Table of Contents
SICKLE
PAIN IS A PAIN: MANAGEMENT OF CRISIS IN THE 21ST CENTURY
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SICKLING
- Hb CRYSTALS
VASO
- OCCLUSION
SICKLE
BIOCHEMISTRY
SICKLING
- Hb CRYSTALS
HYDRATION
OSMOTIC
EFFECTS ON SICKLING
PAIN
TREATMENT PRINCIPLES
MEASURE
PAIN INTENSITY
SURVIVAL
BY PAIN RATES Projected Median Survival for CSSCD Subjects > 20
PAIN
RATES BY PHENOTYPE Adapted from Platt et al New Engl J Med 325:11,
1991.
PAIN
MEASUREMENT METHODS
GRADY
PAIN SCALE
AFFECTIVE
PALM
PILOT - PAIN METER
PALM
PILOT - PAIN INTENSITY SCREEN
PAIN
TREATMENT PRINCIPLES
FIXED
DOSES BASED ON T1/2
PRN
DOSING WITH RECURRENT PAIN
PRN
DOSING WITH RECURRENT PAIN
PRN
Pain Treatment Cycle
Drug
Seeking Behavior
Patient
Controlled Analgesia - PCA
LONG
- ACTING OPIATES
MORPHINE
DOSING FORMS
CLASSES
OF OPIATE ANALGESICS
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WHO
ANALGESIC LADDER
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ADJUVANT
DRUGS
ADJUVANT
DRUGS
NSAIDs
CEILING EFFECTS
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ACUTE
PAIN MANAGEMENT
ACUTE
PAIN MANAGEMENT Initial Therapy
ACUTE
PAIN MANAGEMENT Ongoing Therapy
ACUTE
PAIN MANAGEMENT Discharge Therapy
Sickle
Pain Is Unique A Life-long Pain Experience
MIXED
PAIN SYNDROMES Severe Acute and Chronic Pain
CHRONIC
PAIN
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MULTIDISCIPLINARY
PAIN TEAM
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Non
- Pharmacological Pain Management: Goals
Physical
and Occupational Interventions
SELF
- REGULATORY TECHNIQUES
Psychological
Interventions
Terminology
Related to Opiate Analgesics
DEPENDENCE
vs ADDICTION
Behavior
Suggesting Addiction
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