About Initiative
Point of Care
Webcast on Demand

Live webcast
Jointly sponsored by
University of Kentucky
College of Pharmacy
and Vemco MedEd

This activity is supported
by an educational grant from
Janssen Pharmaceuticals, Inc.,
administered by
Janssen Scientific Affairs, LLC

The online tutorial series with a case reinforces practical application of tools and competencies acquired during the live activity. Each tool is a combination of essentials in clinical practice, links to relevant scientific publications, and printable handout material for reference. Clinical Case following the online tutorials gives the learners an opportunity to earn extra CE credit upon completion.

  1. Differentiating Types of Pain
  3. Assessment of Pain
  5. Know Your Drugs: Non-Opioids
  7. Know Your Drugs: Opioids
  9. Minimizing Adverse Effects
  11. Clinical Case

Assessment of Pain

Comprehensive assessment of pain is an essential part of any pain management plan. Comprehensive assessment involves several components, including:
  • Detailed patient history
  • Physical examination
  • Pain characterization (location, intensity, duration, frequency, onset)
  • Complete risk assessment
  • Clarifying the pathophysiology of the pain

The Institute for Clinical Systems Improvement offers an assessment algorithm that includes:

Step 1: Pain Assessment
  • Patient history and physical
  • Ask key questions about the pain
  • Utilize pain and functional assessment tools

Step 2. Determine the Biological Mechanisms of Pain
  • Neuropathic pain
  • Nociceptive Pain
    • Muscle pain
    • Inflammatory pain
    • Mechanical/compressive pain

Step 3. Other Patient Assessments (if the pain is chronic and there are no correctable causes of pain)
  • Work and disability issues
  • Psychological and spiritual assessment
  • Contributing factors and barriers

Step 4. Develop a Pain Management Plan

An important goal of the initial assessment of pain includes establishing rapport with the patient that can help to engage the patient, foster appropriate treatment expectations, and promote a coordinated approach to management.

  • Institute for Clinical Systems Improvement (ICSI). Health Care Guideline: Assessment and Management of Chronic Pain. Fourth Edition. November 2009. Available at www.icsi.org.

Suggested Reading:

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