PAIN CONTROL IN THE PATIENT WITH ACUTE/CHRONIC PAIN JAY E. OLSSON,DO AOBPMR DCAQPM ABPMR ABPM
|
|
|
- Karen Flynn
- 5 years ago
- Views:
Transcription
1 PAIN CONTROL IN THE PATIENT WITH ACUTE/CHRONIC PAIN JAY E. OLSSON,DO AOBPMR DCAQPM ABPMR ABPM
2 Disclaimers Speaker Bureau Avanir Pharmaceuticals Nuedexta Pfizer Inc. Embeda Lyrica
3 FOCUS Pharmacologic interventions Invasive pain management techniques Non-invasive pain management techniques Analgesia in difficult patients Pain control in commonly encountered trauma conditions
4 INTRODUCTION Trauma is a major cause of mortality through out the world Major advances have been made in trauma management Reduced mortality Enhanced function One of the areas----pain CONTROL
5 PAIN CONTROL Has led to increased comfort in patients Reduced morbidity Improved long-term outcomes
6 PAIN CONTROL Treatment of pain in the setting of acute injury or surgery Pain management in patients Some of whom develop CHRONIC PAIN
7 Sources of Pain in the Patient Multiple trauma Superficial/Deep musculo-skeletal injuries Fractures Abrasions Degloving injuries Neuropathic pain Thrombosis Ischemia
8 Sources of Pain in Patient Iatrogenic causes Cannulas Thoracic drains Repeated injection Other Distended bladder
9 Effects of Pain in the Patient Increased stress response Increased metabolic demands Increased energy demands Delayed wound healing Decreased immune function Weight loss Lack of sleep Decreased mobility
10 Effects of Pain in the Patient Decreased mobility Increase in conditions associated with prolonged recumbency Pneumonia Nosocomial infections Adequate pain control Shorter hospital stay More rapid return to more normal function
11 Signs of Pain in the Patient Usual behaviors associated with pain may be obscured by Trauma Debilitation Agitation may complicate the recognition of pain May demonstrate Pain Behaviors
12 Signs of Pain in the Patient Signs indicative of pain Restlessness Shifting position Change in demeanor and interactive behavior Vocalizing Grunting Screaming Changes in Heart rate Respiratory rate Blood pressure
13 Medications 3 main groups Opioids Non-steroidal anti-inflammatory medications Local analgesics Others Anti-seizure medications Antidepressants
14 Medications Opiates IV Morphine Dilaudid (Hydromorphone) Fentanyl Demerol (Meperidine) Oral Oxycodone (Percocet. Percodan, Roxicodone) Hydrocodone (Lortab, Norco, Hydromorphone (Dilaudid) Oxymorphone (Opana) Demerol (Meperidine) Methadone Tramadol (Ultram) Tapentadol (Nucynta) Darvocet/Darvon
15 Medications Oral Fentanyl transmucosal Abstral Actiq Fenora Onsolis Subsys Fentanyl transdermal Duragesic Fentanyl nasal Lazanda
16 Medications NSAIDS Toradol Celebrex Voltaren Gel Patch (Flector) Motrin Naproxen
17 Medications Contraindications Analgesia After Cardiovascular stabilization Mentation Assessed prior to administration of medications producing sedation Includes all analgesics except o NSAIDS o Local anesthetic techniques High doses of opioids May cause Respiratory depression Retention of CO2
18 Medications o Resulting in Increased blood flow Raised intracranial pressure High doses should be avoided in patients with head trauma o Unless ventilatory support is provided NSAIDS Decreased renal auto-regulation Decreased gastric mucosal protection Decreased platelet activity Should not be used In the presence of hemorrhage Decreased renal blood flow Decreased gastro-intestinal blood flow
19 Medications Local analgesics Lidoderm patches Lidocaine cream/ointment EMLA cream Compounded Creams
20 Medications Anti-seizure medications Neurontin Gralise Horizant Lyrica Topamax Zonagran
21 Complications Preventing Use of Some Treatments Hypovolemia Coagulopathies Spinal Cord Injuries Traumatic Brain Injuries Decreased Blood Pressure
22 Multimodal/Interdisciplinary Injection Nerve Blocks Intercostal Nerve Blocks Occipital Nerve Blocks Sphenopalatine Nerve Block ESI Other Peripheral Nerve Blocks Trigger Point Injections
23 Multimodal/Interdisciplinary Therapies PT OT Behavioral Medicine Modalities Ice Heat TENs Laser treatments?
24 Conclusion There are a number of ways of controlling pain after an injury, surgery, or major trauma Requires an understanding of the pathology of nociception and attention to the patient s complaints Pain is controlled not removed Initial adequate control of pain can aide in the prevention of Chronic Pain Monitor the effects of medication used Modify approach when the approach used is interfering with progress
25 Conclusion Understanding the natural history of the problems involved in a particular set of injuries helps in the Planning of pain treatment strategies to fit
26 THE END QUESTIONS?????
27 REFERENCES Honorio Benzon MD, James P. Rathmell, MD (2014). Practical Management of Pain. (5e), Philadelphia, Pa. El Sevier-Mosby Timothy R. Deer and Michael S. Leong (2014) Treatment of Chronic Pain by Medical Approaches: the American Academy of Pain Medicine. Charleston, WV. Springer. Waldman, Steven D. (2013) Atlas of Pain Management Injection Techniques, Philadelphia, Pa: El Sevier, Saunders.
28 REFERENCES Waldman, Steven D. (2011) Pain Management. Philadelphia, Pa: El Sevier, Saunders Wall,Patrick D. and Melzack, Ronald, ed: (1994) Textbook of Pain (3 rd edition), New York, NY. Churchill Livingstone
Pharmacy Medical Necessity Guidelines: Opioid Analgesics
Pharmacy Medical Necessity Guidelines: Effective: January 1, 2019 Prior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review Pharmacy (RX) or Medical (MED) Benefit
CHAMP: Bedside Teaching TREATING PAIN. Stacie Levine MD. What is the approach to treating pain in the aging adult patient?
CHAMP: Bedside Teaching TREATING PAIN Stacie Levine MD Teaching Trigger: An older adult patient is identified as having pain. Clinical Question: What is the approach to treating pain in the aging adult
disease or in clients who consume alcohol on a regular basis. bilirubin
NON-OPIOID Acetaminophen(Tylenol) Therapeutic class: Analgesic, antipyretic Aspirin (ASA, Acetylsalicylic Acid) Analgesic, NSAID, antipyretic Non-Opioid Analgesics COMMON USES WHAT I NEED TO KNOW AS A
PAIN. TREATMENT TABLES Analgesics. NON-OPIOID ANALGESICS Generic Name Trade Names (Examples) Duration Initial Dose
NON-OPIOID SHORT-ACTING LONG-ACTING **** O PAIN TREATMENT TABLES Analgesics NON-OPIOID ANALGESICS Generic Name Trade Names (Examples) Duration Initial Dose Tramadol 50 mg Ultram Every 4 hours 1-2 tabs,
APPROVED PA CRITERIA. Initial Approval: January 10, 2018 Revised Dates: April 11, 2018 CRITERIA FOR PRIOR AUTHORIZATION
Initial Approval: January 10, 2018 Revised Dates: April 11, 2018 CRITERIA FOR PRIOR AUTHORIZATION PROVIDER GROUP Pharmacy Opioid Products Indicated for Pain Management MANUAL GUIDELINES All dosage forms
Duragesic patch. Duragesic patch (fentanyl patch) Description
1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.31 Subject: Duragesic patch Page: 1 of 6 Last Review Date: March 18, 2016 Duragesic patch Description Duragesic patch (fentanyl
Opioid Capture in the AHSQC Can we reduce use by measuring it? Michael Reinhorn MD, MBA, FACS Dept of Surgery, Newton Wellesley Hospital
Opioid Capture in the AHSQC Can we reduce use by measuring it? Michael Reinhorn MD, MBA, FACS Dept of Surgery, Newton Wellesley Hospital Disclosure Davol/Bard Consultant Medtronic Physician Advisory Honorarium
Morphine Sulfate Hydromorphone Oxymorphone
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.02.33 Subject: Morphine Drug Class Page: 1 of 8 Last Review Date: June 19, 2015 Morphine Sulfate Hydromorphone
WORRIED ABOUT PAIN AFTER ORAL SURGERY?
WORRIED ABOUT PAIN AFTER ORAL SURGERY? OPIOIDS ARE NOT THE ONLY WAY TO MANAGE PAIN Ask your doctor about opioid-free EXPAREL EXPAREL is indicated for single-dose infiltration in adults to produce postsurgical
Amber D. Hartman, PharmD Specialty Practice Pharmacist James Cancer Center & Solove Research Institute Ohio State University Medical Center
Pharmacologic Management of Pain Amber D. Hartman, PharmD Specialty Practice Pharmacist James Cancer Center & Solove Research Institute Ohio State University Medical Center Objectives Identify types of
A Statewide Evaluation of Opioid Prescribing Patterns with an Emphasis on Drug Diversion and Substance Abuse
A Statewide Evaluation of Opioid Prescribing Patterns with an Emphasis on Drug Diversion and Substance Abuse INVESTIGATIVE TEAM: STEERING COMMITTEE FOR THE TUFTS HEALTH CARE INSTITUTE ON OPIOID RISK MANAGEMENT
Opioids: Use, Abuse and Cause of Death. Jennifer Harmon Assistant Director - Forensic Chemistry Orange County Crime Laboratory
Opioids: Use, Abuse and Cause of Death Jennifer Harmon Assistant Director - Forensic Chemistry Orange County Crime Laboratory jharmon@occl.ocgov.com Opioid: Any psychoactive chemical that resembles morphine
Prior Authorization for Opioid Products Indicated for Pain Management
Kansas Medical Assistance Program PA Phone 800-933-6593 PA Fax 800-913-2229 Amerigroup PA Pharmacy Phone 855-201-7170 PA Pharmacy Fax 800-601-4829 Sunflower PA Pharmacy Phone 877-397-9526 PA Pharmacy Fax
Pain Management. University of Illinois at Chicago College of Nursing
Pain Management University of Illinois at Chicago College of Nursing 1 Learning Objectives Upon completion of this module, participants will be better able to: 1. Define pain management 2. Explore various
Capital BlueCross Open/Closed Formulary Update (1 st Quarter 2017)
Capital BlueCross Open/Closed Formulary Update (1 st Quarter 2017) The Capital BlueCross formulary is a reference list of prescription drugs that contains a wide range of generic and brand drugs that have
Inpatient Management of Trauma Related Pain
Inpatient Management of Trauma Related Pain STOMP Summit September 9, 2016 Ann O Rourke, MD, MPH University of Wisconsin Department of Surgery 1 Our patient Small SDH Intubated Hemopneumothorax with multiple
Generic Label Name Drug Strength Dosage Form Example Product (s) MME/Unit ACETAMINOPHEN WITH CODEINE
STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF HEALTH CARE FINANCE AND ADMINISTRATION BUREAU OF TENNCARE 3 Great Circle Road NASHVILLE, TENNESSEE 37243 This notice is to advise
Managing Pain in Long Term Care
Troubleshooting Managing Pain in Long Term Care presented by Melanie Simpson, PhD, RN-BC, OCN, CHPN Click to View Webinar All handouts for this webinar are included in this document. You may access the
Pain Assessment & Management. For General Nursing Orientation
Pain Assessment & Management For General Nursing Orientation April 2012 Overview Definition of pain Barriers to effective pain management Types of pain Objective pain assessment Approaches to management
1/21/14. Cancer Related Pain: Case-Based Pharmacology. Conflicts of Interest. Learning Objective
Cancer Related Pain: Case-Based Pharmacology Jeannine M. Brant, PhD, APRN, AOCN Oncology Clinical Nurse Specialist Nurse Scientist Billings Clinic Conflicts of Interest Jeannine Brant has served on the
2017 Opioid Prescribing Module 401 N. Ewing St. Lancaster, Ohio (740) ~
2017 Opioid Prescribing Module 401 N. Ewing St. Lancaster, Ohio 43130 (740) 687-8000 ~ www.fmchealth.org Introduction The purpose of this module is to reduce the risk of adverse outcomes for adult patients
Demerol (meperidine oral tablet, oral solution), Meperitab (oral tablet)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 Subsection: Analgesics and Opioids Original Policy Date: May 8, 2015 Subject: Meperidine Page: 1 of 5 Last
Objectives. Controversy. Pain. Risk Stratification 1/7/2012
Objectives Strategies in Pain Management: Scheduled, Breakthrough, and Dose Adjustments Tamara M. Green, Pharm.D PGY-1 Resident Florida A & M University Classify and distinguish between different types
Slide 1. Slide 2. Slide 3. Opioid (Narcotic) Analgesics and Antagonists. Lesson 6.1. Lesson 6.1. Opioid (Narcotic) Analgesics and Antagonists
Slide 1 Opioid (Narcotic) Analgesics and Antagonists Chapter 6 1 Slide 2 Lesson 6.1 Opioid (Narcotic) Analgesics and Antagonists 1. Explain the classification, mechanism of action, and pharmacokinetics
: Opioid Quantity Limits
March 7, 2017 2017-09: Opioid Quantity Limits The Louisiana Department of Health (LDH), in conjunction with the Louisiana Medicaid Drug Utilization Review (DUR) Board, has revised quantity limits for selected
Cigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Controlled Substance Analgesic and Narcotic Antagonist Quantity Limitations Table of Contents Coverage Policy... 1 General Background... 6 Coding/Billing
What Pharmacists Need to Know about Pain and its Management
What Pharmacists Need to Know about Pain and its Management Sukhvir Kaur, PharmD, BCACP Continuing Education at the SNPhA Region III, IV, V Conference March 11, 2017 Financial Disclosure Sukhvir Kaur,
Nucynta IR/ Nucynta ER (tapentadol immediate-release and extendedrelease)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 Subject: Nucynta Page: 1 of 7 Last Review Date: March 18, 2016 Nucynta Description Nucynta IR/ Nucynta
Practical Pain Management Leah Centanni, MSN, FNP-C, Asst. Clinical Professor CANP Conference March 22, 2014
Practical Pain Management Leah Centanni, MSN, FNP-C, Asst. Clinical Professor CANP Conference March 22, 2014 Overview Types of Pain Physical Examination of Pain Pharmacologic Approach in Pain Management
ADMISSION INTRACTABLE PAIN PROGRAM
DMISSION INTRCTBLE PIN PROGRM INSTRUCTIONS TO PTIENT: Please complete this form to apply to our intractable pain program. USE BLCK INK ONLY! I. BSIC DT Today's Patient's Name Date Last First Phone ddress
Embeda. Embeda (morphine sulfate and naltrexone hydrochloride) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.39 Subject: Embeda Page: 1 of 6 Last Review Date: March 18, 2016 Embeda Description Embeda (morphine
CONCERNED ABOUT TAKING OPIOIDS AFTER SURGERY?
CONCERNED ABOUT TAKING OPIOIDS AFTER SURGERY? ASK YOUR DOCTOR ABOUT EXPAREL FOR LONG-LASTING, NON-OPIOID PAIN RELIEF. VISIT EXPAREL.com/patient FOR MORE INFORMATION. YOU HAVE A SAY IN HOW YOUR PAIN IS
Limitations of use: Subsys may be dispensed only to patients enrolled in the TIRF REMS Access program (1).
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.21 Subject: Subsys Page: 1 of 5 Last Review Date March 17, 2017 Subsys Description Subsys (fentanyl
Controlled Substance Prescribing Handbook. University of South Alabama College of Medicine Department of Family Medicine
Controlled Substance Prescribing Handbook University of South Alabama College of Medicine Department of Family Medicine Controlled Substance Prescribing Handbook University of South Alabama College of
Opioid Management Program May 2018
Opioid Management Program May 2018 What Is the Opioid Management Program? This program is based on guidelines developed by the U.S. Centers for Disease Control and Prevention (CDC). It consists of daily
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Transmucosal Immediate Release Fentanyl Products Reference Number: CP.CPA.211 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Commercial Revision Log See Important Reminder
Managing Pain after Transplant Denice Economou, RN,MN,CHPN,AOCN
Managing Pain after Transplant Denice Economou, RN,MN,CHPN,AOCN Oncology Clinical Nurse Specialist, Senior Research Specialist City of Hope Definition of Pain Pain is an unpleasant sensory and emotional
NATL. II. Health Net Approved Indications and Usage Guidelines: Diagnosis of cancer AND. Member is on fentanyl transdermal patches AND
Coverage of drugs is first determined by the member s pharmacy or medical benefit. Please consult with or refer to the Evidence of Coverage document I. FDA Approved Indications: The management of breakthrough
Opioid Management Program October 2018
Opioid Management Program October 2018 What Is the Opioid Management Program? This program is based on guidelines developed by the U.S. Centers for Disease Control and Prevention (CDC). It consists of
PAIN MANAGEMENT OBJECTIVES
PAIN MANAGEMENT OBJECTIVES Patient Care Perform a focused PM&R related History and Physical exam for patients with chronic pain, with special attention to the musculoskeletal and nervous systems Elicit
Neuropathic Pain and Pain Management Options. Mihnea Dumitrescu, MD
Neuropathic Pain and Pain Management Options Mihnea Dumitrescu, MD www.austinppc.com International Association for the Study of Pain (IASP): Definition of Pain Pain is an unpleasant sensory and emotional
Clinical Policy: Opioid Analgesics Reference Number: OH.PHAR.PPA.13 Effective Date: 10/2017 Last Review Date: 6/2018 Line of Business: Medicaid
Clinical Policy: Reference Number: OH.PHAR.PPA.13 Effective Date: 10/2017 Last Review Date: 6/2018 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
New Hampshire Healthy Families CLINICAL POLICY
New Hampshire Healthy Families CLINICAL POLICY DEPARTMENT: Pharmacy DOCUMENT NAME: Opioid Analgesics PAGE: 1 o f 6 REFERENCE NUMBER: NH.PPA.13 EFFECTIVE DATE: 6/1/2016 REPLACES DOCUMENT: N/A RETIRED: REVIEWED:
PATIENT DEMOGRAPHIC INFORMATION
PATIENT HISTORY FORM Date of Visit: Steven E. Levine, MD PATIENT DEMOGRAPHIC INFORMATION Name: Last First Middle Initial Home Address City / State Zip ( ) ( ) Home Phone Cell Phone Email Address Date of
used for dealing with anxiety. Both of the drugs are also given to patients for dealing with pain activated by damaged or hypersensitive nerves that i
Aspirin (also classified under NSAIDs or acetylsalicylic acid). Morphine and morphine sustained release (MS-Contin, Avinza, Kadian) Oxymorphone (Opana, Opana ER) Hydrocodone with acetaminophen (Lortab
GUIDELINES AND AUDIT IMPLEMENTATION NETWORK
GUIDELINES AND AUDIT IMPLEMENTATION NETWORK General Palliative Care Guidelines The Management of Pain at the End Of Life November 2010 Aim To provide a user friendly, evidence based guide for the management
Prior Authorization Guideline
Guideline GL-35952 Opioid Quantity Limit Overrides Formulary OptumRx Formulary Note: Approval Date 7/10/2017 Revision Date 7/10/2017 Technician Note: P&T Approval Date: 2/16/2010; P&T Revision Date: 7/12/2011
Pain Management in Older Adults. Mary Shelkey, PhD, ARNP
Pain Management in Older Adults Mary Shelkey, PhD, ARNP Cause of Death/ Demographic and Social Trends Early 1900s Current Medicine's Focus Comfort Cure Cause of Death Infectious Diseases/ Communicable
Medications for the Treatment of Neuropathic Pain
Medications for the Treatment of Neuropathic Pain February 23, 2011 Jinny Tavee, MD Associate Professor Neurological Institute Cleveland Clinic Foundation Neuropathic Pain Pain, paresthesias, and sensory
PAIN MANAGEMENT 101. By: Vicki McCulloch RN, NP & DeAnna Looper RN, CHPN, CHPCA
PAIN MANAGEMENT 101 By: Vicki McCulloch RN, NP & DeAnna Looper RN, CHPN, CHPCA Objectives Identify a step-wise approach to pain management. Identify the WHO Pain Ladder. Identify non-pharmacological pain
Pharmacologic Management of Pain
Pharmacologic Management of Pain Natalie Keil, Pharm.D. NMCSD PGY1 Pharmacy Practice Resident Palliative Care Nursing Symposium October 14, 2011 The views expressed in this presentation are those of the
Equianalgesic Dosing of Opioids for Pain Management
PL Detail-Document #300405 This PL Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER April 2014 Equianalgesic Dosing of Opioids for Pain Management
Demystifying Opioid Conversion Calculations
Demystifying Opioid Conversion Calculations Stephanie Cheng, PharmD, MPH, BCGP Clinical Pharmacist Hospice Pharmacy Solutions November 28, 2018 Learning Objectives After this presentation, you should be
CLINICAL POLICY DEPARTMENT: Medical
IMPTANT REMINDER This Clinical Policy has been developed by appropriately experienced and licensed health care professionals based on a thorough review and consideration of currently available generally
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Transmucosal Immediate Release Fentanyl Products Reference Number: CP.HNMC.211 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Medicaid Medi-Cal Revision Log See Important
10 mg hydrocodone equals how much oxycodone
Cari untuk: Cari Cari 10 mg hydrocodone equals how much oxycodone Posts about dilaudid 8 vs oxycodone 30 written by buyprescriptionmedication. Can you help me with the conversion of Oxycodone IR (5mg tab)
9/30/2017. Case Study: Complete Pain Assessment and Multimodal Approach to Pain Management. Program Objectives. Impact of Poorly Managed Pain
Case Study: Complete Pain Assessment and Multimodal Approach to Pain Management MARY BETH PARTYKA MSN ADULT NURSE PRACTITIONER ADVOCATE CHRIST MEDICAL CENTER ADULT PAIN SERVICE Program Objectives Identify
POST OPERATIVE PAIN MANAGEMENT: PAIN AND COMPLICATIONS
POST OPERATIVE PAIN MANAGEMENT: PAIN AND COMPLICATIONS November 9, 2018 Aimee LaMere, CNP Molly McNaughton, CNP Leslie Weide, MSW, LICSW, ACM Disclosures: Conflict of interest statement: We certify that,
Analgesics: Management of Pain In the Elderly Handout Package
Analgesics: Management of Pain In the Elderly Handout Package Analgesics: Management of Pain in the Elderly Each patient or resident and their pain problem is unique. A complete assessment should be performed
Legacy Pain Management Center New Patient Questionnaire
Legacy Pain Management Center New Patient Questionnaire Please complete this form prior to your visit to allow us to make the best use of our time together. Primary Care Provider: Referring Physician:
PERIOPERATIVE PAIN MANAGEMENT: WHAT S UP WITH METHADONE?
PERIOPERATIVE PAIN MANAGEMENT: WHAT S UP WITH METHADONE? Sandra Z Perkowski, VMD, PhD, DACVAA University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA Pre-emptive and multimodal use
Long-Acting Opioid Analgesics
Market DC Long-Acting Opioid Analgesics Override(s) Prior Authorization Step Therapy Quantity Limit Approval Duration Initial request: 3 months Maintenance Therapy: Additional prior authorization required
An unpleasant sensory and emotional experience associated with actual or potential tissue damage.
An unpleasant sensory and emotional experience associated with actual or potential tissue damage. Acute Pain results from disease, inflammation or injury to tissues; generally comes on suddenly and may
Tips for Pain Management
Tips for Pain Management Going for the 3 Increases: Increase in Health, Increase in Happiness & Increase in Energy Strategies for Success in Health Management By: James J. Messina, Ph.D. What are the medical
Long-Acting Opioid Analgesics
Market DC Long-Acting Opioid Analgesics Override(s) Prior Authorization Step Therapy Quantity Limit Approval Duration Initial request: 3 months Maintenance Therapy: Additional prior authorization required
Opioid Analgesic/Opioid Combination Products
Market DC Opioid Analgesic/Opioid Combination Products Override(s) Quantity Limit Approval Duration 1 year Generic Name Brand Name Quantity Limit APAP/Caf/Dihydrocodeine 320.5mg/30mg/16mg APAP/Caf/Dihydrocodeine
BASICS OF OPIOID PRESCRIBING 10:30-11:45AM
PROVIDING QUALITY CARE TO PAIN PATIENTS IN IOWA BASICS OF OPIOID PRESCRIBING 10:30-11:45AM ACPE UAN: 107-000-14-013-L01-P Activity Type: Application-Based 0.125 CEU/1.25hr Learning Objectives for Pharmacists:
CHAPTER 4 PAIN AND ITS MANAGEMENT
CHAPTER 4 PAIN AND ITS MANAGEMENT Pain Definition: An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Types of Pain
Disposal by Flushing of Certain Unused Medicines: What
Disposal by Flushing of Certain Unused Medicines: What You Should Know Drugs Page 1 of 5 Disposal by Flushing of Certain Unused Medicines: What You Should Know Overview Frequently Asked Questions List
``Considerations for using opioid drug therapy in workers compensation include patient safety, drug effectiveness and financial impacts
Opioids Effective Case Management Opioids RELEVANCE IN WORKERS COMP Opioids are a diverse group of drugs that represent the strongest pain medications available. They are frequently prescribed for pain
Conversion chart from fentanyl to opana er
Conversion chart from fentanyl to opana er (e.g., Nucynta). Both opioid products involved in conversion are one of the following: morphine, oxycodone, oxymorphone, hydromorphone (not extended- release),
UCSF Pediatric Hospital Medicine Boot Camp Pain Session 6/21/14. Cynthia Kim and Stephen Wilson
UCSF Pediatric Hospital Medicine Boot Camp Pain Session 6/21/14 Cynthia Kim and Stephen Wilson Rules Buzz first and player answers If answer correct, then the player asks teammates if they want to keep
2018 Learning Outcomes
I. Pain Physiology and Anatomy (20%) A. Describe the basic anatomy of the nervous system. B. Describe the physiological mechanisms of neuronal function (eg- action potentials). C. Review the nociceptive
Committee Approval Date: September 12, 2014 Next Review Date: September 2015
Medication Policy Manual Topic: fentanyl-containing medications: - Actiq, fentanyl citrate oral transmucosal lozenges - Abstral fentanyl sublingual tablets - Fentora, fentanyl buccal tablet - fentanyl
Pain Management and Safe use of opioids in hospitals. Kyoung-Sil Kang, PharmD, BCPS Scott Tam, PharmD Lauve Casimir, RN, MSN
Pain Management and Safe use of opioids in hospitals Kyoung-Sil Kang, PharmD, BCPS Scott Tam, PharmD Lauve Casimir, RN, MSN Bronx Care Health System Bronx Lebanon Hospital Concourse/ Fulton division, Nursing
HOW TO REDUCE YOUR OPIOID DOSAGE TO 90 MG OF MORPHINE EQUIVALENCE (90 MED)
HOW TO REDUCE YOUR OPIOID DOSAGE TO 90 MG OF MORPHINE EQUIVALENCE (90 MED) By FOREST TENNANT M.D., DR. P.H. VERACT INTRACTABLE PAIN CLINIC and INGRID HOLLIS FAMILIES FOR INTRACTABLE PAIN RELIEF If you
Pain Management in the Elderly. Martha Watson, MS, APRN, GCNS Christie Bowser, RN-BC, RN
Pain Management in the Elderly Martha Watson, MS, APRN, GCNS Christie Bowser, RN-BC, RN Objectives So How Much Do You Really Know? www.geriatricpain.org Geriatric Pain Knowledge Assessment The Geriatric
Management of Post Operative Pain. Presented by Laura Marks PharmD, RP, CPHIMS 2016
Management of Post Operative Pain Presented by Laura Marks PharmD, RP, CPHIMS 2016 Pain Defined Pain is whatever the experiencing person says it is, existing whenever they say it does. McCaffrey 1968 An
Medical Policy An independent licensee of the Blue Cross Blue Shield Association
Opioid Immediate Release Page 1 of 13 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Opioid Immediate Release Prime Therapeutics will review Prior Authorization
Prescription Drug Abuse: Colorado and Nationwide
Prescription Drug Abuse: Colorado and Nationwide Eric Lavonas, MD Associate Director, Rocky Mountain Poison and Drug Center Associate Professor, University of Colorado School of Medicine 1 What s the Problem?
Beneficiary Advisory Panel Handout Uniform Formulary Decisions 24 June 2010
Beneficiary Advisory Panel Handout Uniform Formulary Decisions 24 June 2010 PURPOSE: The purpose of this handout is to provide BAP Committee members with a reference document for the relative clinical
Session VI. Presenter Disclosure Information. Learning Objectives for Session VI. Prescribing Information. Prescribers Must Be Knowledgeable
SAFE Opioid Prescribing Strategies. Assessment. Fundamentals. Education 4 6pm SPEAKERS Charles Argoff, MD, FABPM Michael Brennan, MD, FACP, FASAM Jeffrey Gudin, MD Presenter Disclosure Information The
16 year old with Disabling Chest Wall Pain after Thoracoscopic Talc Pleurodesis for Treatment of Recurrent Spontaneous Pneumothoraces
16 year old with Disabling Chest Wall Pain after Thoracoscopic Talc Pleurodesis for Treatment of Recurrent Spontaneous Pneumothoraces Moderators: Kendra Grim, MD, Robert T. Wilder, MD, PhD Institution:
Methadone. Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.41 Subject: Methadone Page: 1 of 8 Last Review Date: March 18, 2016 Methadone Description Dolophine
A Patient s Guide to The Medication Approach to Chronic Pain
A Patient s Guide to The Medication Approach to Chronic Pain 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is
Module 2 Pain Management. Handouts. Pain Is... Please click the links button under the video. You can print and/or save the handouts.
E L N E C End-of-Life Nursing Education Consortium SuperCore Curriculum Module 2 Pain Management Handouts Please click the links button under the video. You can print and/or save the handouts. Pain Is...
Medication trends shaping workers compensation. A 2018 mid-year review of the prevailing industry influences impacting pharmacy outcomes
Medication trends shaping workers compensation A 2018 mid-year review of the prevailing industry influences impacting pharmacy outcomes OPTUM WORKERS COMPENSATION DATA SET Analysis of our data, the industry
A. The treatment of pain is controversial, frequently difficult and often the source of much frustration for both the physician and the patient.
I. INTRODUCTION. A. The treatment of pain is controversial, frequently difficult and often the source of much frustration for both the physician and the patient. B. This pamphlet attempts to explain the
Xyrem (Sodium Oxybate)
Texas Prior Authorization Program Clinical Criteria Drug/Drug Class Clinical Criteria Information Included in this Document Drugs requiring prior authorization: the list of drugs requiring prior authorization
The Fifth Vital Sign.
Recognizing And Monitoring The Painful Patient Susan Clark, LVT, VTS(ECC) The Fifth Vital Sign. Pain control is part of the accepted standard of care in veterinary medicine. The ability to recognize the
AETNA BETTER HEALTH Prior Authorization guideline for Narcotic Analgesic Utilization
AETNA BETTER HEALTH Prior Authorization guideline for Narcotic Analgesic Utilization Policy applies to all formulary and non-formulary schedules II V opioid narcotics, including tramadol and codeine, as
Disposal of Unused Medicines: What You Should Know
1 of 8 3/12/16 11:14 PM U.S. Food and Drug Administration Protecting and Promoting Your Health Disposal of Unused Medicines: What You Should Know Topics on this page Overview List of Medicines Recommended
Index. Note: Page numbers of article titles are in boldface type. Pain Management in Critical Care
Pain Management in Critical Care Index Note: Page numbers of article titles are in boldface type. Acetaminophen, for pain, 215 dosage of, 216 in children, 287-288 Addiction, to medication, defined, 277
PRIUM Educational Services Managing Drugs & Chronic Pain in Work Comp
PRIUM Educational Services Managing Drugs & Chronic Pain in Work Comp Your Speaker Mark Pew, Senior Vice President of Product Development PRIUM (www.prium.net) Medical Intervention on Clinically Complex
Subject: Pain Management (Page 1 of 7)
Subject: Pain Management (Page 1 of 7) Objectives: Managing pain and restoring function are basic goals in helping a patient with chronic non-cancer pain. Federal and state guidelines require that all
Prior Authorization Opioid Overutilization 2017
Drugs Requiring Prior Authorization Label Name ACETAMINOPHEN/CAFFEINE/DIHYDROCODEINE CAPSULE ACETAMINOPHEN/CODEINE SOLUTION ACETAMINOPHEN/CODEINE TABLET ASCOMP/CODEINE CAPSULE BUTALBITAL/CAFFEINE/ACETAMINOPHEN/CODEINE
Texas Prior Authorization Program Clinical Edit Criteria
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Clinical Edit Information Included in this Document Drugs requiring prior authorization: the list of drugs requiring prior authorization
No Pain, No Gain Pharmacy Patient Pain Counseling Competition
No Pain, No Gain Pharmacy Patient Pain Counseling Competition Offered by the Maine Pharmacy Association as part of the 2010 MPA Fall Conference Sponsored by an educational grant by NASPA and Purdue Pharma,
IS PERCOCET GOOD TATTOO PAIN RELIEVER FOR DOGS
IS PERCOCET GOOD TATTOO PAIN RELIEVER FOR DOGS Is Percocet Good Tattoo Pain Reliever For Dogs Can u mix percocet and suboxone Take suboxone with percocet How much does percocet prescription cost Oxycodone