Thoughts from the Intro to Pain Control in Palliative Medicine Diploma

Thoughts from the Intro to Pain Control in Palliative Medicine Diploma

Thoughts from the Intro to Pain Control in Palliative Medicine Diploma

150 150 Kat Evans

Day 3 Pain Management Introduction was taught/facilitated by Dr Rene Kraus.   I will in the future post my version of the “Pain Masterclass” when we do an entire section of the Diploma on pain management.. 

  • When thinking about how we can stop pain in its tracks: we have to think in terms of ascending & descending pathways..
  • Different drugs work on different parts of the pathways, BUT pain is experienced by people & families not nerve pathways!
  • Pain is experienced TOTALLY, and we need to modulate it TOTALLY.
  • NB: The amount of pathology does not equal to the amount of pain. 
  • Pearl of wisdom from Rene: some patients with chronic pain/illness claim to be coping well independently.. have a look at their toenails.. can often give clues on how well the pain is ACTUALLY affecting their functioning!

I would highly recommend my classmates & people interested in dealing with chronic pain in the Emergency Centre / Primary Healthcare / Palliative Medicine watching the below 2 talks by badEM’s friends Iain Beardsell & Rowan Duys

Here are some fantastic resources from Rowan:

https://www.tamethebeast.org/ Great analogy & videos useful for both clinicians/patients/community.

https://www.retrainpain.org/ Fantastic resource for patients, also translated into Afrikaans! Any volunteers in South Africa able to assist translating into more South African languages?

Kat Evans

Emergency Medicine Physician in Cape Town, South Africa. Looking for solutions to our unique EM challenges with a quadruple burden of disease.

All stories by:Kat Evans

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Kat Evans

Emergency Medicine Physician in Cape Town, South Africa. Looking for solutions to our unique EM challenges with a quadruple burden of disease.

All stories by:Kat Evans