Inadequately managed pain can lead to adverse physical and psychological patient outcomes for individual patients and their families. Continuous, unrelieved pain activates the pituitary-adrenal axis, which can suppress the immune system and result in postsurgical infection and poor wound healing. Sympathetic activation can have negative effects on the cardiovascular, gastrointestinal, and renal systems, predisposing patients to adverse events such as cardiac ischemia and ileus. Of particular importance to nursing care, unrelieved pain reduces patient mobility, resulting in complications such as deep vein thrombosis, pulmonary embolus, and pneumonia. Postsurgical complications related to inadequate pain management negatively affect the patient’s welfare and the hospital performance because of extended lengths of stay and readmissions, both of which increase the cost of care.
Continuous, unrelieved pain also affects the psychological state of the patient and family members. Common psychological responses to pain include anxiety and depression. The inability to escape from pain may create a sense of helplessness and even hopelessness, which may predispose the patient to a more chronic depression. Patients who have experienced inadequate pain management may be reluctant to seek medical care for other health problems.
There is a complete absence of standards of pain management in primary care in Pakistan.
Hold a current, active PMDC registration or the professional, Legally‐recognized equivalent in another country.
A minimum of 500 faculty supervised clinical hours in the internal medicine in an advanced pain management role OR 6 month house job in internal medicine from an HEC recognized medical institution.
Experience of at least 4 years of clinical practice as a family physician where the doctor may be involved in the care of patients.
Associate membership of College of Family Medicine Pakistan
Pain Management is a Certificate Course for Family Physicians
“All About Pain” is a star CME certificate course for the family Physicians to train them to identify and manage various kinds of pain in the primary care setting and to make appropriate referrals where needed.
The Course would be taught by some of the eminent faculty of the country and the College aims to bring about a change in the country so that no patient undergoes any suffering for the want of appropriate pain management.
College of family medicine Pakistan has launched this course in February 2018. This is a 03 months certificate course and accredited for CME hours by PMDC.
College of Family Medicine Pakistan being one of the leading institutions of Family Physicians understands the needs of the patients for a better pain management and care and the need to educate the family physicians for pain management. Family Physicians are the first contact for seeking healthcare and for pain management across the country.
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