Prescribing for Pain Management

Credit

Handouts/Brochure

Speaker

Debra J Dermady-Ray, RN-BC, MS, ANP-BC Related seminars and products

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Debra Dermady-Ray, RN-BC, MS, ANP-BC, is a nurse practitioner who has worked in pain management for the last 15 years. She has been an interventional pain specialist treating many different chronic pain conditions and opioid management. Debra has been involved in pain management research, has taught NP students on various pain-related topics, and teaches a review course for the ANCC pain management nursing certification exam. Her specialty expertise has been recognized, as she holds certifications in pain management nursing by the ANCC and in opioid management by The American Association of Allied Interventional Pain Management Professionals.

Speaker Disclosures:
Financial: Debra Dermady-Ray maintains a private practice and has employment relationships with Omni Surgery Center and Omni Pain & Precision Medicine. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Debra Dermady-Ray is a member of the American Nurses Association, the American Society for Pain Management, and the New York State Nurse Practitioner Association.

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Objectives

1. Analyze the steps of pain pharmacokinetics to select the best medication options. 
2. Appraise a patient for at-risk substance use disorder signs. 
3. Determine current opioid and adjunctive medications for the treatment of chronic pain.  
4. Demonstrate understanding of the evolving CDC dosing guidelines. 
5. Evaluate idiosyncrasies of Urine Drug Screen (UDS) results.

Outline

Pharmacokinetics to Guide Medication Decisions 

• Absorption 
• Volume distribution 
• Metabolism 
• Excretion/Elimination 
• Aging considerations 

Principles of Analgesia 

• Individual differences 
• Assessment of pain relief 

Medications for Pain Management 

• Non-opioid (adjunctive) medication management: NSAIDs, topical, SNRI’s, TCAs 
• Side effects, adverse drug reactions & allergic reactions 
• Dosing schedules 
• Routes of administration 
• Drug interactions 
• Opioid rotation 
• Opioids medications 
• Opioid safety 
• CDC guidelines 

Substance Use Disorder 

• Addiction 
• Physical dependence 
• Tolerance 
• Withdrawal 
• Psuedoaddiction 

Standard of Care for Scheduled Pain Medications 

• Red flag (drug seeking) 
• Urine Drug Screen results 
• Pain agreements 
• The 10 steps to universal precautions in pain medicine 

Target Audience

• Nurses
• Nurse Practitioners
• Pharmacists
• Physicians
• Physician Assistants