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Pain Management Part 1: Foundational Information

presented by Cathleen Armato, RN, CHC, CHPC

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Disclosure Statement:

Financial: Cathleen Armato is a shareholder of Armato & Associates, LLC.

Nonfinancial: Cathleen Armato has no competing nonfinancial 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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Video Runtime: 21 Minutes, Learning Assessments: 23 Minutes

This course will examine the terminology related to pain assessment and management to help ensure strong communication between nurses, physicians, the interdisciplinary team, and the patient/family. The purpose is to lay the foundation for the remainder of the courses in this pain management series, help the clinician avoid misunderstandings, and prevent potential errors.

The course will also explore potential barriers to effective pain management, including those within the health system, the clinician's biases, and the perceptions of the patient and family. In addition, the course will review the management of opioids in a time of increased state and federal scrutiny.

This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.

Meet Your Instructor

Cathleen Armato, RN, 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. She has assisted multiple organizations with their compliance and quality efforts, from…

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Chapters & Learning Objectives

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1. Basic Terminology

Chapter 1 will help the clinician and interdisciplinary team members differentiate between common terms used in pain management. We will examine terms such as allodynia vs. hyperalgesia, effectiveness vs. efficacy, and analgesic vs. anesthetic.

2. Opioid Management in a Time of Increased Scrutiny

Chapter 2 will assist team members in recognizing increased federal and state oversight methods. Despite this increased scrutiny, the clinician is still responsible to manage pain in the hospice patient. We will review tolerance, dependence, and substance use disorder as well as drug-seeking behaviors. Drug diversion management is also discussed, including behaviors that put clinicians at risk. Finally, appropriate medication disposal is discussed.

3. Barriers to Pain Management and Consequences of Ineffective Pain Management

Chapter 3 will assist the team to identify national, systemic, clinician, and patient/family barriers to effective pain management. Increased scrutiny has led to unintended consequences and, in many cases, unmanaged pain. By understanding and examining barriers, healthcare providers can examine their knowledge and attitudes and more effectively advocate for their patients.

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