What You’ll Learn

  1. Use safe and appropriate pain management strategies in people with serious illness at risk for or with concurrent substance use disorder
  2. Recognize indications for specialist referral and available community resources to assist you in treating the at-risk patient
  3. Utilize the opioid risk tool (ORT) to assess the appropriate level of clinical surveillance for high-risk patients

What You’ll Earn

CAPC members can earn the following free continuing education credits:

  • Case Management: 1.00 CE
  • Licensed Professional Counselors: 1.00 CE
  • Medicine: 0.50 CME, 0.50 ABIM MOC (Medical Knowledge Only)
  • Nursing: 1.00 CNE, 1.00 Pharmacotherapy
  • Social Work: 1.00 CE (NYSED)
  • Social Work: 1.00 CE (NASW)
  • Social Work: 1.00 CE (NYSED)

This course is only available to CAPC members. Learn More

LOGIN
1

Take the course

2

Take the post-test

3

Complete course evaluation

4

Download your certificate

Tools & Resources

Course 13: Patient Story
MEMBERS ONLY locked

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

Course 13 References: Managing Pain in Patients at Risk for Substance Use Disorder
MEMBERS ONLY locked

Course citations. Center to Advance Palliative Care, 2015.

Pain Assessment and Documentation Tool (PADT)

Validated instrument to assess pain intensity and impact on function over time.

At Risk Behaviors for Substance use Disorder
MEMBERS ONLY locked

List of red flags that indicate a need to assess patients for substance use disorder.

Sample Treatment Agreement/Informed Consent Form
MEMBERS ONLY locked

Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.

Constipation Protocol

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

Pain Management Glossary

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

Analgesics Fact Sheet

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.

Substance Use Disorder Specialists

Opioid treatment specialists by state, and resources for substance use disorder from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Opioid Risk Tool (ORT)

Validated 5-question assessment tool designed to predict which patients are at risk for opioid substance use disorder.

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 membership@capc.org or 212-201-2674.

Provided by the Icahn School of Medicine at Mount Sinai.