3/10/2015. SPEAKER NAME AND CREDENTIALS: Roberta Goff, MSN Ed, RN-BC, ACNS-BC, ONC
|
|
- Christina O’Neal’
- 8 years ago
- Views:
Transcription
1 GOAL OF PROGRAM: To gain understanding about caring for different pain populations and keeping them safe. SUCCESSFUL COMPLETION: To receive contact hours, participants must attend the entire program. Please return your completed evaluation form to the conference registration desk at the end of the conference 1 PLANNING COMMITTEE NAMES AND CREDENTIALS: Nancy Irish, MSN, RN-BC Roberta Goff, MSN ED, RN-BC, ACNS-BC, ONC Vickie Harrington-Thompson BS, RN, CMSRN SPEAKER NAME AND CREDENTIALS: Roberta Goff, MSN Ed, RN-BC, ACNS-BC, ONC 2 The activity planners and the speaker for Excellence in Nursing have reported no conflicts of interest related to the presentation. 3 1
2 No Commercial support or sponsorship was received for the Excellence in Nursing presentation. NON-ENDORSEMENT OF PRODUCTS: The discussion of commercial products during the conference does not imply endorsement by Munson Medical Center, Wisconsin Nurses Association, or the American Nurses Credentialing Center s Commission on Accreditation. 4 The learner will be able to differentiate the difference between chronic pain pathways and acute pain pathways The learner will be able to describe risks for and assessment of sedation The learner will be able to state 3 medications that could be used for a patient who is opioid-naïve The learner will be able to express alternative treatments for those with pain 6 2
3 7 Chronic pain has become a label that is fraught with negativity and stereotypes Persistent pain fosters more of a positive undertone and hope 8 Unpleasant sensory and emotional experience arising from actual or potential tissue damage; sudden or slow onset of any intensity from mild to severe, constant or recurring without an anticipated or predictable end and a duration of greater than 6 months persisting a month longer than the usual course of an acute disease 9 3
4 Neuropathic Central neuropathic Poststroke syndrome Spinal cord injury Complex regional pain syndrome (types I and II) Peripheral neurogenic Peripheral neuropathy Radiculalgia Radiculopathy Radiculitis Phantom limb pain Residual limb pain Fibromyalgia Myofascial pain 10 Physical dependence Tolerance Addiction Chronic Pain Syndrome Drug-Seeking Factitious Disorder Malingering Pseudoaddiction Psychogenic Pain Disorder Somatoform Disorder Substance Abuse 11 Fear of addiction Building tolerance Limitations of activities such as driving Harm to the immune system Opioid-induces hyperalgesia Opioid-induced hypogonadism Can t I just have cancer please? 12 4
5 Patients receiving long-term opioid therapy may need up to a fourfold higher opioid dose than someone who is opioid-naïve. Make sure that the patient gets normal doses of home pain medications before surgery Have the down and dirty talk about exactly how much pain medication they were taking at home Ask how they cope with pain at home Add a non-opioid to the pain regimen early on 13 Frequent Flyer, Drug Seeker, Chronic Painer Evidence suggests that pain in people with addictive disease are undertreated Giving medications will not worsen the disease and not giving them will not help with recovery Withholding opioids could put them into serious withdrawal 14 Pain Management in Patients with Addictive Disease patients with addictive disease and pain have the right to be treated with dignity, respect, and the same quality of pain assessment and management as all other patients. 15 5
6 Whatever the experiencing person says it is, existing whenever the experiencing person says it does. (Margo Mcaffery) Pain perception is an inherent quality of life that appears early in ontogeny to serve as a signaling system for tissue damage. (Anand & Craig) Acute pain is a warning signal to the body that something is wrong or needs attention (Bonica) 16 Recent onset Peripheral nociceptors are involved in the transmission of sensation Usually associated with the sympathetic portion of the autonomic nervous system responses Treatment is focused on the cause 17 Opioids, Alpha 2 Agonist, Anticonvulsants, TCA TCA, SNRI Local anesthesia, Alpha 2 Agonists, NSAIDs Local, NSAIDs, Cox 2 inhibitor, Acetaminophen, capsaicin 18 6
7 All opioid naïve patients Opioid tolerant patients receiving more opioid than they are tolerant to Coexisting conditions such as chronic pulmonary disease, major organ failure, obesity, and those with sleep apnea Age greater than 65, especially with comorbidities Those whose pain was uncontrolled, but is now controlled 19 Opioid Naïve: No daily use of opioids within the past 7 days. Opioids are sedating sedation causes CO 2 retention followed by respiratory depression leading to respiratory arrest Start low-go slow! 20 Rate (less than 6 needs action) Needs to be counted for at least 1 full minute Quality (compare to baseline) Depth Effort Noise (snoring) Regularity 21 7
8 Highly reliable measure of the quality of ventilation Early indicator of impending respiratory depression Uses a nasal cannula to detect expired CO 2 Programmed to alarm and when the device detects a reading outside of the preset parameters If the monitoring module is attached to a PCA or PCEA, the opioids will actually stop infusing if respiratory depression is realized 22 Safe pain management Reduce Naloxone usage 23 ASSESSMENT: What is the nature and characteristics of the pain? What works at home? Are there medications you are not willing to try? 24 8
9 Especially in the elderly, many times plain acetaminophen is enough. If the patient does not have any contraindications, there are a variety of NSAIDS that could be offered. A drug like Tramadol is often a great starting point for more severe pain For severe pain, start with the lowest dose of opioid. 25 Adjuvant medications Ice Heat Repositioning Distraction Home coping measures
10 Dykstra, K. (2012). Perioperative pain management in the opioidtolerant patient with chronic pain: An evidence-based practice project. Journal of Perianesthesia Nursing, 27(6), pp McCaffery, M. & Pasero, C. (1999). Pain: Clinical manual (2 nd ed.). St. Louis, MO: Mosby Pasero, C. & McCaffery, M. (2011). Pain assessment and pharmacologic management. St. Louis, MO: Mosby Elsevier St. Marie, B. (2010). Core curriculum for pain management nursing (2 nd ed.). Kendall Hunt Publishing 28 REMEC SITES: Please make sure to fill out your evaluations and sign-in sheets. They need to be mailed to Nancy Irish in Staff Development in order to receive your CEUs
Acute Pain Management in the Opioid Dependent Patient. Maripat Welz-Bosna MSN, CRNP-BC
Acute Pain Management in the Opioid Dependent Patient Maripat Welz-Bosna MSN, CRNP-BC Relieving Pain in America (IOM) More then 116 Million Americans have pain the persists for weeks to years $560-635
More informationObjectives. Pain Management Knowing How To Help Yourself. Patients and Family Requirements. Your Rights As A Consumer
Objectives Pain Management Knowing How To Help Yourself Jackie Carter, RN MSN CNS Become familiar with the definitions of pain Be aware of your rights to have your pain treated Become familiar with the
More informationTest Content Outline Effective Date: June 9, 2014. Pain Management Nursing Board Certification Examination
Pain Management Nursing Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions
More informationCHPN Review Course Pain Management Part 1 Hospice and Palliative Nurses Association
CHPN Review Course Pain Management Part 1 Disclosures Bonnie Morgan has no real or perceived conflicts of interest that relate to this presentation. Copyright 2015 by the. HPNA has the exclusive rights
More informationPOST-TEST Pain Resource Professional Training Program University of Wisconsin Hospital & Clinics
POST-TEST University of Wisconsin Hospital & Clinics True/False/Don't Know - Circle the correct answer T F D 1. Changes in vital signs are reliable indicators of pain severity. T F D 2. Because of an underdeveloped
More informationMichigan Guidelines for the Use of Controlled Substances for the Treatment of Pain
Michigan Guidelines for the Use of Controlled Substances for the Treatment of Pain Section I: Preamble The Michigan Boards of Medicine and Osteopathic Medicine & Surgery recognize that principles of quality
More informationVA SAN DIEGO HEALTHCARE SYSTEM MEMORANDUM 118-28 SAN DIEGO, CA
GUIDELINES FOR PATIENT-CONTROLLED ANALGESIA (PCA) AND PATIENT- CONTROLLED EPIDURAL ANALGESIA (PCEA) FOR ACUTE PAIN MANAGEMENT 1. PURPOSE: To assure the safe and effective use of patient controlled analgesia
More informationMANAGEMENT OF CHRONIC NON MALIGNANT PAIN
MANAGEMENT OF CHRONIC NON MALIGNANT PAIN Introduction The Manitoba Prescribing Practices Program (MPPP) recognizes the important role served by physicians in relieving pain and suffering and acknowledges
More informationIndiana University Health
Improving Acute Pain Management for Inpatients Using a Patient-Customized Opioid Tolerance Program Jill Payne, MSN, RN, Director, Surgical Patient Care Division Jim Ryser, MA, LCAC, Program Manager, Pain
More informationReview of Pharmacological Pain Management
Review of Pharmacological Pain Management CHAMP Activities are possible with generous support from The Atlantic Philanthropies and The John A. Hartford Foundation The WHO Pain Ladder The World Health Organization
More informationMichigan Board of Nursing Guidelines for the Use of Controlled Substances for the Treatment of Pain
JENNIFER M. GRANHOLM GOVERNOR STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH LANSING JANET OLSZEWSKI DIRECTOR Michigan Board of Nursing Guidelines for the Use of Controlled Substances for the Treatment
More informationMichigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau
Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau Are you looking for a speaker to present at your conference, ground rounds, or brown bag lunch? If you
More informationLora McGuire MS, RN Educator and Consultant lmcguire@jjc.edu. Barriers to effective pain relief
Lora McGuire MS, RN Educator and Consultant lmcguire@jjc.edu Barriers to effective pain relief Freedom from pain is a basic human right -WHO Pain is whatever the experiencing person says it is and exists
More informationwww.centerforebp.case.edu
www.centerforebp.case.edu www.centerforebp.case.edu Managing the Drug-Seeking Patient in Hospital Settings Christina M. Delos Reyes, MD Medical Consultant Center for Evidence-Based Practices BHO Videoconference
More informationMedications for chronic pain
Medications for chronic pain When it comes to treating chronic pain with medications, there are many to choose from. Different types of pain medications are used for different pain conditions. You may
More informationOctober 2012. We hope that our tool will be a useful aid in your efforts to improve pain management in your setting. Sincerely,
October 2012 he Knowledge and Attitudes Survey Regarding Pain tool can be used to assess nurses and other professionals in your setting and as a pre and post test evaluation measure for educational programs.
More informationPain Management in Palliative and Hospice Care
Pain Management in Palliative and Hospice Care Donna Butler, MSN, ANP-BC, OCN, ACHPN, FAAPM Current Status of Pain Cancer patients at EOL- 54% have pain AIDS with prognosis < 6mons- intense pain Less research
More informationHealthStream Regulatory Script
HealthStream Regulatory Script Pain Management Release Date: June 2011 HLC non-ce Version: 603 HLC CE Version: 1 Lesson 1: Introduction Lesson 2: What is Pain? Lesson 3: Benefits of Pain Management Lesson
More informationOpioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians
Opioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians Although prescription pain medications are intended to improve the lives of people with pain, their increased use and misuse
More informationNurses Self Paced Learning Module on Pain Management
Nurses Self Paced Learning Module on Pain Management Dominican Santa Cruz Hospital Santa Cruz, California Developed by: Strategic Planning Committee Dominican Santa Cruz Hospital 1555 Soquel Drive Santa
More informationAcute pain management for opioid tolerant patients CLASSIFICATION OF OPIOID TOLERANT PATIENTS
Update in Anaesthesia Acute pain management for opioid tolerant patients Simon Marshall and Mark Jackson* *Correspondence email: mark.jackson@rdeft.nhs.uk INTRODUCTION Opioid tolerance is usually encountered
More informationUnderstanding Your Pain
Toll Free: 800-462-3636 Web: www.endo.com Understanding Your Pain This brochure was developed by Margo McCaffery, RN, MS, FAAN, and Chris Pasero, RN, MS, FAAN authors of Pain: Clinical Manual (2nd ed.
More informationHow To Write An Opiate Prescription Guideline
Guidelines for Prescription of Opioid Medications for Acute and Chronic Pain developed and adopted by the Physician Advisory Committee Adopted by the Administrator of the Oklahoma Workers' Compensation
More informationGuidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling
Guidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling Patients with a substance misuse history are at increased risk of receiving inadequate
More informationDrug and non-drug treatments for chronic pain related to vascular disease. Gregory Chernish, MD, CIME
Drug and non-drug treatments for chronic pain related to vascular disease 1 Greg Chernish MD Assistant Professor, Family Medicine U of M Chengdu College of Traditional Chinese Medicine 1990 Certified Independent
More informationTreatment of Chronic Pain: Our Approach
Treatment of Chronic Pain: Our Approach Today s webinar was coordinated by the National Association of Community Health Centers, a partner with the SAMHSA-HRSA Center for Integrated Health Solutions SAMHSA
More informationChallenges of Pain Management In the Emergency Department
Challenges of Pain Management In the Emergency Department Joe Johnsey MD FACEP Medical Director Emergency Services North Mississippi Medical Center Disclosures THE END Objectives So what is the issue?
More informationSample Treatment Protocol
Sample Treatment Protocol 1 Adults with acute episode of LBP Definition: Acute episode Back pain lasting
More information02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
Effective June 13, 2010 02-313, 02-373, 02-380, 02-383, 02-396 Chapter 21 page 1 02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 313 BOARD OF DENTAL EXAMINERS 373 BOARD OF LICENSURE IN MEDICINE
More informationThe Pharmacological Management of Cancer Pain in Adults. Clinical Audit Tool
The Pharmacological Management of Cancer Pain in Adults Clinical Audit Tool 2015 This clinical audit tool accompanies the Pharmacological Management of Cancer Pain in Adults NCEC National Clinical Guideline
More informationFact Sheet. Queensland Spinal Cord Injuries Service. Pain Management Following Spinal Cord Injury for Health Professionals
Pain Management Following Injury for Health Professionals and Introduction Pain is a common problem following SCI. In the case where a person with SCI does have pain, there are treatments available that
More informationGuidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998
Guidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998 Section I: Preamble The New Hampshire Medical Society believes that principles
More information7 Myths Regarding Opioid Use in Pain Management. Chris Patterson, M.S.N., R.N. Muskegon Community College
1 7 Myths Regarding Opioid Use in Pain Management Chris Patterson, M.S.N., R.N. Muskegon Community College 2 7 Myths Regarding Opioid Use in Pain Management The National Center for Health Statistics estimates
More informationClinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients
Clinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients Developed by the Mid Atlantic Renal Coalition and the Kidney End of Life Coalition September 2009 This project was supported,
More informationGlossary Of Terms Related To The Psychological Evaluation Pain
Glossary Of Terms Related To The Psychological Evaluation Pain Excerpted From The BHI 2 Manual By Daniel Bruns and John Mark Disorbio 2003 by Pearson Assessments. All rights reserved. Addiction: A chronic
More informationManaging Chronic Pain
Managing Chronic Pain Chronic pain can cripple the body, mind and spirit. Feeling broken? You may benefit from Cleveland Clinic s Section of Pain Medicine, which tailors comprehensive, innovative treatment
More informationPain Management after Surgery Patient Information Booklet
Pain Management after Surgery Patient Information Booklet PATS 509-15-05 Your Health Care Be Involved Be involved in your healthcare. Speak up if you have questions or concerns about your care. Tell a
More informationHPNA Position Statement Pain Management
HPNA Position Statement Pain Management Background Pain is a common symptom in most progressive, life-limiting illnesses. Pain is defined as an unpleasant subjective sensory and emotional experience associated
More informationTransitioning Chronic Pain Patients Out of the Hospital. Rosemary Quirk, MD, DTMH ACP, November 7, 2014
Transitioning Chronic Pain Patients Out of the Hospital Rosemary Quirk, MD, DTMH ACP, November 7, 2014 Patients rate baseline chronic pain between 4/10-8/10 on clinic surveys This fact should fundamentally
More information03/20/12. Recognize the right of patients to appropriate assessment and management of pain
Narcotic Bowel Syndrome Alvin Zfass M.D. M.D. Professor of Medicine Toufic Kachaamy M.D. GI Fellow Chronic Pain 110 million Americans suffer from chronic pain according to the NIH Cost of untreated t or
More informationFACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?
FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that
More informationGuidance on competencies for management of Cancer Pain in adults
Guidance on competencies for management of Cancer Pain in adults Endorsed by: Contents Introduction A: Core competencies for practitioners in Pain Medicine B: Competencies for practitioners in Pain Medicine
More informationPARTNERSHIP HEALTHPLAN RECOMMENDATIONS For Safe Use of Opioid Medications
PARTNERSHIP HEALTHPLAN RECOMMENDATIONS For Safe Use of Opioid Medications Primary Care & Specialist Prescribing Guidelines Introduction Partnership HealthPlan is a County Organized Health System covering
More informationConflict of Interest Disclosure
Patrick Marshalek, MD Jenna Martino, MSN, FNP-C Audrey Royce, MSN, FNP-C Sarah Roy, MSN, RN, CCRN Conflict of Interest Disclosure Conflicts of Interest for ALL listed contributors. NONE Any views or opinions
More informationOPIOIDS. Petros Levounis, MD, MA Chair Department of Psychiatry Rutgers New Jersey Medical School
OPIOIDS Petros Levounis, MD, MA Chair Department of Psychiatry Rutgers New Jersey Medical School Rutgers New Jersey Medical School Fundamentals of Addiction Medicine Summer Series Newark, NJ July 24, 2013
More informationSubmitted via email to chronic_care@finance.senate.gov. June 22, 2015
Submitted via email to chronic_care@finance.senate.gov June 22, 2015 Chronic Care Working Group Senate Finance Committee United States Senate 219 Dirksen Senate Office Building Washington, D.C. 20510 Re:
More informationThese changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level.
Substance-Related Disorders DSM-V Many people use words like alcoholism, drug dependence and addiction as general descriptive terms without a clear understanding of their meaning. What does it really mean
More informationPROTOCOL SYNOPSIS Evaluation of long-term opioid efficacy for chronic pain
P a g e 1 PROTOCOL SYNOPSIS Evaluation of long-term opioid efficacy for chronic pain Clinical Phase 4 Study Centers Study Period 25 U.S. sites identified and reviewed by the Steering Committee and Contract
More informationGuidelines for Use of Controlled Substances for the Treatment of Pain
1.0 Purpose: Use of Controlled Substances for the Treatment of Pain The Physicians Advisory Committee for Controlled Substances of the Medical Society of Delaware supports the Federation of State Medical
More informationCollaboration Anesthesia
HPC hpcconnection.ca Nursing Neuro - axial Analgesia cross sector Pharmacists Intractable patient centered Opioids Interventional Consensus Collaboration Anesthesia Physicians epidural evidence based Intraspinal
More informationMaking our pets comfortable. A modern approach to pain and analgesia.
Making our pets comfortable. A modern approach to pain and analgesia. What is pain? Pain is an unpleasant sensory and emotional experience with awareness by an animal to damage or potential damage to its
More informationAcute & Chronic Pain Management (requiring opioid analgesics) in Patients Receiving Pharmacotherapy for Opioid Addiction
Acute & Chronic Pain Management (requiring opioid analgesics) in Patients Receiving Pharmacotherapy for Opioid Addiction June 9, 2011 Tufts Health Care Institute Program on Opioid Risk Management Daniel
More informationFocus on Assessment. Teaching Pain Assessment and Management: Pearls for Caring for Patients with Pain. #1. Pain is a Universal Experience.
Teaching Pain Assessment and Management: Pearls for Caring for Patients with Pain Jennifer Parsons, FNP Duke Pain Medicine Adaptive Teaches us about our environment Demands attention Can be all consuming
More informationHAWAII BOARD OF MEDICAL EXAMINERS PAIN MANAGEMENT GUIDELINES
Pursuant to section 453-1.5, Hawaii Revised Statutes, the Board of Medical Examiners ("Board") has established guidelines for physicians with respect to the care and treatment of patients with severe acute
More informationPain Assessment and Management
Pain Assessment and Management One (1.0) Contact Hour Course Expires: 9/12/2016 First Published: 9/12/2013 Reproduction and distribution of these materials is prohibited without the express written authorization
More informationChapter 17. Improving the Quality of Care Through Pain Assessment and Management
Chapter 17. Improving the Quality of Care Through Pain Assessment and Management Nancy Wells, Chris Pasero, Margo McCaffery Background At some point in life, virtually everyone experiences some type of
More informationPain Management in Patients with Substance-Use Disorders
in Patients with Substance-Use Disorders By Valerie Prince, Pharm.D., FAPhA, BCPS Reviewed by Beth A. Sproule, Pharm.D.; Jeffrey T. Sherer, Pharm.D., MPH, BCPS; and Patricia H. Powell, Pharm.D., BCPS Learning
More informationDOLORE CRONICO NELL ANZIANO
DOLORE CRONICO NELL ANZIANO Vecchie e nuove strategie terapeutiche: sicurezza ed efficacia Walter Gianni INRCA, Ircss Sede di Roma Let s start.. Older person s reflection about pain I feel like a dog thrown
More informationSELECTED OPIATES TOXICITY A MODERN DAY EPIDEMIC
SELECTED OPIATES TOXICITY A MODERN DAY EPIDEMIC Learning Objectives: 1. Identify the names and reasons/circumstances for additional toxicity of SELECTED OPIATES hydromorphone DILAUDID Methadone Fentanyl/DURAGESIC
More informationADVISORY OPINION THE USE OF CONTROLLED SUBSTANCES FOR THE TREATMENT OF CHRONIC PAIN
Janice K. Brewer Governor Arizona State Board of Nursing 4747 North 7 th Street, Suite 200 Phoenix, AZ 85014-3655 Phone (602) 889-5150 Fax - (602) 889-5155 E-Mail: arizona@azbn.gov Home Page: http://www.azbn.gov
More informationHospice and Palliative Medicine
Hospice and Palliative Medicine Maintenance of Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills
More informationBackground & Significance
The Impact Of A Structured Opioid Renewal Clinic On Aberrant Drug Behavior Outcomes At A Northeastern VA Medical Center Salimah H. Meghani, PhD, MBE, CRNP Assistant Professor, University of Pennsylvania
More informationCase Studies: Acute pain management in patients with opioid addiction. Shannon Levesque, PharmD Clinical Pharmacist
Case Studies: Acute pain management in patients with opioid addiction Shannon Levesque, PharmD Clinical Pharmacist Disclosure I have no financial relationships with industry to disclose Objectives Misconceptions
More informationAmerican Dental Association Providers Clinical Support System on Opioid Therapies Webinar
American Dental Association Providers Clinical Support System on Opioid Therapies Webinar Friday, May 23, 2014 2:00 PM (CDT) Funding for this initiative was made possible (in part) by Providers' Clinical
More informationUpdate and Review of Medication Assisted Treatments
Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment
More informationGuideline on the clinical development of medicinal products intended for the treatment of pain
1 2 3 17 December 2015 EMA/CHMP/970057/2011, Corr. 1 1 Committee for Medicinal Products for Human Use (CHMP) 4 5 6 Guideline on the clinical development of medicinal products intended for the treatment
More informationQuestions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment
Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment I ve had breast cancer treatment, and now I m having pain. Does this mean the cancer
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: spinal_cord_stimulation 3/1980 10/2015 10/2016 10/2015 Description of Procedure or Service Spinal cord stimulation
More informationThe Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office
The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office Adopted April 2013 for Consideration by State Medical Boards 2002 FSMB Model Guidelines
More informationUNIT VIII NARCOTIC ANALGESIA
UNIT VIII NARCOTIC ANALGESIA Objective Review the definitions of Analgesic, Narcotic and Antagonistic. List characteristics of Opioid analgesics in terms of mechanism of action, indications for use and
More informationConsiderations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT
Considerations in Medication Assisted Treatment of Opiate Dependence Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT Disclosures Speaker Panels- None Grant recipient - SAMHSA
More informationGUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS
GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS Bristol Palliative Care Collaborative Contact Numbers: Hospital Specialist Palliative Care Teams: Frenchay 0117 340 6692 Southmead 0117 323
More informationAssessment and Management of Chronic Pain Guideline Summary
I CSI I NSTITUTE FOR CLINICAL S YSTEMS IMPROVEMENT Implementation Tool: Assessment and Management of Chronic Pain Guideline Summary Assessment Algorithm A = Annotation 1 Patient has pain 2 Critical first
More informationAssessment and Diagnosis of DSM-5 Substance-Related Disorders
Assessment and Diagnosis of DSM-5 Substance-Related Disorders Jason H. King, PhD (listed on p. 914 of DSM-5 as a Collaborative Investigator) j.king@lecutah.com or 801-404-8733 www.lecutah.com D I S C L
More informationASPMN Webinar. One Size Does NOT Fit All: Opioid Dose Range Orders Q & A
Q: JC site visitor wants MD/prescriber's order intent clear; i.e. computer system does not have drop down boxes for, may give prior to therapy services, may give before discharge, may titrate from x amount
More informationThe Journal of the Oklahoma State Medical Association
The Journal of the Oklahoma State Medical Association Opioid Prescribing Guidelines for Oklahoma Health Care Providers in the Office-Based Setting Layne E. Subera, DO; Mark A. Brandenburg, MD; Avy Doran-Redus,
More informationMedical Coverage Policy Monitored Anesthesia Care (MAC)
Medical Coverage Policy Monitored Anesthesia Care (MAC) Device/Equipment Drug Medical Surgery Test Other Effective Date: 9/1/2004 Policy Last Updated: 1/8/2013 Prospective review is recommended/required.
More informationMedical marijuana for pain and anxiety: A primer for methadone physicians. Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015
Medical marijuana for pain and anxiety: A primer for methadone physicians Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015 Conflict of interest statement No conflict of interest to
More informationThe Addicted Brain. And what you can do
The Addicted Brain And what you can do How does addiction happen? Addiction can happen as soon as someone uses a substance The brain releases a neurotransmitter called Dopamine into the system that makes
More informationElements for a public summary. VI.2.1 Overview of disease epidemiology. VI.2.2 Summary of treatment benefits
VI.2 Elements for a public summary VI.2.1 Overview of disease epidemiology Pain is one of the most common reasons for a patient to seek medical attention. Moderate or severe intensity pain can be acute
More informationAcute Low Back Pain. North American Spine Society Public Education Series
Acute Low Back Pain North American Spine Society Public Education Series What Is Acute Low Back Pain? Acute low back pain (LBP) is defined as low back pain present for up to six weeks. It may be experienced
More informationThe TIRF REMS Access program is a Food and Drug Administration (FDA) required risk management program
Subject: Important Drug Warning Announcement of a single shared REMS (Risk Evaluation and Mitigation Strategy) program for all Transmucosal Immediate Release Fentanyl (TIRF) products due to the potential
More information1. Which of the following would NOT be an appropriate choice for postoperative pain. C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain
Pain Management 1 Chapter 34. Pain Management, Self-Assessment Questions 1. Which of the following would NOT be an appropriate choice for postoperative pain management in a patient dependent on opioids?
More informationETCO2 Monitoring: Riding the Wave! Disclosure 4/11/2013
ETCO2 Monitoring: Riding the Wave! Debbie Fox, MBA, RRT-NPS, FAARC Director, Respiratory Care Wesley Medical Center Disclosure I have no financial conflicts to disclose. I have participated in focus groups
More informationAssessment of Sedation During Opioid Administration for Pain Management
PAIN CARE Assessment of Sedation During Opioid Administration for Pain Management Chris Pasero, MS, RN-BC, FAAN LIFE-THREATENING respiratory depression is the most serious of the opioid adverse effects.
More informationGuideline on the clinical development of medicinal products intended for the treatment of pain
1 2 3 30 May 2013 EMA/CHMP/970057/2011 Committee for Medicinal Products for Human Use (CHMP) 4 5 6 7 Guideline on the clinical development of medicinal products intended for the treatment Draft Draft Agreed
More informationBENZODIAZEPINE CONSIDERATIONS IN WORKERS COMPENSATION: IMPLICATIONS FOR WORK DISABILITY AND CLAIM COSTS By: Michael Erdil MD, FACOEM
3 rd Quarter 2015 BENZODIAZEPINE CONSIDERATIONS IN WORKERS COMPENSATION: IMPLICATIONS FOR WORK DISABILITY AND CLAIM COSTS By: Michael Erdil MD, FACOEM Introduction Benzodiazepines, sometimes called "benzos",
More informationPassionate concerns about welfare and ethics have created an environment where discussions about
M e d i c a t i o n s P A I N M A N A G E M E N T Lysa Pam Posner, DVM, Diplomate ACVA North Carolina State University Analgesia for Declaw Patients Onychectomy in cats is controversial both within and
More informationGuidelines for Prescription of Opioid Medications for Acute and Chronic Pain
OKLAHOMA Guidelines for Prescription of Opioid Medications for Acute and Chronic Pain Developed and Adopted by the Physician Advisory Committee Adopted by the Administrator of the Oklahoma Workers' Compensation
More informationNaltrexone and Alcoholism Treatment Test
Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score
More informationUNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths
UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths Joanna G Katzman, M.D., M.S.P.H Director, UNM Pain Center Associate Professor,
More informationMedication-Assisted Addiction Treatment
Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling
More informationTitle: The Certified Medication Assisted Treatment Advocate (CMA) Training Course
The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,
More informationFacts About Alcohol. Addiction Prevention & Treatment Services
Facts About Alcohol Addiction Prevention & Treatment Services Table of Contents Facts about alcohol: What is harmful involvement with alcohol?... 2 What is alcohol dependence?... 3 What Is BAC?... 4 What
More informationOffering Solutions for The Management of Pain
Integrative Pain Treatment Center Integrative Pain Treatment Center Offering Solutions for The Management of Pain ADACHES BACK AND NECK PAIN FIBROMYALGIA MYOFASCIAL PAIN ARTHRITIS SPINAL STENOSIS JOINT
More informationSpinal cord stimulation
Spinal cord stimulation This leaflet aims to answer your questions about having spinal cord stimulation. It explains the benefits, risks and alternatives, as well as what you can expect when you come to
More informationManaging Chronic Pain in Adults with Substance Use Disorders
Question from chapter 1 Managing Chronic Pain in Adults with Substance Use Disorders 1) What is the percent of chronic pain patients who may have addictive disorders? a) 12% b) 22% c) 32% d) 42% 2) Which
More informationTreatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone )
Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Elinore F. McCance-Katz, M.D., Ph.D. Professor and Chair, Addiction Psychiatry Virginia Commonwealth University Neurobiology of Opiate
More informationWhat you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine.
What you should know about treating your pain with opioids Important information on the safe use of opioid pain medicine. If your healthcare provider has determined that opioid therapy is right for you,
More informationEfficacy of a Comprehensive Pain Rehabilitation Program. A Longitudinal Study. Cognitive-behavioral approach. Mayo Clinic Pain Rehabilitation Center
Efficacy of a Compreheive Pain Rehabilitation Program with Opioid Withdrawal: A Longitudinal Study Connie Luedtke, MA, RN-BC Mayo Clinic Pain Rehabilitation Center Luedkte.connie@mayo.edu www.mayoclinic.org/pain-rehabilitation-center-rst/
More information