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    ADVANCED CONCEPTS IN PAIN MANAGEMENT
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    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
    1. 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
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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.


    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
    25 RACE credits for veterinarians and technicians




    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, BS, CVT, VMT, LAAS, SRA Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA
    Mary Ellen has worked in various aspects of veterinary medicine from small animal and equine to mixed practice, coccidiosis research for a pharmaceutical company, and laboratory animal medicine since 1976.

    She became intensely involved in anesthesia and analgesia work when she was at Virginia Commonwealth University in the Division of Animal Resources. Mary Ellen was a member of the Institutional Animal Care and Use Committee and advised researchers and their staff on anesthesia and analgesia for their experimental procedures for over 8 years. She is still a consultant for VCU, writing Guidelines and SOPs for the animal research community.

    Mary Ellen became a Surgical Research Anesthetist, certified through the Academy of Surgical Research, in 2007. The SRA certification is oriented towards the person (physician, veterinarian, dentist, nurse, veterinary technician, veterinary nurse or pharmacist) working as an anesthetist who also has responsibilities as part of the surgical team that include aseptic preparation, and peri-operative care for surgical patients.

    In 2003 she began teaching here at VetMedteam. Mary Ellen is the instructor for Basic Principles of Anesthesia, Advanced Concepts of Veterinary Anesthesia, Advanced Concepts of Pain Management: Companion Animal and Managing Canine Pain. Teaching is one of her loves. To quote Mary Ellen " It has been one of the most rewarding experiences of my life."

    Mary Ellen is the Executive Secretary of IVAPM (International Veterinary Academy of Pain Management). In addition, she is on the Examination Committee charged with writing and developing the credentialing examination for certification as a Certified Veterinary Pain Practitioner (CVPP). She is also on the Credentialing Committee, handling the review of the applications and the case studies that must be submitted for CVPP and is the only veterinary technician on this committee.

    Since becoming the Executive Secretary of IVAPM, she has become a member of the American Academy of Pain Management (Human), the American Society of Pain Educators, and the International Association for the Study of Pain and the Association of Veterinary Anaesthetists (European Academy). This has taken her passion to a new level.

    In 2009, she became a Faculty member for the Mannheimer Foundation, Inc. Mary Ellen instructs veterinary residents in Laboratory Animal Medicine from various Veterinary Colleges in Primate Anesthesia and Analgesia.

    Hobbies and other activities include anything about the BEACH! She became a certified Florida Master Naturalist through the University of Florida in December 2007. Mary Ellen enjoy working out, needlework, cooking, baking and caring for family, which includes 3 grown sons.


    Upcoming Sessions




    Pricing
    Course Price: $198.00



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    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.

    * Course meets the requirements for indicated hours of continuing education credit 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 of continuing education. (AAVSB means American Association of Veterinary State Boards)

    ++ This course has been submitted (but not yet approved) for the indicated hours of continuing education credit 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 of continuing education. Contact CE@VetMedTeam.com for further information.

    More information regarding RACE may be found at www.aavsb.org. In addition you can obtain the contact information for your state to determine if they accept RACE online credits. Online courses are a great way to help meet continuing education goals!
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