Painful Syndromes II

Recommended Prerequisites

Not applicable.

Teaching Methods

Lectures. Discussion of case studies.
Final written examination-100%.

Learning Outcomes

1. To Alert to the pathophysiological consequences of surgery and postoperative acute pain.
To know analgesic techniques and drugs administration pathways
2. To understand the differences in response and modulation to painful stimuli in children
To Recognize the differences in pharmacokinetics and pharmacodynamics among children.
3. To Recognize that pain is a very common problem in elderly people.
4. To recognize that treatment protocols and treatment goals may need to be adjusted in aged people.
5. Identify urogenital pain.

Work Placement(s)

No

Syllabus

Manipulation by anesthetic/analgesic techniques; Concept of preventive and balanced/combined analgesia; epidural and intrathecal analgesia; Patient-controlled analgesia - fundamentals indications and contraindications Postoperative analgesia.

Nociceptive system and pain behaviors in newborns, infants and children in general

Assessment and treatment of pain, in oncology and in the context of palliative care, in children. Particularities and specifics

Understanding aging, Epidemiology of pain in the elderly,

Changes in the pathways of nociception; changes in afferent transmission, downward modulation, perception of pain in the elderly. Current controversy

Pain assessment: self-assessment, tools valid for use in the elderly.

Changes in pharmacokinetics and pharmacodynamics in the elderly. Pharmacological/non-pharmacological therapeutic approaches

Potential pain indicators in those who are unable to report it (stroke, Alzheimer's disease, others)

Urogenital Pain.

Head Lecturer(s)

Marilia Assunção Rodrigues Ferreira Dourado

Assessment Methods

Assessment
Exam: 100.0%

Bibliography

American Geriatrics Society Panel on the Pharmacological Management of Persistent Pain in Older Persons. Pharmacological management of persistent pain in older persons. J Am Geriatr Soc 2009; 57: 1331–46.

Leveille SG, Jones RN, Kiely DK et al. Chronic musculoskeletal pain and the occurrence of falls in an older population. JAMA 2009; 302: 2214–21

Cole LJ et col .Pain sensitivity and fMRI pain-related brain activity in Alzheimer’s disease. Brain 2006; 129: 2957–65.

Zhang W, Nuki G, Moskowitz RW et al. OARSI recommendations for the management of hip and knee osteoarthritis: part III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010;18(4):476–499.

Berde CB, Solodiuk J. Multidisciplinary programs for management of acute and chronic pain in children. In: Schechter N, Berde C, Yaster M (Eds). Pain in Infants, Children and Adolescents, 2^nd ed. Philadelphia: Lippincott, Williams and Wilkins, 2003, 471– 486.