Unit ADE - Pharmacological bases of pain therapy

Course
Veterinary medicine
Study-unit Code
A000666
Curriculum
In all curricula
Teacher
Giorgia Della Rocca
Teachers
  • Giorgia Della Rocca
Hours
  • 25 ore - Giorgia Della Rocca
CFU
1
Course Regulation
Coorte 2019
Offered
2022/23
Learning activities
A scelta dello studente
Area
A scelta dello studente
Academic discipline
VET/07
Type of study-unit
Opzionale (Optional)
Type of learning activities
Attività formativa monodisciplinare
Language of instruction
Italian
Contents
Discussion about the neurophisiology of pain, its clinical consequences, recognition of pain and pain treatment, with esemplification of clinical cases.
Reference texts
Textbook: G. della Rocca, A. Bufalari. Terapia del dolore negli animali da compagnia. Poletto Editore, 2016.
Pdf available on "Unistudium" platform.
Educational objectives
D1 - KNOWLEDGE AND UNDERSTANDING ABILITY
The student must acquire basic knowledge related to:
- ability to distinguish the various types of pain based on physiopathogenetic mechanisms and to identify the molecular targets of the action of analgesic drugs
- pharmacokinetic and pharmacodynamic features of the considered pharmacological classes
- therapeutic indications of the considered pharmacological classes
- main contraindications and side effects of the considered pharmacological classes

D2 - ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
At the end of the training activity the student must have the bases necessary to be able to make a reasoned choice for a correct therapeutic approach suitable for the management of pain in different painful situations that may affect pets or livestock, a choice that takes into account the pharmacokinetics and pharmacodynamics features, possible side effects and possible contraindications of drugs.

D3 - AUTONOMY OF JUDGMENT
At the end of the training the student must be able to set up appropriate pain protocols to be adopted in the veterinary clinical practice, with a view to correct patient management both in the course of internal pathologies and surgical interventions.

D4 - COMMUNICATION SKILLS
At the end of the training the student will be able to:
- know how to organize, prepare and exhibit, to an audience made up of people of equal level of preparation, a presentation on pain management with its own evaluations supported by appropriate arguments;
- support an adversarial process with people of equal preparation and experts in different issues, of a regulatory, scientific, procedural and / or technological nature;
- demonstrate language properties in both written and oral form, as well as the ability to use terminology that is sufficiently appropriate for a correct approach to the profession, which is also important for job interviews.

D5 - LEARNING SKILLS
At the end of the training the student will be able to:
- consult and understand scientific texts, even innovative ones, bibliographic updates, normative dictations, in such a way as to employ them in contexts not only usual for the profession, including research, but also originals;
- possess a sufficiently broad mastery of the subject to guarantee an acceptable basis for continuing professional updating throughout life, through ongoing lifelong learning.
Prerequisites
The knowledge of pharmacology is a prerequisite for the student who wants to follow the course with profit.
Teaching methods
The course is organized as follows:
- Lectures on the main topic of the course.
- Supervised discussions within small student's groups on the topics listed in the program.
- Practical section with videos on the use of pain scales.
- Self-directed learning (SDL) activity: preparation and description of clinical cases based on on-line research and material provided by the teacher.
Other information

Learning verification modality
Multiple-choice test on course topics. The test will be passed with 70% of correct answers, or clinical case presentation.
Extended program
Pain Ethiopathogenesis: inflammatory pain, neuropathic pain, pain from unknown origins (3 h).
Clinical consequences of pain (1 h).
Pain recognition and evaluation in veterinary species (dog, cat, non conventional species, horse, farm animals): preventive diagnosis, clinical approach, use of pain scores (3 h). 
Principles of pain treatment: pain mechanism-based approach, preemptive and multimodal treatment, reasons for antalgic therapy's failure (3 h).
Clinical cases (from diagnosis to therapy): application of therapeutic approach in various painful conditions of inflammatory acute (traumatic, surgical, medical), inflammatory persistent (i.e. OA, cancer) and neuropathic (i.e. neuropathies, amputation) pain (15 h - SDL).
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