Course 8: Monitoring for Opioid Efficacy, Side Effects, and Substance Use Disorder

Last Reviewed: July 1, 2019

What You’ll Learn

  1. Assess opioid effectiveness, accounting for side effects, risks, and patient/family goals
  2. Identify “red flag” behaviors suggestive of substance use disorder
  3. Perform a differential diagnosis of a positive risk assessment for substance use disorder

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: 0.75 CME, 0.75 ABIM MOC
Nursing: 1.00 CNE, 0.80 Pharmacotherapy
Social Work: 1.00 CE (NASW)
Social Work: 1.00 CE (NYSED)

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Tools & Resources

MEMBERS ONLY locked

Course 8: Patient Stories

Last Updated: January 29, 2019

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

MEMBERS ONLY locked

Course 8 References: Monitoring for Opioid Efficacy, Side Effects and Substance Use Disorder

Last Updated: January 29, 2019

Course citations. Center to Advance Palliative Care, 2015.

MEMBERS ONLY locked

Red Flag Behaviors

Last Updated: January 29, 2019

List of patient behaviors or patterns that should prompt investigation for substance use disorders. Center to Advance Palliative Care, 2015.

MEMBERS ONLY locked

Starting Doses in the Opioid-naïve Patient

Last Updated: June 20, 2019

Safe starting doses for the opioid-naïve patient.

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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.

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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.

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