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Pain Assessment and Management: Part One

presented by Cathleen Armato

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Disclosure Statement:

Financial: Cathleen Armato receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Cathleen Armato has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Thorough pain assessments are a critical component of adequate pain management. Clinicians will learn how to conduct a verbal, physical, and functional pain assessment, barriers to pain management, population groups at risk of under-treatment, harmful effects of unrelieved pain, and goals of pain management.

Meet Your Instructor

Cathleen Armato, RN, CHPN, CHC, CHPC

Cat Armato is an experienced executive with 18 years in the home care and hospice industry. She has served in various roles during that time, including VP of operations and chief compliance officer for a nationwide provider. In 2012, Cat became a consultant and has assisted multiple organizations with their compliance and quality efforts, from…

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Chapters & Learning Objectives

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1. Barriers to Effective Pain Management

This chapter discusses the definition of pain and barriers to effective pain management. Patient/family perceptions and healthcare providers and systems can all contribute to inadequate pain management. Additionally, certain populations are at increased risk of under-treatment of pain. The psychological and physiological responses to under-treatment will be discussed.

2. Pain Types

This chapter discusses neuropathic, somatic, and visceral pain. Each pain type will be examined to assist the clinician in determining the etiology of the patient’s pain. Knowing the etiology contributes to effective pain management as different types of pain are managed differently.

3. The Verbal Pain Assessment

Although many clinicians are consistent in asking the patient for their current pain level, this is only one small portion of a complete pain assessment. This chapter reviews seven components of a thorough verbal pain assessment and the rationale for gathering the information. With the correct information, the clinician will be able to assist the patient and advocate for a pain management protocol to meet patient goals.

4. Video Demonstration of the Verbal Pain Assessment

This chapter demonstrates an effective verbal pain assessment. This demonstration follows the guidance outlined in the previous chapter. This will give the clinician an example of how to best gather complete information.

5. The Physical and Functional Pain Assessment

The physical and functional portion of a thorough pain assessment is the hands-on component. This chapter will provide guidance as well as tips to prevent misinterpretations of findings.

6. Putting It All Together

Based on the information obtained during the assessment, the clinician will communicate with the physician, providing relevant and concise information. Other services and assistive devices will be reviewed. Finally, the clinician will work with the patient to develop a care plan with patient-specific goals. This chapter reviews each of these steps and how they contribute to an effective pain management protocol.

More Courses in this Series

Pain Assessment and Management: Part Two

Presented by Cathleen Armato, RN, CHPN, CHC, CHPC

Pain Assessment and Management: Part Two

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Pain Assessment and Management: Part II helps prepare the home care or hospice nurse to help manage pain medications. Common terminology related to pain management will be reviewed, including tolerance, dependence, and addiction. Managing drug-seeking behaviors will be covered as well as prescription drug monitoring programs and drug destruction. This course will also review non-opioid analgesics, adjuvant therapies, and opioids. Side effects and significant side effects will be discussed as well as titration and rotation of opioids for the management of pain and side effects. In addition to the review of medications, we will also discuss non-pharmacologic interventions for the management of pain in the home environment.

View full course details

Fraud, Waste, and Abuse: Fundamentals of Compliance in Home Health and Hospice

Presented by Cathleen Armato, RN, CHPN, CHC, CHPC

Fraud, Waste, and Abuse: Fundamentals of Compliance in Home Health and Hospice

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
26% of the national budget is spent on Medicare, Medicaid and the Children’s Health Insurance Program (CHIP). The National Health Care Anti-Fraud Association (NHCAA) estimates that our nation loses tens of billions of dollars each year due to health care fraud. This course will review fraud, waste, and abuse and how providers and their employees can participate in compliance efforts to stem the flow of inappropriate payments and preserve these programs for our future. The course will review rules and laws governing home health and hospice, risk areas for home health and hospice, and proactive steps employers and employees can take to remain in compliance with program requirements.

View full course details

Legal Implications in Nursing Documentation

Presented by Cathleen Armato, RN, CHPN, CHC, CHPC

Legal Implications in Nursing Documentation

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Nursing documentation is the primary evidence that a nurse followed the standards of care and provides the nurse with credibility in a malpractice claim. This course reviews the legal implications of documentation and common errors found in clinical records. Examples of incorrect charting will be reviewed with appropriate alternative ways to document findings. This course also discusses patient-centric documentation to support quality care. Through appropriate and strong documentation, the nurse is better positioned to support following the patient’s plan of care and to defend against a malpractice claim.

View full course details

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