ADVANCED CONCEPTS IN PAIN MANAGEMENT

Course Description
This advanced level 6 week course is designed to provide an overview of the factors involved in pain management. Emphasis is placed on terminology, pharmaceutical methods of pain control, and management strategies. Note: This course was formerly known as Pain Management.

Learning Objectives
Use and understand pain terminology Understand the physiology of pain Recognize the signs of pain Develop strategies for pain management Identify analgesic drugs, their usage, contraindications and interactions Describe and understand analgesic techniques Describe and understand pain management for specific conditions and procedures Describe and understand chronic pain and its management

Course Content
Section One - Pain Terminology, Physiology, Recognition, and Strategies for Management Pain Terminology Physiology of Pain Pain Recognition Strategies For Pain Management Placebo Effect Section Two - Analgesic Drugs Opioids Recommended Opioid Dosages and Indications Local Anesthetics Side Effects and Contraindications Alpha2 Adrenergic Agonists Drug Interactions Recommended NSAID Dosages and Indications Drug Interactions Analgesic Adjuvant Agents Recommended Analgesic Adjuvant Dosages and Indications Preemptive Analgesic Drug Combinations Transdermal Analgesic Preparations Topical Local Anesthetic Preparations Dispensable Oral Medications Section Three - Analgesic Techniques Epidural Analgesia/Anesthesia Anatomic landmarks for epidural technique Epidural Catheter Placement Brachial Plexus Block Radial/Ulnar/Median Nerve Block Intra-articular Analgesia Dental Nerve Blocks Infiltrative Blocks Intravenous Regional Analgesia/Anesthesia Intercostal Nerve Block Interpleural Analgesia/Anesthesia Intravenous Constant Rate Infusion Transdermal Opioid Delivery Adjunctive Analgesic Techniques Section Four - Pain Management for Specific Conditions and Procedures Initial Pain Management of the Trauma Patient Postoperative Analgesic Medications Acute Pancreatitis Canine Procedures Ovariohysterectomy Castration Exploratory Laparotomy Forelimb Amputation/Fracture Thoracotomy Intervertebral Disc Disease Cruciate Ligament Repair Hind Limb Amputation/Fracture Degloving Injury Perianal Fistula Ear Crop or Ear Canal Ablation Feline Procedures Ovariohysterectomy Castration Section Five - Managing Chronic Pain in Dogs and Cats Chronic Pain Treatment of Chronic Pain Guidelines for Chronic Pain Management Common Chronic Pain Syndromes Common Chronic Pain Syndromes Chronic Otitis Pain Section Six - Appendix Drugs and Sources

Course Content

Section One - Pain Terminology, Physiology, Recognition, and Strategies for Management
1. Pain Terminology
2. Physiology of Pain
3. Pain Recognition
4. Strategies For Pain Management
5. Placebo Effect
Section Two - Analgesic Drugs
1. Opioids
2. Recommended Opioid Dosages and Indications
3. Local Anesthetics
4. Side Effects and Contraindications
5. Alpha2 Adrenergic Agonists
6. Drug Interactions
7. Recommended NSAID Dosages and Indications
8. Drug Interactions
9. Analgesic Adjuvant Agents
10. Recommended Analgesic Adjuvant Dosages and Indications
11. Preemptive Analgesic Drug Combinations
12. Transdermal Analgesic Preparations
13. Topical Local Anesthetic Preparations
14. Dispensable Oral Medications
Section Three - Analgesic Techniques
1. Epidural Analgesia/Anesthesia
2. Anatomic landmarks for epidural technique
3. Epidural Catheter Placement
4. Brachial Plexus Block
5. Radial/Ulnar/Median Nerve Block
6. Intra-articular Analgesia
7. Dental Nerve Blocks
8. Infiltrative Blocks
9. Intravenous Regional Analgesia/Anesthesia
10. Intercostal Nerve Block
11. Interpleural Analgesia/Anesthesia
12. Intravenous Constant Rate Infusion
13. Transdermal Opioid Delivery
14. Adjunctive Analgesic Techniques
Section Four - Pain Management for Specific Conditions and Procedures
1. Initial Pain Management of the Trauma Patient
2. Postoperative Analgesic Medications
3. Acute Pancreatitis
4. Canine Procedures
5. Ovariohysterectomy
6. Castration
7. Exploratory Laparotomy
8. Forelimb Amputation/Fracture
9. Thoracotomy
10. Intervertebral Disc Disease
11. Cruciate Ligament Repair
12. Hind Limb Amputation/Fracture
13. Degloving Injury
14. Perianal Fistula
15. Ear Crop or Ear Canal Ablation
16. Feline Procedures
17. Ovariohysterectomy
18. Castration
Section Five - Managing Chronic Pain in Dogs and Cats
1. Chronic Pain
2. Treatment of Chronic Pain
3. Guidelines for Chronic Pain Management
4. Common Chronic Pain Syndromes
5. Common Chronic Pain Syndromes
6. Chronic Otitis Pain
Section Six - Appendix
1. Drugs and Sources

Required Materials
No additional materials provided - all course content is online. Students that prefer to read technical material in text form may wish to purchase the book that comprises the general content. The text has been well received by students in past sessions and makes an excellent addition to private or practice libraries. If you wish to buy the text, information is provided below in the Course Writer's section of this page.

Required Materials

No additional materials provided - all course content is online.

Students that prefer to read technical material in text form may wish to purchase the book that comprises the general content. The text has been well received by students in past sessions and makes an excellent addition to private or practice libraries.

If you wish to buy the text, information is provided below in the Course Writer's section of this page.

Testimonials
... Mary Ellen was a very interactive instructor. She honed in on personal interests relating to the field and as such broadened my knowlege in many areas, not just in pain management. I enjoyed the way the course was set up to get us thinking and encouraging us to actually use our brains. I learned a great deal more from this course and had a better experience than any lecture/conference I have ever attended. I was also so impressed by Mary Ellen as an instructor that I will be looking for future courses that I may sign up for where she is the instructor. Thank you for this wonderful experience and keep up the good work! It's refreshing to have available CE that fits my schedule and budget. ... Being able to do the course work on my own time, at my own pace was extremely helpful as I have a crazy work/life schedule; working days during the week and overnights on the weekends, family, pets, etc...I really enjoyed being able to learn about other students experiences and questions, instructors responses. ... I liked the very good course materials, they were easy to understand and focused on the clinical assessment and treatment. The course instructor, Mary Ellen Goldberg, was fast with her answers in the discussion board and showed great interest in my progress. Thank you very much for this course - it helped me a lot! ... I liked the "real world" cases, where there were pros and cons to consider with each case, and there was not one "set" answer. Most real world situations have more than one acceptable way to handle them.

Testimonials

... Mary Ellen was a very interactive instructor. She honed in on personal interests relating to the field and as such broadened my knowlege in many areas, not just in pain management. I enjoyed the way the course was set up to get us thinking and encouraging us to actually use our brains. I learned a great deal more from this course and had a better experience than any lecture/conference I have ever attended. I was also so impressed by Mary Ellen as an instructor that I will be looking for future courses that I may sign up for where she is the instructor. Thank you for this wonderful experience and keep up the good work! It's refreshing to have available CE that fits my schedule and budget.

... Being able to do the course work on my own time, at my own pace was extremely helpful as I have a crazy work/life schedule; working days during the week and overnights on the weekends, family, pets, etc...I really enjoyed being able to learn about other students experiences and questions, instructors responses.

... I liked the very good course materials, they were easy to understand and focused on the clinical assessment and treatment. The course instructor, Mary Ellen Goldberg, was fast with her answers in the discussion board and showed great interest in my progress. Thank you very much for this course - it helped me a lot!

... I liked the "real world" cases, where there were pros and cons to consider with each case, and there was not one "set" answer. Most real world situations have more than one acceptable way to handle them.

Student Login Requirements
VetMedTeam courses are asynchronous - they do not contain real time components. Students log in while a course is in session at times convenient to personal schedules.

Course Completion Requirements
All students must receive a grade of 80% or higher on all examinations. Also, all students are required to post to the course discussion boards for each module. Upon fulfillment of the course requirements, the student will receive a VetMedTeam certificate of completion that will document the RACE credits earned.

Recommended Student Criteria
This course is written at an advanced level for veterinary technicians and veterinarians. The average student spends 5 to 7 hours per week in order to complete all the mandatory requirements.

Continuing Education Credits
Course meets the requirements for 25 RACE hours of continuing education credit for veterinary technicians and veterinarians in jurisdictions which recognize AAVSB's RACE approval. However, participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery.

Course Writer
This course has been developed in cooperation with Teton NewMedia, utilizing content from Pain Management by Tranquilli, William J. ; Grimm, Kurt A. ; Lamont, Leigh A.; published by Teton New Media; Edition 2, 2004. If you are interested in purchasing this text for your library visit Teton New Media or do a web search to locate a distributor in your area.

Course Instructor
Mary Ellen Goldberg LVT, CVT, SRA, CCRVN, CVPP, VTS-lab animal medicine (research anesthesia-retired), VTS-Physical rehabilitation-retired, VTS-H (anesthesia/analgesia) Mary Ellen Goldberg is a graduate of Harcum College and the University of Pennsylvania in 1976. She worked at Virginia Commonwealth University in the Division of Animal Resources and for Research Scientists advising on their choices for anesthesia and pain management on their protocols. She was a member of VCU’s IACUC for 10 years. She has been the instructor in Anesthesia and Pain Management at VetMedTeam since 2003. She is a Certified Veterinary Pain Practitioner through IVAPM. Mary Ellen is retired as a Surgical Research Anesthetist certified through the Academy of Surgical Research. Currently, she is a staff member at the Canine Rehabilitation Institute since 2012, as a Certified Canine Rehabilitation Veterinary Nurse. (CCRVN) where she is the examination coordinator. She is a member of the IACUC at the Manheimmer Foundation, Inc. Mary Ellen was chosen NAVTA’s Veterinary Technician of the Year 2017. In 2019, Mary Ellen received the VTS-anesthesia, analgesia – honorary title from the Academy of Veterinary Technician Anesthesia and Analgesia. Mary Ellen has written several books, and contributed to numerous chapters regarding anesthesia, pain management and rehabilitation. She has worked in various aspects of veterinary medicine from small animal and equine to mixed practice, coccidiosis research for a pharmaceutical company,zoo animal medicine and laboratory animal medicine since 1976.

Course Instructor

Mary Ellen Goldberg LVT, CVT, SRA, CCRVN, CVPP, VTS-lab animal medicine (research anesthesia-retired), VTS-Physical rehabilitation-retired, VTS-H (anesthesia/analgesia)

Mary Ellen Goldberg is a graduate of Harcum College and the University of Pennsylvania in 1976. She worked at Virginia Commonwealth University in the Division of Animal Resources and for Research Scientists advising on their choices for anesthesia and pain management on their protocols. She was a member of VCU’s IACUC for 10 years.

She has been the instructor in Anesthesia and Pain Management at VetMedTeam since 2003. She is a Certified Veterinary Pain Practitioner through IVAPM. Mary Ellen is retired as a Surgical Research Anesthetist certified through the Academy of Surgical Research. Currently, she is a staff member at the Canine Rehabilitation Institute since 2012, as a Certified Canine Rehabilitation Veterinary Nurse. (CCRVN) where she is the examination coordinator. She is a member of the IACUC at the Manheimmer Foundation, Inc.

Mary Ellen was chosen NAVTA’s Veterinary Technician of the Year 2017. In 2019, Mary Ellen received the VTS-anesthesia, analgesia – honorary title from the Academy of Veterinary Technician Anesthesia and Analgesia. Mary Ellen has written several books, and contributed to numerous chapters regarding anesthesia, pain management and rehabilitation. She has worked in various aspects of veterinary medicine from small animal and equine to mixed practice, coccidiosis research for a pharmaceutical company,zoo animal medicine and laboratory animal medicine since 1976.

Upcoming Sessions

Pricing
Price: $198.00 USD

In addition, you many use your MERIAL® Rewards Visa® Prepaid Card to pay for courses. If you are not enrolled in the MERIAL Rewards program, ask your Merial Sales Representative or call 1-800-307-7000. If you do not have enough points and wish to supplement your payment with another card, please write to CE@VetMedTeam.com.

ADVANCED CONCEPTS IN PAIN MANAGEMENT

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