Commercial Support: This CME activity issupported by an educational grant from Perdue Pharma AMDCP Credit Designation: This session has been approved for a total of 1.5 Clinical credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
The American Medical Directors Association designates this educational activity fora maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): William D. Smucker, MD, CMD Disclosure(s): William D. Smucker, MD, CMD has no relevant financial relationships to disclose. Session Description: Safe and effective pain management in long term care requires a combination of knowledge, organizational support, tools, policies and procedures. This session will review the prevalence and deleterious effects of pain among long term care patients,compare tools and methods for pain recognition and outline the role of the interdisciplinary team in assessment and development of a care plan to improve patient’s function and quality of life. The session will focus on a step wise, evidence-based approach to pharmacotherapy for nociceptive and neuropathic pain, including a method for safe initiation, titration and monitoring of opioids for frail elderly patients. Policies that support safe and prudent use of methadone and transdermal fentanyl will be reviewed. Learning Objectives:
Apply knowledge and skills gained to improve professional practicesand patient care
Describe a programmatic approach to the improvement of painmanagement
Explain the specific issue of pain detection and assessment among theelderly