This book presents the latest in assessing malignant and non-malignant pain, total pain, nociceptive and neuropathic pain, opioid conversions, common side effects of pain treatment, and nonopioid adjuvant medications.

Upon completion of this self-study program the learner should be better able to

• assess the difference between acute and chronic pain in terms of treatment strategies and opioid responses
• understand the historical evolution and concept of "total pain" and its importance to chronic pain and cancer pain management
• understand opioid pharmacology and its clinical importance
• understand pain pathways, phenotypes and the importance of these pathways to cancer pain management strategies
• understand cancer bone pain and neuropathic pain mechanisms and how these mechanisms relate to targeted pain management
• better assess pain using multiple pain assessment tools and questionnaires
• better determine when diagnostic tests should be used in assessing pain syndromes
• rationally choose an opioid based on patient and clinical characteristics and context
• convert opioid equivalents and adjust opioids using opioid conversion tables and guidelines
• understand the limitation of equianalgesic tables
• convert opioids from oral to alternative routes (intravenous, subcutaneous, rectal, and spinal)
• understand spinal analgesia and drug choices
• recite adjuvant and analgesic classes, understand the pharmacology of each class and when each class should be used and not used
• appropriately tritrate opioids based upon pain intensity
• identify and treat opioid side effects
• appropriately treat cancer pain in someone with an addiction disorder
• choose opioids and non-opioid analgesics for special populations, patients with liver disease, renal insufficiency and the elderly

Authors:
Mellar P Davis, MD FCCP FAAHPM
Shalini Dala, MD
Mary Lynn McPherson, PharmD MA BCPS CPE
Paul A. Sloan, MD
Harold Goforth, MD
Eric Roeland, MD FAAHPM

No CME credits available

Member Price: $65
List Price: $85