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N+R-Vol-2

ISSUE NO 2 11 NEWS & REVIEWS PAIN EDUCATION E-CME MODULES Module 1: Assessing pain and physician-patient communication This module emphasises the importance of good communication between physicians and patients in allowing a comprehensive clinical assessment, including psychosocial problems, and treatment expectations. It highlights the importance of assessing pain history in order to gain an insight into the mechanism of the underlying disease. The overall goal of chronic pain management in developing individualized treatment, allowing patients to engage in normal daily activities, is highlighted. Module 2: Multi-modal management of chronic pain As effective and early pain treatment is vital for successful pain management, a multi-modal approach to pain management is described, focusing on the pharmacological treatment. The mechanism of action of drugs is discussed, as well as knowledge of efficacy, side effects, drug-drug interactions and tolerance development influencing treatment success. Module 3: Mechanism-orientated pharmacological treatment of chronic pain This module provides a basic knowledge on pain physiology and pathophysiology of pain mechanisms.The differences between nociceptive and neuropathic pain are included together with a consideration of typical pain syndromes. The mechanisms of pain (including the sensitization process), choosing a drug based on this understanding, and the rationale for drug combinations are outlined.The module also looks at hands on practice using patient cases to illustrate individualized treatment plans.