Course 13: Managing Pain in Patients At Risk for Substance Use Disorder
Last Reviewed: July 1, 2019
What You’ll Learn
- Use safe and appropriate pain management strategies in people with serious illness at risk for or with concurrent substance use disorder
- Recognize indications for specialist referral and available community resources to assist you in treating the at-risk patient
- 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)
A CAPC Member? Login now.
Not a member? Learn more about becoming a CAPC member.
Tools & Resources
Course 13: Patient Story
Case examples used in the CAPC curriculum to illustrate pain management techniques.members login
Course 13 References: Managing Pain in Patients at Risk for Substance Use Disorder
Course citations. Center to Advance Palliative Care, 2015.members login
Pain Assessment and Documentation Tool (PADT)
Validated instrument to assess pain intensity and impact on function over time.download
At Risk Behaviors for Substance use Disorder
List of red flags that indicate a need to assess patients for substance use disorder.members login
Sample Treatment Agreement/Informed Consent Form
Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.members login
Sample protocol for managing constipation. Organizations can create similar protocols in collaboration with referring clinicians and pharmacists. Lee Health, 2013.download
Pain Management Glossary
Key terms related to pain and pain management. Center to Advance Palliative Care, 2015.download
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.download
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).view
Opioid Risk Tool (ORT)
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.
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
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.