Course 14: Pain Management: Putting it All Together
Last Reviewed: July 1, 2019
What You’ll Learn
- Comply with state and federal regulations while safely treating pain in people with serious illness
- Prescribe pain medications in compliance with the Federation of State Medical Boards (FSMB) model policy
- Describe a comprehensive pain management process
What You’ll Earn
CAPC members can earn the following free continuing education credits:
- Medicine: 0.75 CME, 0.75 ABIM MOC (Medical Knowledge Only)
- Nursing: 1.50 CNE, 1.50 Pharmacotherapy
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Tools & Resources
Course 14: Patient Story
Case examples used in the CAPC curriculum to illustrate pain management techniques.members login
Course 14 References: Pain Management - Putting it All Together
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
Sample Treatment Agreement/Informed Consent Form
Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.members login
FSMB Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
Guidelines for safe and effective opioid prescribing created by the Federation of State Medical Boards (FSMB).view
Prescribing Opioids: A Pocket Reference
Opioid pocket reference for providers including safe starting doses, equianalgesic chart, and standard dosing strengths. Center to Advance Palliative Care, 2019.download
Patient Counseling Form
Guide in English and Spanish for counseling patients prior to opioid prescribing.view
Starting Doses in the Opioid-naïve Patient
Safe starting doses for the opioid-naïve patient.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
Controlled Substances Act
The CSA is the federal U.S. drug policy under which the manufacture, importation, possession, use and distribution of certain substances is regulated.view
Opioid Risk Tool (ORT)
Validated 5-question assessment tool designed to predict which patients are at risk for opioid substance use disorder.view
A manual from the Drug Enforcement Administration, Office of Diversion Control, to assist providers in their understanding of the Federal Controlled Substances Act.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.