| Individual pain threshold.
Personal coping abilities. Fear. Agitation. Potential aggression. "Why
me."
Outlook. Religious beliefs. Depression. Confusion. Insomnia.
Exhaustion. Insight. Understanding. Counselling. Stress, panic.
Dependence on drugs. Self-assessment. Self-administration. Subjective
/ Objective. Duality of pain - mind and body. |
Aetiology. Pathological changes. Investigations.
Disease processes. Assessment. Medication. Analgesia. Specialist
pain management. Side effects of medication / treatments /
investigations. Delivery systems - syringe drivers. Effects of shock
in trauma. First aid principles. Immobility - pressure sore
prevention. Exhaustion. |
| Pressure on carers, coping strategies, carers needs
to be assessed. Education of family, other carers. Expectations -
+ve and -ve. Distraction - diversional therapy. Plans for family -
future. Forum for discussion. Sharing of information. Communication
with multidisciplinary team. |
Information to patient, carers on diagnosis,
services. "Right to know" in terminal illnesses.
Maintenance of personal autonomy, choices, self-administration of
analgesia. Service provision pain clinics, day hospitals, hospices,
respite care. 24 hour access. Cost of treatments and duration. "Politics
of pain". Controlled drugs - illegal trade.
|