Rheumatology and Pain Management

Course code PHAR3202Units 10Level 3000Faculty of Health and MedicineSchool of Biomedical Sciences and Pharmacy

Presents the pathophysiology of altered health states and their management including both pharmacological and non-pharmacological interventions. Specific diseases covered in this course include musculoskeletal conditions, rheumatology and pain management, including anaesthetics. The course considers aspects of pharmacy practice including a systematic review of prescription and non-prescription medications and Complementary and Alternate Medicines, which will address the quality use of medicines in the management of these conditions.

The course builds on student's existing knowledge and understanding of the physical pharmacy principles and provides students with an understanding of how these principles are applied to the preparation of dosage formulations used in pain management. The stability of these drug products and factors influencing the storage and shelf life of products is included in this course. The clinical application of PCAs, syringe drivers and formulations for intrathecal and epidural drug administration will be discussed and expanded upon in this course.

Pharmacokinetic and pharmacodynamic considerations in conditions affecting the musculoskeletal system and pain management are covered including the pharmacokinetic principles underlying the use of anesthetics.

Application of the knowledge developed in this course will be complemented by clinical skills training.

Not available in 2015

ObjectivesAt the end of this course students will be able to:
1. Describe the pathophysiology and management of musculoskeletal conditions and pain.
2. Describe the use of anaesthetic agents in surgery and critical care.
3. Gain an understanding of the signs, symptoms and complications of infections such as osteomyelitis, septic arthritis, cellulitis, be aware of the pathogens involved, understand relevant diagnostic tests and be aware of first and second line infective therapy as well as non-pharmacological approaches to the management of these infections.
4. Describe the quality use of medicines' issues surrounding these therapeutic agents in the treatment of these conditions and continue to develop clinical skills and communication skills in the therapeutic management of these conditions.
5. Develop skills in the appropriate use of non-prescription products and advice on non-pharmacological treatment options in the management of these conditions.
6. Describe the formulation and manufacture of dosage formulations used in pain management and sterile drug products including formulations for epidural and intrathecal drug administration, syringe drivers and PCAs.
7. Describe the role of pharmacodynamics and pharmacokinetic factors that need to be considered in pain management including the pharmacokinetics of anaesthetics.
8. Understand the role of pharmacy in Sports Medicine and develop an understanding of the risks to the athlete and ethical implications surrounding the use of drugs in sport to enhance athletic performance.
Content1. This course will cover the pathophysiology, therapeutic treatment and pharmacy practice issues in the management of:
- The musculoskeletal conditions (including rheumatoid arthritis, osteoarthritis, gout, Paget's Disease, osteomalcia, osteoporosis).
- The use of anaesthetics in anaesthesiology.
2. The pathophysiology and principles for the treatment of infectious diseases including osteomyelitis, septic arthritis and cellulitis.
3. The concept of minor illness and major disease will be discussed, including the use of prescription and non-prescription products, including Complementary and Alternate Medicines. Non-pharmacological approaches to the management of these conditions will also be discussed.
4. The course covers advanced concepts in formulation development and design of preparations used in rheumatology and pain management:
- Sterile products, aseptic technique, microbial contamination, spoilage and preservation, principles of sterilisation and storage considerations.
- Advanced dispensing and compounding skills in understanding the preparation of drug formulations used in epidural and intrathecal administration.
- PCA's.
- Syringe drivers.
5. The course covers all pharmacokinetic and pharmacodynamic considerations for therapeutic agents used in pain management and the management of musculoskeletal conditions including pharmacokinetics principles surrounding the use of anaesthetics.
6. Sports Medicine and the use of drugs in sport to enhance athletic performance:
- The role of pharmacy in Sports Medicine and the supply of non-prescription and prescription medications to athletes.
- Prohibited banned substances and prohibited methods of doping.
- Ethical concerns around artificially enhancing athletic performance.
- The role of the Australian Sports Drug Agency (ASDA) and other organisations.
Replacing Course(s)NA
Industrial Experience0
Assumed KnowledgePHAR3104 Clinical Pharmacotherapy 2
Modes of DeliveryInternal Mode
Teaching MethodsLecture
Integrated Learning
Self Directed Learning
Assessment Items
Examination: ClassCourse Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8
Essays / Written AssignmentsGroup Assignment
Course Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8
Examination: FormalCourse Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8
Quiz - On-lineCourse Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8
Contact HoursWorkshop: for 3 hour(s) per Week for 1 weeks
Lecture: for 3 hour(s) per Week for 10 weeks
Tutorial: for 2 hour(s) per Week for 10 weeks
Compulsory Components
Compulsory Program ComponentPrior successful completion of PHAR1101 Introduction to Pharmacy and Formulation Sciences 1 and PHAR1201 Introduction to Pharmacy and Formulation Sciences 2.
Requisite by EnrolmentThis course is only available to students enrolled in the Bachelor of Pharmacy (Honours) program.