Pharmacology of Pain Management for End-of-Life Care

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Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts/Brochure

Speaker

Paul Langlois, APN, PhD, CCRN, CCNS Related seminars and products

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Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU, and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists, and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely, and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of infectious disease and multi-system organ failure patients.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every educational program.  

 

Speaker Disclosures:
Financial: Dr. Paul Langlois has employment relationship with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Paul Langlois is a member of the American Nurses Association, the American Association of Critical Care Nurses, and the Society of Critical Care Medicine.

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Objectives

1. Describe the differences among common analgesics for end-of-life care.
2. Outline an algorithm that optimizes pain management for the patient at the end-of-life.

Outline

Palliative care

• Pain experiences at end of life
• Pharmacist’s role in pain management at end of life
• Lack of data driven protocols for pain management at end of life

Analgesic medication dosages and routes at end of life: Choosing the right medication at the right time

• Morphine
• Fentanyl
• Hydromorphone
• Oxycodone
• Methadone
• Acetaminophen
• Ketorolac
• Ibuprofen
• Antidepressants
• Anticonvulsants
• Muscle relaxants
• Topical agents
• Epidurally administered medications (bupivacaine, lidocaine)

Sedating medications at end of life

• Lorazepam
• Midazolam
• Propofol
• Dexmedetomidine

Other medications for use at end of life

• Stool softeners
• Antiemetics
• Antihistamines

Pain management algorithm for pharmacists

Target Audience

• Pharmacists who are involved with pain management with either hospice or end-of-life care of hospitalized patients