Course 12: Special Populations And Patient-Controlled Analgesia

Last Reviewed: July 1, 2019

What You’ll Learn

  1. Utilize best practices when prescribing opioids for special patient populations
  2. Manage pain in imminently dying patients, older adults, cognitively impaired patients, and children
  3. Recognize indications for starting patient-controlled analgesia (PCA)

What You’ll Earn

CAPC members can earn the following free continuing education credits:

  • Case Management: 1.25 CE
  • Licensed Professional Counselors: 1.00 CE
  • Medicine: 1.00 CME, 1.00 ABIM MOC (Medical Knowledge Only)
  • Nursing: 1.00 CNE, 1.00 Pharmacotherapy
  • Social Work: 1.00 CE (NYSED)
  • Social Work: 1.00 CE (NASW)

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Tools & Resources


Course 12: Patient Stories

Last Updated: January 29, 2020

Case examples used in the CAPC curriculum to illustrate pain management techniques.


Course 12 References: Special Populations & Patient-Controlled Analgesia

Last Updated: January 29, 2019

Course citations. Center to Advance Palliative Care, 2015.

Equianalgesic Conversion Table

Last Updated: March 20, 2020

Depicts the relative potencies of commonly prescribed opioids compared to oral morphine.


Standard Opioid Dosing Strengths and Availabilities

Last Updated: June 20, 2019

List of available opioid strengths and formulations.

Prescribing Opioids: A Pocket Reference

Last Updated: March 17, 2020

Opioid pocket reference for providers including safe starting doses, equianalgesic chart, and standard dosing strengths. Center to Advance Palliative Care, 2019.


Constipation Protocol

Last Updated: March 20, 2020

Sample protocol for managing constipation. Organizations can create similar protocols in collaboration with referring clinicians and pharmacists. Lee Health, 2013.


Pain Management Glossary

Last Updated: March 20, 2020

Key terms related to pain and pain management. Center to Advance Palliative Care, 2015.


Analgesics Fact Sheet

Last Updated: March 20, 2020

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.


Pediatric Pain Management and Resources

Last Updated: January 29, 2019

Training from Education in Palliative and End-Of-Life Care (EPEC) in pediatric pain and symptom management.


Fast Fact #257: Palliative Care Per Rectum

Last Updated: January 29, 2019

Use of rectal medications for patients living with serious illness.


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, LICSW. President, Lighthouse Counseling of Salem, Inc.

Lynn Hill Spragens, MBA. Partner, Spragens & Gualtieri-Reed.

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.

Sherika S. Newman, DO. Hospice & Palliative Medicine, Family Medicine Piedmont Healthcare.*

Karl Bezak, MD. Clinical Assistant Professor of Medicine, Palliative Care and Medical Ethics, University of Pittsburg (UPMC).*

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.

*indicates ABIM Peer Reviewer

Contact information: For technical questions about online activity or continuing education credits, contact or 212-201-2674.

Provided by the Icahn School of Medicine at Mount Sinai.

The Courses

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 asse…

Course 3: Patient Factors that Influence Prescribing Decisions

Patient and family factors that influence prescribing decisions for patients with serious illness.

View all courses in the unit

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