| Podcast
Step right up and receive all the updates on alternative routes of administration to the oral and intravenous route. In this lively session the pharmacology of rectal, sublingual, topical, and subcutaneous routes of opioid therapy in the setting of palliative care will be discussed. For each...
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Leonard Kish called patient engagement the wonder drug of the 21st century. The Affordable Care Act requires it, and the evidence shows that people engaged in their own care, including those with chronic pain, experience improved health outcomes, lower costs, improved patient care, and decreased...
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Millions of patients each year suffer from acute pain as a result of trauma, illness, or surgery. Pain is the most common reason for admission to the emergency department (ED), comprising more than 40% of the over 100 million ED visits annually. The prevalence of intense acute pain is similarly high...
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This presentation will outline 3 sustainable stepwise approaches for providing chronic pain care within the patient centered medical home (PMH). Treatment of chronic pain is going through a systemic transformation (see 2016 National Pain Strategy from HHS and the 2009 VHA Stepped Care Model). The...
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Although many providers have experience in advising their patients to use topical analgesics for treatment of various types of acute and chronic pain conditions, there are new insights into just how important the skin is in evaluating and treating people with chronic pain. In this translational...
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Effective pain management has been deemed a human right, but some chronic pain patients perceive that to mean they are entitled to opioid analgesics for prolonged pain control. In response to these expectations, providers may feel pressured to say "Yes" and continue prescribing opioids, thereby...
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A common practice for treating chronic back pain includes core stabilization. There is strongly held belief in health care and fitness that back pain is related to the strength of core muscles. Where did this belief originate? Why is it so popular? What is the evidence supporting widespread use of...
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In February 2016, President Obama expressed his compassion for people with pain loud and clear, saying, "If we go to doctors right now and say 'Don't overprescribe' without providing some mechanisms for people in these communities to deal with the pain that they have or the issues that they have...
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Approximately 40 million people in the United States suffer from peripheral neuropathy and a growing subset of those appear to suffer from small fiber neuropathy. This presentation will review the causes and symptoms of small fiber neuropathy, a grossly underappreciated painful disorder that...
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Pain and depression. Depression and pain. Are they the same or do they just "look" the same? Is one the chicken and one the egg? Both terms reflect more than just a single concept. They represent complex constructs that relate to and interact with one another. In order to appreciate all the angles...