Course 11: Advanced Conversions and Opioid Side EffectsLast Reviewed: January 15, 2015
What You’ll Learn
- Convert to a single opioid when patients are on multiple opioids and/or multiple routes of delivery
- Recognize the signs and symptoms of opioid ineffectiveness or toxicities
- Manage opioid toxicities and side effects, including how to discontinue opioid therapy via safe tapering over time
- Utilize equianalgesic conversion tables for safe opioid rotation
What You’ll Earn
CAPC members can earn the following free continuing education credits:
Medicine: 1.00 CME, 1.00 ABIM MOC
Nursing: 0.80 CNE, 0.80 Pharmacotherapy
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Tools & Resources
Course 11: Patient StoryLast Updated: January 29, 2019
Case examples used in the CAPC curriculum to illustrate pain management techniques.members login
Course 11 References: Advanced Conversions & Opioid Side EffectsLast Updated: January 29, 2019
Course citations. Center to Advance Palliative Care, 2015.members login
Equianalgesic Conversion TableLast Updated: January 29, 2019
Depicts the relative potencies of commonly prescribed opioids compared to oral morphine.members login
Standard Opioid Dosing Strengths and AvailabilitiesLast Updated: January 29, 2019
List of available opioid strengths and formulations.members login
Constipation ProtocolLast Updated: January 29, 2019
Sample protocol for managing constipation. Organizations can create similar protocols in collaboration with referring clinicians and pharmacists. Lee Health, 2013.members login
Pain Management GlossaryLast Updated: January 29, 2019
Key terms related to pain and pain management. Center to Advance Palliative Care, 2015.members login
Analgesics Fact SheetLast Updated: January 29, 2019
When to use - and when to avoid - 6 classes of analgesics including acetaminophen, NSAIDs, opioids, antiepileptics, antidepressants, and corticosteroids. Center to Advance Palliative Care, updated 2018.members login
Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care.
Jaime Goldberg, MSW, LCSW, ACHP-SW. PhD student, University of Wisconsin-Madison School of Social Work.
Philip Higgins, PhD, MSSW, LICSW. President Lighthouse Counseling of Salem, Inc.
Lynn Hill Spragens, MBA. President and CEO Spragens & Associates, LLC.
Jay R. Horton, PhD, ACHPN, FNP-BC, MPH, CENP. Director of Nursing Safety, Quality, and Performance Improvement Mount Sinai Hospital. Assistant Professor Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai.
Khadidjatou Kane, MD. Oncology Hospitalist, Assistant Professor of Hospital
Medicine, Northwestern University Feinberg School of Medicine.
Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse
Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.
Bridget Montana, MSN, APRN, FPCN, MBA. Hope HealthCare Services, Chief Operating Officer.
Colleen Mulkerin, MSW, LCSW. Director Palliative Care Consult Service, Hartford Hospital.
Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.
David Weissman, MD. President, Palliative Care Education, LLC.
Sivan Ben-Moshe, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Sachin Kale, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Katie Wang, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Course 1: Comprehensive Pain Assessment
Conducting a comprehensive pain assessment to guide safe and effective treatment.
Course 2: Matching the Drug Class to the Pain
Selecting a safe and appropriate analgesic for patients with serious illness based on the pain as...
Course 3: Patient Factors that Influence Prescribing Decisions
Patient and family factors that influence prescribing decisions for patients with serious illness.