Syllabus
Pathophysiology and psychophysiology of pain
Terminology used in pain physiology
Peripheral mechanisms of pain
Central mechanisms of pain
Central pain inhibitory mechanism, its neuroanatomical substrates and neurotransmitter systems
Classification of opioid receptors and their distribution in CNS
Measurement of pain
Psychological approaches to pain
Pain as a psychological phenomenon
Psychological factors influencing the rise and course of pain and reactions to it
Indication and application of psychological (counselling and psychotherapeutic) approaches in pain control
Aspects of pain in children
Pathophysiological and psychological aspects of pain in children
Pain measurement in children in regard of the age
Contact with the child with acute and chronic pain: as a source of information
Non-pharmacological approach to the pain in children
Pharmacology of pain
Opioid analgesics
Nonopioid analgesics
Determining of exemplary case studies
Schedule of pharmacotherapeutical design (problem, selection of drug group, concrete drug, drug form, doses, risks, individualization, economical aspects, further control)
Individual elaboration of appropriate case studies
Surgery of pain
Spinothalamic chordotomy - transsection of tractus spinothalamicus lateralis comissurotomy ? transsection of comissura anterior (mediolongitudinal myelotomy) central myelothermocoagulation ? thermal lesion at C1 or Th12 level thermocoagulation in dorsal root entry zone ? exclusion of the secondary pain pathway neuron in the dorsal roots of spinal cord electrostimulation methods stereotaxic methods in thalamic region intrathecal opiate application ? application of opiates into liquor spaces using permanent reservoirs
Anaesthesiological care and postsurgical pain
Anaesthesiological methods in pain therapy
Postoperative pain
Chronic and malignant pain
Obstetric analgesia
Therapy of pain in neurology
Acute and chronic pain
Headache
Primary headache: (migraine, tension type headache and related syndromes, cluster headache and related syndromes)
Secondary headache due to another cranial or extracranial disease.
Pains of Vertebral Column (vertebrogenic (spondylogenic) pain, radicular (neurogenic) pain
Pain control in cancer patients
Various types of pain in cancer patient ? somatic, visceral
Pain characteristics (acute and chronic pain)
The difference in pain control in cancer patient in comparison with non-cancer patient
Surgical therapy of pain (types of surgery)
Radiation therapy of pain (analgesic radiotherapy using external beam radiotherapy, ?half body irradiation?, brachytherapy using radioactive strontium in therapy of multiple bone involvement
Painkillers used in cancer patients
Psychotherapy as a part of complex care of cancer patient in pain
General rules for pain control in cancer patient
Psychiatric approach to pain
Psychiatric aspects of pain:
Psychogenic pain - somatoform pain disorder (ICD 10 category-F45.4)
Pain and pain treatment in the cognitive behavioural therapy
Psychopharmacology of pain
Case story clinical presentation
Annotation
?Pain? is a problem oriented-course, part of the module Theoretical Bases of Clinical Medicine. The curse includes pathological physiology, pharmacology and explains the mechanisms of pain of different origin and their treatment.