Pain Management

To encourage learners to understand that pain can very easily go unnoticed and so untreated and provide underpinning knowledge associated with best practice for the assessment and management of pain.

To promote the safety and well-being of all patients who require pain management.


By the end of the course, candidates will be able to:

  • Describe the anatomy of the nervous system
  • Discuss different types of pain and how they can affect people in a variety of ways
  • List a range of issues that can arise when people with dementia experience pain
  • Explain the importance of accurate pain assessment
  • Identify the range of pain assessment scales in common use and discuss their value
  • Give examples of non-pharmacological interventions
  • Explain the WHO ‘analgesia ladder’ and it’s components
  • Recognise own role in monitoring the effectiveness of medications that are administered
  • Outline considerations for effective management of pain at the end of life



Practitioners will be assessed by –

  • Ability to answer questions during course
  • Discussion following feedback from activities


Course content

  • Setting the scene
  • What is Pain?
  • Pain facts
  • Care Home settings
  • The nervous system
  • The brain and pain
  • Nociceptive pain
  • Neuropathic pain
  • Acute pain
  • Chronic pain
  • Dementia and pain
    • Causes
    • CQC inspection comments
  • Assessment of pain
  • O.C.R.A.T.E.S.
  • Factors affecting sensitivity
  • Verbal self-assessment scales
  • Observational assessment
  • The 6 categories of pain behaviour
  • Behavioural assessment tools
    • PAINAD
    • Doloplus-2
    • Abbey pain scale
  • Family involvement
  • Physical interventions
  • Psychological interventions
  • Pain Management Programmes (PMP’s)
  • Pharmacological methods of pain management
  • WHO analgesia guidance – use of paracetamol, NSAID’s, opioids
  • Side effects of NSAIDS
  • Methods of drug delivery
  • End of Life Care
  • Summary


Medex Group Limited
Botanical Gardens Business Centre,
3 Southbourne Road,
S10 2QN

t: 0114 266 5264



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