Comfort Learning Objectives

2-Hour

  1. Use subjective and objective pain data to make clinical decisions about the use of analgesic drugs in people facing the end-of-life transition.

  2. Describe the pathophysiologic consequences of unrelieved pain.

  3. Differentiate indications for the use of NSAIDs, acetaminophen, opioids, and adjuvant analgesic drugs.

  4. Calculate equianalgesic doses of morphine, hydromorphone, codeine, and oxycodone.

8-Hour

  1. Use subjective and objective pain data to make clinical decisions about the use of analgesic drugs in people facing the end-of-life transition.

  2. Describe the pathophysiologic consequences of unrelieved pain.

  3. Differentiate indications for the use of NSAIDs, acetaminophen, opioids, and adjuvant analgesic drugs.

  4. Calculate equianalgesic doses of morphine, hydromorphone, codeine, and oxycodone.

  5. Document and communicate information about the pain experience that healthcare providers need so they can make clinical decisions.

  6. Defend the provision of comfort care to the dying as an active, desirable, and important service that is not assisted suicide or euthanasia.

  7. Apply current knowledge about pain mechanisms to the assessment and management of nociceptive and neuropathic pain.

  8. Apply knowledge of pharmacokinetics in planning care for patients in pain.

  9. Recognize and relieve symptoms commonly occurring at the end of life.

  10. Evaluate the impact of all therapies in end-of-life care on the quality of life experienced by the dying person and by his/her family.

  11. Recognize and prepare the patient and family for decline in physical condition and perhaps in emotional, cognitive, and behavioral status.