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Pain Management Part 5: Opioids for Pain Management

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: 14 Minutes, Learning Assessments: 31 Minutes

Opioid management is a learned skill requiring the clinician to understand best practices when initiating, titrating, and rotating opioids. Pain management experts also need to have a strong understanding of calculating breakthrough dosing and managing ongoing monitoring.

This course discusses the implementation, titration, and complex rotation of opioids. With methodical use of evidence-based best practices, patients can achieve a higher satisfaction level with their pain management and clinicians can feel confident with their skills.

This advanced course is applicable for clinicians in all healthcare settings who have a role in patient pain management.

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. Initiating Opioids

This chapter examines the initiation of opioids and how/when to move to a fixed-dose schedule. Safe implementation is discussed as well as reassessment time schedules.

2. Breakthrough Pain Management

Breakthrough pain medication is typically necessary to control activity-related or end-of-dose-related pain. In this chapter, we examine best practices for using breakthrough medication and how to reassess at appropriate intervals.

3. Rotation of Opioids

There are several reasons for rotating opioids, but this is a complicated process that should be carefully managed. CDC-recommended methods will be reviewed using morphine milligram equivalents (MME). We will also review calculating new breakthrough dosing and reassessment timing.

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