Pain Management Learning Plan Overriding Gal T imprve the quality f patient care available fr patients living with chrnic pain. Learning Outcmes By the end f the implementatin, participants will be able t 1. Describe a ratinale fr using a bipsychscial apprach t assessing and 2. Identify the 7 Pain tls available t assess and help manage patients with chrnic pain 3. Select the apprpriate tl(s) fr addressing a pain scenari 4. Use apprpriate tls t assess pain and plan a management strategy fr patients with chrnic pain 5. Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t 6. Reprt increased cnfidence in supprting patients that experience chrnic pain 7. Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan 8. Build a registry f all patients with chrnic pain Key Messages in this prgram include 1. Pain is an experience influenced by physilgical, psychlgical, envirnmental, and scial factrs. 2. Pain science educatin and self-management strategies can change a patient s pain experience and functin fr the better. 3. Opiids shuld be used with cautin and nly when they supprt functinal imprvement.
Learning Plan fr Pain Managment Outcme Hw t assess? Hw t teach? 1. Describe a ratinale fr using a bipsychscial apprach t assessing and 2. Identify the 7 Pain tls available t assess and help manage patients with chrnic pain 3. Select the apprpriate tl(s) fr addressing a pain scenari 4. Use apprpriate tls t assess pain and plan a management strategy fr patients with chrnic pain 5. Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t 6. Reprt increased cnfidence in supprting patients that experience chrnic pain 7. Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan 8. Build registry f all patients with chrnic pain Quiz/survey (ral, written) Describe t a peer Small grup assignment Summary chart Case study activity (small grup) --- Reprt frm peer mentr/cach Present EMR dashbard reprt Pst-actin plan case study reprt Reprt frm peer mentr/cach Present EMR dashbard reprt Facilitated discussin Case study? Strytelling (patient vice)? Opiid theme (Opiid theme) Answering participant questins Small grup activity 1 Small grup activity 1 Activity debrief --- Small grup activity 2 Actin plan practice (w/ mentr/cach?) Small grup activity 2 (Opiid theme) Pre/pst survey Didactic Grup activity Questin perid Pre/pst survey Will happen rganically BAP Small grup share Paired activity Reprt frm EMR Separate EMR training sessin
First Learning Sessin (3.5 hrs) Describe a ratinale fr using a bipsychscial apprach t assessing and Identify relevant Pain tls Select the apprpriate tl(s) fr addressing a pain scenari Reprt increased cnfidence in supprting patients that experience chrnic pain Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t Actin Perid 1 Select the apprpriate tl(s) fr addressing a pain scenari Use apprpriate tls t assess pain and plan a management strategy fr 6 patients with chrnic pain Build registry f all patients with chrnic pain Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t Secnd Learning Sessin (3.5hrs) Use apprpriate tls t assess pain and plan a management strategy fr patients with chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t Actin Perid 2 Select the apprpriate tl(s) fr addressing a pain scenari Use apprpriate tls t assess pain and plan a management strategy fr patients with chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan Third Learning Sessin 3 (3.5 hurs) Reprt increased cnfidence in supprting patients that experience chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan PDSA Actin Perid 1: PDSA Actin Perid 2: 1. Welcme/Intrductins (15) 2. Patient Vice (15) 3. Understanding pain as a Glbal Experience (60) The Burden f Pain The bipsychscial Apprach Neurplasticity [Break - 10] 4. Pharmaclgy treatment f Chrnic Pain (piids) (60) [MOA Breakut at same time] 5. Intrductin t sme Pain Tls (including PDI/BPI) (30) 6. Case Study Applicatin (15) 7. Wrap-up (15) PDSA planning Sessin assessment Build registry f all patients with chrnic pain (ICD-9 cdes?) Use Pain assessment tls (BPI/PDI [using EMR templates]) Participate in the feedback mechanism while using EMR- Enabled templates where pssible, using ther techniques where nt pssible Apply piid prescribing strategy use Opiid Risk tl if initiating piids and piid manager fr nging 1. Peer Sharing/Learning (30) 2. Pain Tls (review f LS1 tls and remainder) (45) 3. Return t Functin (30) Setting functinal gals [Break 15] Exercise () 4. Pharmaclgy treatment f Chrnic Pain (nn-piids) () 5. Advanced Pain Tl Use (30 min) Cmprehensive BAP Patient Self-management 6. Case Study Applicatin (15) Assessing pain and creating a management strategy 7. Wrap-up (15) Actin perid planning Pain Tls assessment (cnt d) Brief Actin Planning: Effective Patient Self-Management and Returning t Functin Assess apprpriate medicatins using functinal gal setting where pssible and apprpriate with selected patients Optimize ffice wrkflw 1. Peer Sharing/Learning (45 min) 2. Yellw Flags and MH Tls (20 min) 3. Mental Health Tls (50 min) CBIS Tls Mindfulness/Relaxatin [Break ] 4. Cmmunity Resurces () 5. Sustainability (50 min) Hw t sustain changes in practice? Create prcess imprvement plan 6. Wrap-up () 7. Prgram evaluatin
First Learning Sessin (3.5 hrs) Describe a ratinale fr using a bipsychscial apprach t assessing and Identify initial Pain tls available t assess and help manage patients with chrnic pain Select the apprpriate tl(s) fr addressing a pain scenari Reprt increased cnfidence in supprting patients that experience chrnic pain Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t Time 60 min 10 min 60 min 1. Welcme/Intrductins 2. The Patient Vice 3. Understanding Pain as a Glbal Experience The Burden f Pain The Bipsychscial Apprach Neurplasticity [Break] 4. Pharmaclgical treatment f chrnic pain [Nte: MOA breakuts will c-ccur during this time] Opiid management Cmrbidity between addictin and pain 5. Intrductin t Pain Tls (e.g. PDI/BPI, pain diagram) 6. Case Study Applicatin (with tls used in intrductin) 7. Wrap-up Actin perid planning Sessin assessment Delivery Frmat /Intrs Presentatin Facilitated discussin /Q&A Small grup activity using case Activity debrief 210 min Ttal Educatin Time (3.5 hurs) Assessment: (cue card review f ratinale and pain tls) Respnses during activity debrief (hw many grups selected apprpriate pain tls fr the case scenari?)
Secnd Learning Sessin (3.5hrs) Use apprpriate tls t assess pain and plan a management strategy fr 6 patients with chrnic pain Identify the 7 Pain tls available t assess and help manage patients with chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan Use apprpriate medicatin prescribing strategy as an adjuvant t the bipsychscial apprach t Time 45 min 1. Peer Sharing/Learning 2. Pain Tls (review f LS1 tls and remainder) Delivery Frmat Facilitated discussin / Q&A 3. Return t Functin Setting functinal gals [Break 15] Exercise 4. Pharmaclgy treatment f Chrnic Pain (nn-piids) 5. Advanced Pain Tl Use Cmprehensive BAP Patient Self-management 6. Case Study Applicatin Assessing pain and creating a management strategy 7. Wrap-up Actin perid planning Facilitated discussin Paired activity Small grup activity Activity debrief & Team planning Ttal Educatin Time (3.5 hurs) 210 min Assessment: Respnses during activity debrief (hw many grups used apprpriate pain tls and planned an apprpriate management strategy fr the case scenari?) Respnses during peer sharing/learning (hw many participants demnstrated reflectin n his/her delivery f pain tls?)
Third Learning Sessin (3.5hrs) Reprt increased cnfidence in supprting patients that experience chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan Time 45 min 20 min 50 min 50 min 1. Peer Sharing/Learning 2. Yellw Flags 3. Mental Health Tls CBIS Tls Mindfulness/Relaxatin 4. Cmmunity Resurces [Break] 5. Sustainability Hw t sustain changes in practice? Create prcess imprvement plan 6. Wrap-up Prgram evaluatin Delivery Frmat Small grup discussin Large grup facilitated discussin Facilitated Discussin Facilitated discussin? Facilitated discussin? Individual/paired activity 210 min Ttal Educatin Time (3.5 hurs) Assessment: Prcess imprvement plans
Activity 1 (LS 1) Case Study Applicatin Describe a ratinale fr using a bipsychscial apprach t assessing and Identify the 7 Pain tls available thrugh the EMR template Select the apprpriate tl(s) fr addressing a pain scenari Reprt increased cnfidence in supprting patients that experience chrnic pain Activity Descriptin: One specified PwerPint case that requires the use f mst pain tls Participants receive handut utlining pain tls and recmmended usage Facilitatr guides whle grup thrugh case, pausing fr participant input where indicated, and clarifying and prmpting, as needed End f activity debrief Q&A Key Pints Summary: D Pain Inventry at each visit, using the tl mst apprpriate t PDI results Ask hw pain is affecting md and smatic functining Dn t assume yu re always dealing with the same kind f pain Activity 2 (LS 2) Case Study Applicatin Use apprpriate tls t assess pain and plan a management strategy fr 6 patients with chrnic pain Reflect n his/her delivery f Pain tls and develp a prcess imprvement plan Activity Descriptin: One specified PwerPint case that requires the use f BAP, patient self-management, and return t functin prcesses Participants receive handut utlining BAP algrithm, PBI/PDI, ther tls? Facilitatr guides whle grup thrugh case, pausing fr participant input where indicated, and clarifying and prmpting, as needed End f activity debrief Q&A Key Pints Summary: Lk at psychtherapeutic apprach, fcus n return t functin and selfmanagement