Core Curriculum for Pain Management Nursing

Presidential Foreword

Where weve been and where were going

Include Future of Pain here

Section One: Foundations of Pain Management Nursing (Sharon Wrona)

Chapter 1

Physiology of Pain

Sex/Gender differences

Pain and immunology

Genomics

Race and ethnicity

Types of pain

--Acute

--Persistent

--Acute on Persistent

--Nociceptive

--Neuropathic (CRPS)

--Mixed (arthritis)

Chapter 2

Current Pain Theories

Chapter 3

Mood Disorders and Pain (include peds)

Depression

Anxiety

PTSD

Trauma

Somatic Symptom Disorder

Chapter 4

Ethics, Disparities & Barriers Related to Pain Management

Diversity/Equity

Stigma

Opioid epidemic

Chapter 5

Impact of Pain and Benefits of Pain Management

Economic

Morbidity and mortality with pain

Diversity/Equity

Morbidity and mortality with treatment

Section Two: Nursing Roles in Patient Care and Beyond (Ann Schreier)

Chapter 6

Nursing Process

Assessment

Treatment

Evaluation

Education

Chapter 7

Research and Quality Improvement

Include QI methodologies

Chapter 8

Advocacy (include policy, governmental info)

Federal and state policy/regulations

Constantly changing

Chapter 9

APRNs in Pain Management Nursing

Prescribing

NP, CNS, CRNA, CNM

Section Three: Assessment (Ann Schreier)

Chapter 10

Introduction and General Concepts of Pain Assessment

Pain/suffering

Multidimensional assessment

Cultural considerations

Diversity/Equity

Chapter 11

Pain Assessment Tools

Pediatric pain assessment

Adult pain assessment

Assessment of cognitively Impaired and nonverbal adults

Chapter 12

Risk Assessments Related to Pain Management (substances, risky behavior)

Delirium

Withdrawal (COWs, WAT-1)

Opioid induced sedation (POSS, Ramsay, UMich)

--Whos at risk and monitoring

Risk assessment (substances, risky behavior)

Chapter 13

Mood, Sleep, Fatigue, Nutrition, and Eating Disorders

Section Four: Management (Maureen Cooney)

Chapter 14

Introduction and General Concepts of Pain Management Techniques

? WHO ladder (get the most current one or delete)

Multimodal therapy-general over view of drug classes

--Not specifics, thats in pharmacology

Acute pain guidelines

Opioid risk assessment

HHS guidelines

CDC guidelines

Cultural considerations

Diversity/Equity

Chapter 15

Integrative and Complementary Therapies

Chapter 16

Cognitve Therapies

CBT

Acceptance Therapy

Chapter 17

Pharmacology

Include all meds

Generic conversation about equianalgesic tables

Ketamine

Lidocaine

Beers Criteria

Medication weaning

PCA/AACA/RNCA

Reversal agents

Chapter 18

Cannabis

Chapter 19

Interventional Pain Management

Regional anesthesia/analgesia

--Peripheral and neuraxial nerve blocks

--Epidurals

--Wound infusions

Interventional techniques for persistent pain

--Implanted pumps

--Spinal and peripheral nerve stimulators

--Sympathetic blocks

--Joint injections

--Trigger point injections

Chapter 20

Procedural Sedation and Analgesia (include non pharm)

Emergent

Adult

--Bone marrows

--LPs

Pediatrics

--Circumcision

--Buzzy

--Sucrose

Chapter 21

Managing Complex Pain

General principles

Guidelines for various conditions--what are the best sources?

Common examples

-- MS pain (low back pain, fibromyalgia, arthritis, etc.)

--Abdominal pain

--Headaches

--Sickle cell disease

Interprofessional approach

Chapter 22

Managing SUD and Pain

Glossary of Terms

Index