AHPC Certification Program Module 4: Pain Management

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AHPC Certification Program Module 4: Pain Management

For Approved Students Only

If you are an approved student in this AHPC Program, please log in to register.

Availability: In stock

25 hours

Presented by: Steven Fox


Availability: In stock.

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For Approved Students Only

If you are an approved student in this AHPC Program, please log in to register.



The Animal Hospice and Palliative Care (AHPC) Certification Program (CP) will standardize and define the skills and knowledge required of individuals and organizations offering animal hospice and palliative care, and will establish a standard of care for animal hospice and palliative care services that will reflect a level of excellence achieved by those individuals who have obtained certification.

The AHPC CP is a 115-hour RACE approved continuing education program that certifies its students in animal hospice and palliative care. The program begins with an overview of fundamental concepts and progresses to cover the unique challenges of veterinary medical care, nursing care, and caregiver care as related to the animal hospice model.

Module 4

This program embraces the multimodal treatment of pain management and provides an evidence-based approach to treatment options.  It focuses on the neurobiology of pain mechanisms so as to understand the basis for mechanism-based treatments.  Further, this course embraces the team approach to pain management, recognizing the valuable roles of the veterinarian, veterinary technician, and owner in managing each case.  

Additional Information

Additional Information

Instructor(s) Steven Fox
Learning Objectives

After completion of this mddule, participants will be able to:

  • Understand the basic neurobiology of pain in companion animals
  • Apply the information in the selection of treatment modalities.
  • Identify animal behaviors that are consistent with pain.
  • Discuss common conditions causing neuropathic, visceral, or cancer-caused pain and application to clinical patients.

You must be an approved student in the AHPC Certification Program to enroll in this course.

Eligibility Requirements:

  • Licensed veterinarians
  • Licensed veterinary technicians
  • Professional license must be current
  • Applicant must be an IAAHPC Member in good standing 

Students of the AHPC Certification Program are eligible for the Certified Hospice and Palliative Care Veterinarian (CHPV) and Certified Hospice and Palliative Care Technician (CHPT) designation, endorsed by the International Association of Animal Hospice and Palliative Care, upon completion of:

  • successfully complete all 5 modules of the program
  • successfully submit peer-reviewed hospice case reports
  • successfully complete the online exam

Enrollment Duration: 1 year

Please note! Students must complete the Introductory Module prior to the Conference and Communication Module

Presented by Dr. Steven Fox
Dr. Steven Fox is a graduate of the United States Naval Academy and proudly served our country for 10 years-- primarily as a Combat Naval Aviator in Vietnam: flying 300 combat missions with qualification as Officer of the Deck of the USS Enterprise. Steve has six academic degrees, including: engineering (BS), veterinary medicine (BS), nutritional biochemistry (MS), an MBA, a DVM and PhD in physiology/pain management. Dr. Fox was President of the Veterinary Orthopedic Society in 2004. He is certified as a small animal surgical specialists in New Zealand (a country in which he holds dual citizenship) and has 15 years experience in corporate marketing, technical services and research (Pfizer and Novartis). Dr. Fox is involved with the Western Veterinary Conference as the Symposium Educational Manager. He is a recognized authority on pain management and is widely published with 80 professional articles, 3 textbooks and 5 textbook chapters. Dr. Fox is in demand as both a lecturer and public speaker.


RACE Program Approval

Program Number:  120-41942
Number of Hours of CE:
  • Max Veterinary Hours approved: 28.00
  • Max Veterinary Hours available: 28.00
  • Max Veterinary Technician Hours approved: 28.00
  • Max Veterinary Technician Hours available: 28.00
Pain Management - (28 hours) -
presented by Steven M. Fox, MS, DVM, MBA, PhD

Module 1: Osteoarthritis & Pain (2.75 hours)

  1. Introduction
  2. Joint Pain
  3. Osteoarthritis & Inflammation
  4. Neuronal Events in Joint Inflammation
  5. Spinal Neurons
  6. Activation of Sensory Neurons
  7. Osteoarthritis & Joint Mechanics
  8. Osteoarthritis Treatments
  9. Managing Osteoarthritis

Module 2: Multimodal Management of Canine Osteoarthritis (2.25 hours)

  1. Analgesia
  2. Weight Control and Diet
  3. Chondroprotectant
  4. NSAIDs
  5. Adjuncts
  6. Physical Rehabilitation
  7. Case Studies

Module 3: NSAIDs (2.75 hours)

  1. Introduction to NSAIDs
  2. Current NSAIDs
  3. COX-1 & COX-2 Receptors
  4. NSAID Half-life
  5. Objective Assessment of NSAIDs
  6. Safety & Adverse Effects
  7. Gastrointestinal Adverse Effects
  8. Asprin
  9. GI Protectors, Washout Periods, & Drug Interactions
  10. Frequently Asked Questions

Module 4: Pain Management in the Cat (3.0 hours)

  1. Economics of Feline Pain Management
  2. Challenges of Treatment Pain in Cats
  3. Opioids in Cats
  4. Tramadol
  5. Other Analgesics
  6. Degenerative Joint Disease
  7. Diagnosing Degenerative Joint Disease
  8. Treatment Options & Guidelines
  9. Feline Chondroprotectants
  10. Outcome Measures & Pain Management

Module 5: Neurobiology of Pain - Part 1 (1.5 hours)

  1. The Pain pathway
  2. The Gate Theory
  3. Preemptive Analgesia
  4. Types of Pain

Module 6: Neurobiology of Pain - Part 2 (1.75 hours)

  1. Neurotransmitters
  2. Opioids
  3. Tricyclics & Anticonvulsants
  4. NMDA-Antagonists
  5. Tramadol
  6. Neuropathic Pain
  7. Bisphosphonates & Adjucts

Module 7: Cancer (.75 hour)

  1. Cancer Pain Classification
  2. Behaviors Suggesting Pain
  3. Pain Management of the Cancer Patient

Module 8: Opioids & Alpha-2 Agonists (2.0 hours)

  1. Controlled Substances
  2. Opioid Receptors
  3. Opioid Classification & Delivery
  4. Common Opioids
  5. Alpha-2 Agonists
  6. Dexmedetomadine
  7. Alpha-2 Summary

Module 9: Local Anesthetic Blocks (1.75 hours)

  1. Local Anesthetics & Techniques
  2. Epidural - Part 1
  3. Epidural - Part 2
  4. Forelimb Blocks
  5. Intercostal & Dental Blocks
  6. Soaker Catheters & Retrobulbar Eye Blocks

Module 10: Pain Assessment (1.5 hours)

  1. Pain Processing & Variability
  2. Anticipating Pain
  3. Characteristics Associated with Pain
  4. Pain Scales

Module 11: Animal Health Technicians in Pain Management (1.25 hours)

  1. Importance of an Animal Health Technician
  2. Developing a Pain Management Plan
  3. Client Communications

Module 12: Tricyclics & Anticonvulsants (1.0 hour)

  1. Mechanisms of Action for Tricyclic Antidepressants (TCAs)
  2. Tramadol
  3. Evidence for Pharmacological Treatment of Neuropathic Pain
  4. Anticonvulsants

Module 13: Nutraceuticals and Stem Cells (2.25 hours)

  1. Cartilage Structure & Function
  2. Eicosapentaenoic Acid (EPA)
  3. Nutraceuticals & Supplements
  4. Destructive Players in Osteoarthritis
  5. Evidence for Nutraceuticals
  6. Avocado Soybean Unsaponifiables
  7. Complementary Therapies
  8. Stem Cells

Module 14: Pain States (.5 hour)

  1. Adaptive & Maladaptive Pain
  2. Visceral Pain
Additional Info

2017-2018 Students

  • May be completed at any time during the 1-year certification period (which is June 15, 2017 to June 30, 2018) 
  • Must be completed by August 15, 2018

2018-2019 Students

  • May be completed at any time during the 1-year certification period (which is June 15, 2018 to June 30, 2019) 
  • Must be completed by August 15, 2019
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