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Pain Assessment and Management – All That You Didn’t Learn in School (But Wish You Did!) Part 1 and Part 2
Part of the Opioids, Controlled Substances and Substance Use Disorders Bundle (Recorded for 2023 National Conference)
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Activity DurationContent Expires: | December 15, 2024 (11:55 p.m. CT) CE for this activity will not be available after this date. | This CE activity was recorded for the 2023 AANP National Conference. Delivery Note: The content for this activity was previously presented during the 2023 AANP National Conference. If you already completed the content of this activity while attending the live or virtual conference, you should not complete this content a second time. Learners should only complete ONE delivery-method to earn credit. Completing multiple delivery options for the same activity is considered duplicate credit for the same content and will not be accepted by regulatory bodies. | NOTE: This is a LARGE seminar activity containing a video file that is almost 1GB. Make sure to give your CE Activities area time to load this video fully (3-5 minutes) before attempting to access the activity for the first time.
Overview
Chronic pain affects about 100 million American adults—more than the total affected by heart disease, cancer, and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. As with all aspects of health care, the practice of pain management is ever evolving. Regulatory concerns over medication and opioid prescribing, new technologies, understandings in multidisciplinary and multimodal care call for ongoing education to the health care provider. This timely seminar will focus on the importance of accurate assessment and multimodal management of both acute and chronic pain, through understanding of pain pathophysiology and mechanisms. Pain affects all aspects of health care, it is political, fear provoking and in many ways mysterious. Over the course of this well-defined, seminar the audience will learn how to differentiate between types of pain, offer the best evidence-based treatments and be exposed to new innovative treatment approaches available today. Additional content will be presented on new, evolving technologies, including neuromodulation for pain management, auricular acupuncture and a broad exposure to behavioral and complementary treatments for pain management.
This seminar is divided into 8 parts by the following topics: Part 01 - Overview of Pain Assessment / Management Part 02 - Pharmacological Treatment Options Part 03 - Breaking down the 2022 CDC Guidelines Part 04 - Pain and Addiction Medicine Part 05 - Transitional Pain Service Part 06 - Neuromodulation Part 07 - Cognitive Behavioral Therapies Part 08 - Auricular Acupuncture
Objectives - Overall Seminar Objectives
- Describe the pathophysiology of pain.
- Name several pharmacological and non-pharmacological options for treatment of pain.
- Explore the issues surrounding chronic opioid usage, including indications, contraindications, side effects.
- Describe one difference, and one similarity between cognitive behavioral therapy and virtual reality for pain management.
- Define the risks and benefits for spinal cord stimulation and peripheral nerve stimulation in pain management.
- Part 01 - Overview of Pain Assessment / Management
- Define pain.
- Identify pain assessment techniques.
- Describe pain management treatment options.
- Apply behavioral therapies for patients with pain.
- Examine complementary, procedural, and body therapies to treat pain.
- Part 02 - Pharmacological Treatment Options
- Explore clinical indications, contraindications & dosing for common non-opioid analgesics.
- Describe where analgesics act in the pain pathway.
- State two classes of non-opioid pharmaceuticals used for pain management.
- Part 03 - Breaking down the 2022 CDC Guidelines
- Review 2016 CDC guidelines
- Rationale for update.
- What’s Changed and What’s New with the CDC 2022 Guidelines.
- Review the CDC 2022 guidelines.
- Conclusion and future directions.
- Part 04 - Pain and Addiction Medicine
- Define opioid use disorder (OUD).
- State two signs of OUD behaviors.
- Evaluate use of medication assisted therapy (MAT) in pain management.
- Part 05 - Transitional Pain Service
- Identify the prevalence, incidence and impact of chronic persistent postsurgical pain (CPSP).
- Review the purpose and role of a transitional pain service (TPS).
- Discuss models for establishing a transitional pain service.
- Review outcomes of transitional pain services.
- Part 06 - Neuromodulation
- Discuss history of SCS & PNS for pain management.
- Review mechanism of action.
- Identify indications for neuromodulation in pain management.
- Identify ideal patient selection criteria for neuromodulation.
- Part 07 - Cognitive Behavioral Therapies
- Define the mind-body connection in pain management.
- State various behavioral treatment modalities for pain management.
- Part 08 - Auricular Acupuncture
- Review the history background of auricular acupuncture.
- Review and define the auricular acupuncture meridians.
- Discuss the introduction into auricular acupuncture.
Speakers Heather Jackson, PhD, FNP-BC, NEA-BC, FAANP Theresa Mallick-Searle, MS, PMGT-BC, ANP-BC Kimberlee Bayless, DNP, FNP-BC Megan Filoramo, MSN, RN-BC, APRN-BC, PGMT-BC, AP-PMN, IHWNC-BC Kristen Slater, PsyD
Disclosure This program was planned in accordance with AANP CE Standards and Policies.The speakers have the following disclosures:
- Heather Jackson
- The views expressed are those of the author.
- The author has no financial relationships with commercial interests to disclose.
- Theresa Mallick-Searle
- I am a speaker for the following companies:
- AbbVie Pharmaceuticals for migraine
- Salix Pharmaceuticals for opioid induced constipation
- Averitas Pharmaceuticals for diabetic peripheral neuropathy
- Kimberlee Bayless
- I am a consultant for Medtronic company for chronic pain implantable therapies clinical area
- Megan Filoramo
- I am a consultant for
- Nevro: speaker bureau for non-surgical low back pain and painful Diabetic neuropathy
- Salix: speaker for opioid induced constipation
- Kristen Slater
- I have nothing to disclose.
All Planners involved in this activity have no relevant financial relationships to disclose. All relevant financial relationships have been mitigated.This activity was supported by an independent medical education grant from Collegium Pharmaceutical, Inc. This presentation was first released as a Live/Hybrid event at AANPs 2023 National Conference in New Orleans. Disclaimer Individuals who have contributed to the CE Center were carefully selected for their knowledge and experience in the subject area under review. This presentation is informational only and may contain opinions of the authors from their personal experience that do not necessarily express the opinions of the American Association of Nurse Practitioners (AANP). The activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Clinical practice is a constantly changing process and new information becomes available every day. Neither AANP nor the contributing individuals can warrant that the material will continue to be accurate, nor do they warrant that the material is completely free of errors upon publication. Attendees and participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.
CE Credit Instructions- Read this activity description, including objectives and disclosures.
- Complete the educational content:
- Video Presentations: Click the Play button to watch the activity presentation. Full participation credit for the activity will be received once the entire video has been watched.
- Click on the Additional Resources button to review all additional materials provided (handouts, post-test reviews, any other downloadable resources).
- After completing all content, click on the blue Next Steps button:
- Submit the evaluation to receive full AANP CE/Rx credit.
Additional Information For questions or more information concerning this online CE activity, please visit the AANP Help Center to find answers to frequently asked questions and request assistance.
5.5 Contact Hour(s) of CE, 3.25 of which may be applied towards Pharmacology
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