An Instructional Design on Cancer Pain Control
Department of Surgery
Ospital ng Maynila Medical Center
Setting:
Department of Surgery
Ospital ng Maynila Medical Center
2002 Census of Cancer Patients
Total number: 132 admissions
Common types of cancer: Breast, colorectal, thyroid, stomach, pancreas,
bone and soft tissue, larynx.
Usual causes of cancer pain:
The cancer itself
The treatment of cancer
Mental anguish brought about by knowing one has a cancer
Trainees: 16 surgical residents
1 volunteer parasurgical staff (nurse)
Rotating medical clerks and interns
Philosophy and Assumptions:
Learning Objectives:
General learning objective:
At the end of the course, the learners should be able to acquire the requisite competency in the management of a patient with cancer pain.
Terminal learning objectives:
At the end of the course, the learners should be able to:
Specific behavioral objectives:
At the end of the course, the learners should be able to:
Content:
What is cancer pain?
What are the usual causes of cancer pain?
What is the magnitude of cancer pain health problem, particularly in the Philippines?
What are the usual problems encountered in cancer pain control program, particularly in the Philippines?
What are the various ways of assessing degree of cancer pain in a patient and indications for their use?
What are the general principles in the management of a patient with cancer pain?
What are the usual options of treatment modalities for cancer pain control and how should selection be done for a particular patient with cancer pain?
What are WHO recommendations on pharmacologic cancer pain control? DOH recommendations on pharmacologic cancer pain control? What is/are the difference?
What are the administrative (legal) requirements for prescribing opioid analgesics?
How should the yellow prescriptions pad for morphine be filled up by a physician?
How should the success or failure of cancer pain relief for a particular patient be assessed?
How should a cancer pain control program in a department or hospital be formulated? Be evaluated?
Learning strategies:
“Must” learning strategies:
Independent study using the learning objectives and specified learning content as guide (hand-outs may be used)
Actual patient management with supervision
“Optional” learning strategies:
Presentation (lecture and/or case) and discussion
Simulated patient management
Learning resources:
Internet
WHO cancer pain control program
DOH cancer pain control program
OMMC’s unified concept on cancer pain control program (April,2003)
OMMC’s cancer pain control program
OMMC Department of Surgery’s cancer pain control program
Evaluation Methods:
Written exam
Case presentation and discussion for surgical residents only (one case per year)
Monitoring and assessment of Department’s Cancer Pain Control Program
Premise: success or failure of the program is a reflection of the
competency of the Department’s cancer pain control team.