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Pain Management eLearning Programmes
Suzanne Clear MBS, BSc, H.Dip, RGN, Clinical Facilitator
Suzanne Clear ©



Pain Management Conference Presentations ©

by Suzanne Clear.

Below are links to the presentations which were given at a Pain Conference held on the 19th August 2012. Each are approximately 30-40 mins long.

Medication administration is perhaps the highest risk a nurse can perform, as accidents can lead to devastating consequences for the patient and for the nurse’s career. There is a high expectation from our patients for a high standard of care to be provided in our hospitals.  There is a demand for nurses to be competent and confident to achieve such standards.  Effective medication management requires nurses to have in-depth knowledge of pharmacology, critical thinking skills and be committed to self-directed learning.


When I was doing my Masters in DCU 2010, my thesis was centred on; “Is there enough support for newly qualified nurses to administer medications safely”? An extensive literature review unveiled all the factors that contribute to medication error and includes the lack of support for newly qualified nurses to enable them to meet the requirements of the current health-care setting and the heavy workload of nurses.

 Within the General Nurse Registration Programme, according to the ‘Requirements and Standards for Nurse Registration Education Programmes’ ABA (2005), theoretical instruction should account for at least 1/3 of the total hours allocated during a four year period. Interestingly, approximately 5% of the curriculum is allocated to the biological sciences – including pharmacology. However Ireland is not unique pharmacology in the undergraduate education curricula is not well positioned internationally either. Numerous studies worldwide emphasise that nursing knowledge of pharmacology is essential.

By conducting interviews (as part of my thesis) with nurses, I found that they lacked understanding of and were dissatisfied with the pre-registration teaching of pharmacology. They feared that disproportionate responsibility was laid on them given their deficient education in pharmacology. It was this stimulus that enticed me to organise a series of educational conferences addressing  the hugely important issue of medication use, side effects and interactions.

The conferences were divided over a 6 months each conference addressing medication management relating to a new system within the body. The demand for places was much greater and I decided to video each session and have it available to all educational institutions. This would have not been possible only for the sponsorship of pharmaceutical companies. The conferences were aimed to achieve greater comprehension by nurses of the medications they are distributing on daily medication rounds. It is an advancement recognised by JCI (Joint Commission International Accreditation Standard) when they review and accredit any organisation. The ability for professional personnel to be competent through education and training in the process of medication prescriptions review process.


The first lecture of the day started off with Lynn O'Connor MSC, CNS Pain Management from the Beacon Hospital, Dublin. Her lecture was titled; "Medication choices related to assessment". Here Lynn discusses: how to consider the individuality of each patient/person in pain and, how important it is to gain the best understanding possible of the intensity and nature of the patient's pain.  This assessment informs intervention choices using the WHO analgesic ladder. Lastly, reassessment of the patient's pain following interventions is essential determine their effectiveness.

The second lecture was given by Maeve Kinsella MSC, H dip Pain Management BSc, CNM 1. Her lecture was on "The Classification of Pain", describing in her lecture - The definitions on; How pain happens; the classifications of pain and the nursing priorities.

The third lecture "Pain Assessment" Jean Barber CNS Palliative Care RGN, RCN, RM. H. Dip Palliative Care, Dip Gerontology, BSc, and MSC. Her power point presentation will be posted at a later date. Just to add I have included Jeans' presentation today.

The following two lectures were given by Maire Murray Chief pharmacist, St. Michael's Hospital. Regrettably, she chose not to be videoed or have her slides posted on line (as was of course her right).

After lunch we had Dr. Maeve Nolan, D. Clinical Psych, Spinal Injury Team, National Rehabilitation Hospital. Her talk was on ‘The psychological impact of pain and psychological approaches to pain management'. Maeve discussed the Psychological impact of pain; Psychological with all that its complexity and then she discussed the approaches to treatment for chronic pain.

The next lecture I was proud to introduce my sister Elaine. Elaine Clear, CNS Acute Pain Management, RGN, RCN, BSc and MSC in St. Vincent’s University Dublin 4. She lectured on ‘What is Acute Pain’? The Pain Pathway / Types of Pain. Acute Pain Management: The Multimodal approach: Acute Pain Pump, PCAs, Epidurals, Paravertebral Analgesia, Spinal / Intrathecal Analgesia.

The final lecture of the day was presented by Ann Duffy from the Clinical Risk Advisor, State Claims Agency. Clinical Indemnity Scheme. Ann talked about her role as a Clinical Risk Advisor, The CIS –‘who we are and what we do’, the STARS Web site, Medication incidents and lastly, open disclosure following an adverse event.

The last task of the day is to collect the post survey and the evaluation sheets. I provided a survey questionnaire before and after the conference, this is to find out whether the education we provided on the day, was of value or not. I also provide an evaluation sheet, to get further information about the day. I must say I was touched by the very positive feedback we got on the day. The attendees were delighted with the level of knowledge of the lectures and the smooth running of the day.

Please complete the pre-assessment survey before you watch the presentations


Please complete the post-assessment survey after you have completed the watching the presentations.



The Pain Conference had Category 1 approval from the Nursing and Midwifery Board of Ireland. 

 www.clinicalsafety.blogspot.com




 
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