Pain Control: Evidence-Based Approaches

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Current State of Pain and Opioids

Introduction

Prevalence and Cost

Opioid Overuse

Evidence-Based Practice (EBP)

Practice and Policy Implications 

Section 3: Pain Assessment

Pain Terminology

Comprehensive Assessment

Pain Assessment Tools

Subjective Reports of Pain

Limitations of Self-Report Tools

Possible Replacements for Self-Report Tools

Assessing Harm

Pain Stigma

Section 4: Pharmacologic Pain Management Strategies

Introduction

New Treatment Options

Topical Analgesics

Non

Adjuvant Medications

Other Adjuvants

Biologics

Opioid Analgesics

Section 5: Non­Pharmacologic Pain Management Strategies

Introduction

Non­Drug Modality Options

Restorative Modalities

Interventional Approaches

Mind­Body Modalities

Complementary and Other Approaches

Social and Spiritual Modalities

Wellness Modalities

Summary

Section 6: Conclusion

Course Summary

Course Contributors

Resources

References

Paul Arnstein PhD, RN, PMGT-BC, FNP-C, ACNS-BC, FAAN. Clinical Nurse Specialist for Pain Relief & Connell Scholar at Massachusetts General Hospital. Serving in a range of roles, from Lamaze instructor to hospice director, and in a range of settings from academic medical centers to home care, Dr. Arnstein understands the breadth of pain types, across the lifespan. His research has focused on non-drug ways of relieving pain, enhancing team-based, patient-centered approaches to care, caring for patients with chronic pain and/or an opioid use disorder, and improving the standard of pain care. His extensive volunteer work, spokesmanship, publishing, and service to regulatory agencies enhances pain research, quality metrics, and promotes collaboration between professionals and governmental agencies. 

Disclosure: Paul Arnstein, PhD, RN, FAAN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.

Cathryn Ayers, RN, MSN has nearly 10 years of critical care experience. She was active in multiple committees to improve patient safety, executed staff education activities, and managed the new graduate orientation program for those entering intensive care units. Cathryn obtained a license for massage and bodywork therapy in 2012 and graduated from the University of North Carolina at Greensboro in 2016 with a Master of Science in Nursing Education. She has provided telephonic case management services and developed program materials to facilitate positive outcomes for people with rare conditions across the United States. Cathryn has a passion for teaching and helping others to be their best. Disclosure: Cathryn Ayers, RN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.

Johnny received a B.S. Pharmacy degree from the College of Pharmacy at the Medical University of South Carolina. He has earned certificates in Medication Therapy Management, Injectable Medications, and Asthma Therapy Management. At Relias, Johnny serves as a Partner in Behavioral Health Solutions, where duties include serving on Clinical Analytics and Applications Team, developing algorithms to improve clinical outcomes, engineering clinical consultant, SME, writer, and editor. In addition, he has served on the Executive Board of Directors for CMHCs and other medical organizations, pharmacy manager, APPE Preceptor, and college of pharmacy dean’s advisory council. Disclosure: Johnny J. Bethea, II, RPh discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.