Chronic Pain Management: Case Study
Upon completion of this session, you should be able to:
1. Evaluate patients presenting with chronic, nonterminal pain to assess for potential opioid responsiveness and opioid risk.
2. Develop an evidence-based treatment plan that involves the appropriate selections of an initial opioid, continuous monitoring, adjustment or tapering, discontinuation, alternative therapies, or referral to a pain subspecialist.
3. Utilize state Prescription Monitoring Programs (PMPs), patient prescriber agreements, patient counseling documents, and documented urine drug screening to minimize physician liability when prescribing opioids.
4. Develop an alternative pain management strategy to address problems of opioid misuse and abuse.
5. Utilize effective communication strategies with patients regarding the safety, use, and plan for discontinuation of opioid therapy using shared decision making.
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Mark A. Graber, MD, Professor of Emergency and Family Medicine, University of Iowa, Carver College of Medicine, Solon;
Theodor W. Pesch, MD, PhD, Course Chair, Wilmington, Delaware;
Vukiet Tran, MD, FCFP, MHSc, MBA, Assistant Professor, Emergency Medicine Division, DFCM, University of Toronto, Ontario, Canada
- 1.25 AAFP prescribed