CONTRÔLER LA DOULEUR.

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Transcription de la présentation:

CONTRÔLER LA DOULEUR

OBJECTIFS Décrire les trois paliers de l’échelle des analgésiques Donner des exemples de médicaments pour chaque palier de l’échelle Expliquer l’utilisation des coanalgésiques

Échelle des analgésiques Qu’est on peut faire ou préscrire pour le douleur?

Principes du contrôle de la douleur Par voie orale À heures fixes Par paliers

Douleur Temps

À heures fixes Douleur Temps

À heures fixes Douleur Temps

À heures fixes Douleur Temps

La morphine : les faits et les peurs La fin est proche Sédatif Dépressions respiratoires Dépendance

La morphine : les faits et les peurs La fin est proche Sédatif Dépressions respiratoires Dépendance

La morphine : les faits et les peurs La fin est proche Sédatif Dépressions respiratoires Dépendance

La morphine : les faits et les peurs La fin est proche Sédatif Dépressions respiratoires Dépendance

La morphine : les faits et les peurs La fin est proche Sédatif Dépressions respiratoires Dépendance

Coanalgésiques

Coanalgésiques Inflammation ou grosseur importante Douleur due à des lésions nerveuses (douleur neuropathique) Spasme musculaire Crampe abdominale

Coanalgésiques Inflammation ou grosseur importante Douleur due à des lésions nerveuses (douleur neuropathique) Spasme musculaire Crampe abdominale

Coanalgésiques Inflammation ou grosseur importante Douleur due à des lésions nerveuses (douleur neuropathique) Spasme musculaire Crampe abdominale

Coanalgésiques Corticostéroïdes Inflammation ou grosseur importante (prednisolone - Solupred, Cortancyl) Antidépresseurs ou anticonvulsivants (amitriptyline, tegretol) Diazépam (valium) ou Baclofène Scopolamine bromobutylate (buscopan) Inflammation ou grosseur importante Douleur due à des lésions nerveuses (douleur neuropathique) Spasme musculaire Crampe abdominale

These resources are developed as part of the Integrate 2 project Rwanda, whose goal is to strengthen and integrate palliative care into national health systems through a public health primary care approach Acknowledgement given to Cairdeas International Palliative Care Trust for their preparation and adaptation part of the teaching materials for the Palliative Care Toolkit training with modules as per the Training Manual can be used as basic PC presentations when facilitators are encouraged to adapt and make contextual