PHYSICIAN ASSISTANT MASTERS PROGRAM School of Allied Health Professions Loma Linda University PAST 543 Clinical Medicine III Summer Quarter, 2015 Pain Management Objectives Upon completion of this lesson, for each of the conditions listed below, the Physician Assistant student should be able to: 1.Define pain 2.Recognize signs and symptoms of spinal pain that may indicate a serious or life-threatening etiology 3.Identify the components of pain that should be considered in addition to the biological component 4.Discuss various methods to measure pain and efficacy of pain management 5.Discuss Waddells signs, what they relate to, and limitations to their use 6.Describe the statistics of pain and how they relate to patient care 7.Differentiate between malingering, factitious disorders, and somatoform disorders 8.Correlate the most likely origin of pain to the type of pain described 9.Differentiate between acute and chronic pain 10.Discuss complex regional pain syndrome and its subtypes, including etiology and possible treatment strategies 11.Discuss various etiologies of cervical pain and radiculopathy, including diagnostic methods and treatment 12.Discuss various etiologies of low back pain and radiculopathy, including diagnostic methods and treatment 13.Differentiate between claudication and pseudoclaudication, including signs, symptoms, diagnosis, and treatment options 14.Discuss the etiology, signs, symptoms and treatment options for: Vertebral compression fracture Sacroiliac dysfunction Myofascial pain 15.Correlate the type of pain with recommended medications or other treatment options 16.Differentiate between addiction and pseudo-addiction 17.Describe the 4-As of patient monitoring during opioid therapy 18.Recommend follow-up regimens and provide patient education for pain management Reading: CMDT 2015, Chapter 5; Chapter 41, section on spine problems