Course 13: Managing Pain in Patients At Risk for Substance Use Disorder

Last Reviewed: July 1, 2019

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
Nursing: 0.50 CNE, 0.50 Pharmacotherapy
Social Work: 1.00 CE (NYSED)
Social Work: 1.00 CE (NASW)
Social Work: 1.00 CE (NYSED)

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Tools & Resources

MEMBERS ONLY locked

Course 13: Patient Story

Last Updated: January 29, 2019

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

MEMBERS ONLY locked

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

Last Updated: January 29, 2019

Course citations. Center to Advance Palliative Care, 2015.

Pain Assessment and Documentation Tool (PADT)

Last Updated: January 29, 2019

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

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MEMBERS ONLY locked

At Risk Behaviors for Substance use Disorder

Last Updated: January 29, 2019

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

MEMBERS ONLY locked

Sample Treatment Agreement/Informed Consent Form

Last Updated: January 29, 2019

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

MEMBERS ONLY locked

Constipation Protocol

Last 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 ONLY locked

Pain Management Glossary

Last Updated: January 29, 2019

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

MEMBERS ONLY locked

Analgesics Fact Sheet

Last 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.

Substance Use Disorder Specialists

Last Updated: January 29, 2019

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

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Opioid Risk Tool (ORT)

Last Updated: January 29, 2019

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

view

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.

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.

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.

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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