Development and Presentation Faculty
Yvonne D’Arcy, MS, CRNP, CNS
Pain Management and Palliative Care Nurse Practitioner
Suburban Hospital-Johns Hopkins Medicine
Additional Development Faculty
Deborah Kiley, DNP, FNP, FAANP
Sophia L. Thomas, APRN, FNP-BC
Family Nurse Practitioner,
St. Charles Community Health Center
1.0 contact hour of continuing education (which includes 0.5 hours of pharmacology)
THIS PROGRAM WAS ORIGINALLY PRESENTED AS AN AANP LIVE GROUP LECTURE SERIES (GLS) BEGINNING FEBRUARY 25, 2012. IF YOU RECEIVED CREDIT FOR PARTICIPATING IN THE GLS, YOU ARE NOT ELIGIBLE TO RECEIVE CREDIT FOR THIS ONLINE ACTIVITY.
Approximately 76 million Americans suffer from chronic pain each year. Pain is a primary symptom of most chronic conditions, such as cancer, diabetes, arthritis, fibromyalgia, and many neurological disorders. As such, pain affects more people than diabetes, heart disease, and cancer combined and is a leading cause of disability in the United States. Appropriate pain management is of particular concern in the older adult population. Older adults are likely to experience acute and chronic pain from a variety of medical conditions with the impact extending far beyond the pain itself, increasing the risk of depression, sleep problems, and hospitalization, as well as reducing patient quality of life and increasing overall costs.
Nurse practitioners (NPs) face numerous challenges in providing optimal pain management, including changing regulatory/legal environments and the complexity of their patients’ medical conditions. NPs must determine optimal treatment approaches for pain management in the setting of what has been called dual public health crises: meeting the medical imperative to relieve suffering and protecting public safety. Increasing the focus on public safety, the US Office of National Drug Control Policy announced this year a national prescription drug abuse prevention plan, which focuses primarily on the increasing problem of prescription opioid abuse. Recognizing that opioid pain medications have “great potential for relieving suffering, as well as great potential for abuse,” the action plan seeks to minimize abuse of the prescription drugs while also ensuring access for their appropriate use.
NPs perform diverse roles contributing to pain management, including assessing pain, prescribing pain medications, monitoring pain levels as well as side effects of pain medications, consulting and advocating pain management approaches with staff and patients, and educating staff about pain management. According to our needs assessment survey, NPs are motivated to expand their knowledge, confidence, and skills in fulfilling these roles in the management of pain. A high percentage of NPs (90%) indicated some level of dissatisfaction with their own knowledge regarding current best practices in the management of chronic pain in older adults (only 10% were very satisfied and 0% were completely satisfied). Of respondents, 65% indicated they would definitely participate in a continuing education activity focused on pain management in older adults, and another 30% indicated they would consider participating in a program on this topic. Program Developer/Facilitator
Developed by the American Association of Nurse Practitioners in cooperation with
MCM Education Target Audience
This program was developed for nurse practitioners.
Upon completion of this educational activity, the participant should be able to:
Incorporate pain scales and other measurement tools to identify the pain generator and assess control of acute and chronic pain in older adults.
Summarize the elements of a comprehensive pain treatment plan, integrating psychological, social, and rehabilitation approaches along with medical interventions appropriate to the pain complaint.
Outline strategies to decrease the risk of opioid analgesic abuse, including proper opioid dosing, storage, and disposal as well as emerging opioid formulations designed to decrease the risks of diversion and abuse.
Review current legal/regulatory requirements designed to ensure safe and responsible prescribing of opioids for pain management.
Yvonne D’Arcy, MS, CRNP, CNS has reported that she is on the speakers’ bureau for Pfizer and Archimedes and is a consultant for Pfizer, Archimedes, Zogenix, and Oridion.
Deborah Kiley, DNP, FNP, FAANP has reported that she has a financial relationship with TelePresenceCoaching and Avante Medical Center.
Sophia L. Thomas, APRN, FNP-BC has no conflicts of interest to disclose.
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program. Credit Statements
This program is approved for 1.0 contact hour of continuing education by the American Association of Nurse Practitioners (including 0.5 hours of pharmacology). Program ID 1206237.
This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standards. Commercial Support Statements
This activity is supported through an educational grant from Pfizer Inc.
COMPLETING THE POST TEST AND EVALUATION:
When you return to the AANP CE Center, login and find the program you wish to complete. On the program’s content page you can go directly to Start Post-Test at the bottom of the page. When you have successfully completed the online post-test you will be instructed to complete the online evaluation and then receive your certificate.
If you do not have a registration (email and password) with AANP, you will be asked to register: MyAANP. Complete the short profile and create your password to continue in the CE Center. Please contact Stormy Causey, CE Coordinator, at CECenter@aanp.org with any questions.
The opinions expressed in this presentation are those of the speaker and do not necessarily reflect the opinions or recommendations of their affiliated institutions, the publisher, the American Academy of Nurse Practitioners, or Pfizer Inc.