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Pain Report #6 An Update on Issues, Research and Treatment Trends


Editorial Faculty Board
Veerainder Goli, MD, FAAPM
Medical Director, Pain Evaluation & Treatment Services and Assistant
Medical Director, Duke Pain & Palliative Program
Assistant Clinical Professor of Psychiatry; Assistant Clinical Professor of
Anesthesiology
Chief, Neuropsychiatric Services
Duke University Medical Center

Rebecca S. Finley, PharmD, MS, FASHP
Chair and Associate Professor
Department of Pharmacy Practice and Pharmacy Administration
Associate Dean for Pharmacy
Philadelphia College of Pharmacy

Supported by an educational grant from Purdue Pharma, L.P.


Reviewed: June 2006

Release Date: September 2003
Expiration Date for Credit: September 1, 2008

Accreditation Statement

The Dannemiller Memorial Educational Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation of Credit

The Dannemiller Memorial Educational Foundation designates this educational activity for a maximum of 1 AMA PRA Category 1 credit(s).TM Physicians should only claim credit commensurate with the extent of their participation in the activity.

Provider approved by the California Board of Registered Nursing, Provider Number 4229, for 1.2 contact hours.

RNs outside of California must verify with their licensing agency for approval of this course.

Target Audience

The educational program is intended for pain management physicians and nurses.

Needs Assessment

New guidelines on the management of persistent pain in older patients were published by the American Geriatrics Society in 2002. The guidelines emphasize: the value of a patient’s own description of pain; the role of pharmacologic and nonpharmacologic strategies in pain management. A recent report by the Institutes of Medicine (IOM) pointed to evidence suggesting that bias, prejudice and stereotyping on the part of healthcare may contribute to disparities in the delivery of healthcare. The literature has documented that disparities in pain management are a significant problem. The key to remedying this situation is education aimed at better understanding the cultural and social issues that contribute to adequate and appropriate treatment minorities. Healthcare providers responsible for pain management of the elderly, minorities and the general population of patients must also be aware of current legal and ethical issues that impact on their clinical practice, particularly as they relate to undertreatment of pain and the management of pain with opioid analgesics. Through continuing education, providers will be better prepared to use both pharmacologic and alternative approaches in the management of patients in pain.

Method Of Participation

The activity should take approximately 1 hour to complete. You should read the objectives and other CME information, proceed through the educational offering, and take the link to the registration for credit and post-test. The evaluation on the post-test site provides you with the opportunity to comment on the extent in which the educational needs were met, the quality of the instructional process, the perception of enhanced professional effectiveness, the perception of commercial bias, and your views on future educational needs. To receive credit for this CME/CE activity, follow the instructions provided on the site. This credit is available through August 31, 2008. No credit will be given after this date.

*In the event you are unable to print the certificate, please submit the post-test and then email editor@dannemiller.com and a certificate will be mailed to you within two weeks.

Evaluation

The activity evaluation form provides each participant the opportunity to comment on the extent to which educational objectives were met, the quality of the instructional process, the perception of enhanced professional effectiveness, the perception of commercial bias, and specific views on future needs. This form is part of the registration form.

Educational Content

This issue of the Pain Report, for which CME/CE credit will be awarded, consists of four article dealing with: guidelines for management of persistent pain; disparities in pain management; alternative approaches to pain management; legal and ethical issues.

Disclosures

Dr. Goli discloses that he is a consultant for Novartis, Pfizer, Celgene and UCB Pharma. He has received funding for multi-center clinical trials from Merck, and is pending funding for investigator initiated studies from Celgene and UCB Pharma.

Dr. Finley discloses that she is a speaker for Purdue Pharma.

Note: Herbals, phytochemicals or dietary supplements discussed in the text are not regulated by FDA.

Objectives

 

  1. Review recommendations contained in the guidelines for management of persistent pain in the elderly published by the American Geriatrics Society.
  2. Evaluate the disparities in pain management due to bias, prejudice and stereotyping and the steps that can be taken to reduce these disparities.
  3. Examine alternative (nonpharmacologic) approaches to pain management.
  4. Describe the current legal and ethical issues that impact on the delivery of effective pain management to patients in need.


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