Course 14: Pain Management: Putting it All Together

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What You’ll Learn

  1. Comply with state and federal regulations while safely treating pain in people with serious illness
  2. Prescribe pain medications in compliance with the Federation of State Medical Boards (FSMB) model policy
  3. 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
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Case examples used in the CAPC curriculum to illustrate pain management techniques.

Course 14 References: Pain Management - Putting it All Together
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Course citations. Center to Advance Palliative Care, 2015.

Pain Assessment and Documentation Tool (PADT)
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Validated instrument to assess pain intensity and impact on function over time.

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Sample Treatment Agreement/Informed Consent Form
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Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.

FSMB Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
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Guidelines for safe and effective opioid prescribing created by the Federation of State Medical Boards (FSMB).

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Prescribing Opioids: A Pocket Reference
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Opioid pocket reference for providers including safe starting doses, equianalgesic chart, and standard dosing strengths. Center to Advance Palliative Care, 2019.

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Patient Counseling Form
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Guide in English and Spanish for counseling patients prior to opioid prescribing.

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Starting Doses in the Opioid-naïve Patient
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Safe starting doses for the opioid-naïve patient.

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

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

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Analgesics Fact Sheet
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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.

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Controlled Substances Act
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The CSA is the federal U.S. drug policy under which the manufacture, importation, possession, use and distribution of certain substances is regulated.

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Opioid Risk Tool (ORT)
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Validated 5-question assessment tool designed to predict which patients are at risk for opioid substance use disorder.

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Practitioners Manual
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A manual from the Drug Enforcement Administration, Office of Diversion Control, to assist providers in their understanding of the Federal Controlled Substances Act.

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Course Directors

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.

The Courses

Course 1: Comprehensive Pain Assessment

Conducting a comprehensive pain assessment to guide safe and effective treatment.

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Course 2: Matching the Drug Class to the Pain

Selecting a safe and appropriate analgesic for patients with serious illness based on the pain assessment.

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Course 3: Patient Factors that Influence Prescribing Decisions

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

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View all courses in the unit