management of cancer pain. | |
41. | Discuss nursing implications for neuroablation therapies. | |
42. | List 4 principles relevant to surgical management of pain due to primary or metastatic tumor. | |
43. | Discuss potential for chronic pain syndromes after surgery. | |
44. | List 4 factors to consider when managing procedure-related pain. | |
45. | Discuss 4 types of drugs used for management of procedural pain. | |
46. | State 2 important considerations when using conscious sedation for procedural pain. | |
47. | Discuss the panel consensus regarding managing pain in special populations. | |
48. | State the primary assessment method for young children and cognitively impaired adults. | |
49. | State a precaution to follow when administering opioids to infants. | |
50. | State the relationship between aging and opioid administration. | |
51. | Discuss the relationship between uncontrolled pain and new psychiatric symptoms, including depression. | |
52. | Discuss 4 factors to consider when managing cancer pain in patients diagnosed as substance abusers. | |
53. | Discuss the occurrence of pain in HIV infection. | |
54. | Discuss 2 considerations when evaluating cancer pain management. | |
55. | List 9 recommendations to be implemented in a cancer pain management practice setting. |
Executive Summary | |
1. | Overview |
2. | Assessment of Pain in the Patient With Cancer |
3. | Pharmacologic Management |
4. | Nonpharmacologic Management: Physical and Psychological Modalities |
5. | Nonpharmacologic Interventions: Invasive Therapies |
6. | Procedure Related Pain in Adults and Children |
7. | Pain in Special Populations |
8. | Monitoring the Quality of Pain Management |
References | |
Attachment B: Pain assessment and management instruments | |
Attachment C: Sample relaxation exercises |
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