Geriatrics Module 6 Pain PDF

Geriatrics Module 6 Pain Laura Wylie, MPAS, PA-C  Instructional Objectives 1. Differentiate between the physiologic presentation of acute vs chronic pain syndromes. Module 3 2. Identify the variety of pain scales used in assessing pain in clinical settings....

Geriatrics Module 6 Pain Laura Wylie, MPAS, PA-C  Instructional Objectives 1. Differentiate between the physiologic presentation of acute vs chronic pain syndromes. Module 3 2. Identify the variety of pain scales used in assessing pain in clinical settings. Module 3 3. Describe the components of a mutually agreed upon pain treatment plan, review a sample narcotic contract, and define strategies to detect and treat substance abuse. Module 3 4. Describe common alternatives to pharmacology treatment that can be used to treat pain. Module 3 5. Differentiate between the different classes of medications for the treatment of acute and chronic pain. Module 3 6. Detail the components of a narcotic contract and understand the importance in the treatment of chronic pain. Module 3 Roadmap Origins and diagnosis of pain Cases on diagnosis of pain Break Pain Medication, Uses and Forms Treatment Cases Narcotic Contract Biopsychosocial model of pain for older adults. (Reproduced with permission from Miaskowski C, Blyth F, Nicosia F, et al. A biopsychosocial model of chronic pain for older adults. Pain Med. 2020;21:1793–1805.) Citation: Chapter 68 Pain Management, Halter JB, Ouslander JG, Studenski S, High KP, Asthana S, Supiano MA, Ritchie CS, Schmader K. Hazzard's Geriatric Medicine and Gerontology, 8e; 2022. Available at: https://accessmedicine.mhmedical.com/content.aspx?sectionid=266877785&bookid=3201&Resultclick=2 Accessed: October 05, 2022 Copyright © 2022 McGraw-Hill Education. All rights reserved Determining what type of pain your patient has will ultimately change the way you treat their pain. Determining what type of pain your patient has will ultimately change the way you treat their pain.  Dermatomes can help you determine between different types of pain. The area of the body that is affected by each nerve root Pain tools are very helpful to determine the effectiveness of your treatment. Assessment of pain with cognitive decline or dementia takes the involvement of everyone caring for the patient. What is this? What pain treatment will work? What is this? What pain treatment will work? Rheumatoid arthritis DMADs- Disease Modifying Anti- Rheumatic Drugs Treatment of pain requires a thoughtful step-wise approach to ensure good patient outcomes. 1. Non-pharmacologic therapy and nonopioid pharmacologic therapy. 2. Establish treatment goals. 3. Before starting and periodically during opioid therapy, discuss realistic benefits and management of therapy. 4. If starting opioid therapy: a. use immediate release. b. Start at the lowest dose possible. c. For treatment of acute pain three days or less is often sufficient. d. Revaluate in 1-4 weeks. e. Periodically asses (q3 months) risk to reduce risk: i.