What You’ll Learn

  1. Use safe and appropriate pain management strategies in people with serious illness at risk for or with concurrent substance use disorder
  2. Recognize indications for specialist referral and available community resources to assist you in treating the at-risk patient

What You’ll Earn

Only CAPC members who are logged in can earn the following free Continuing Education Credits:

  • 0.50 AMA PRA Category 1 Credit(s)™
  • Case Management: 1.00 CE
  • Nursing: 1.00 CNE, 1.00 Pharmacotherapy
  • Social Work: 1.00 CE (NYSED)

Social work credits are approved by the New York State Education Department. Social workers licensed outside of New York should contact their regulatory board to determine course approval for continuing education credits.

To take this course, log in. Or, check here to see if your organization is a member.

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Take the course

2

Take the post-test

3

Complete evaluation

4

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Tools & Resources

Course 13: Patient Story
MEMBERS ONLY locked

Case examples used in the CAPC curriculum to illustrate pain management techniques.

Course 13 References: Managing Pain in Patients at Risk for Substance Use Disorder
MEMBERS ONLY locked

Course citations. Center to Advance Palliative Care, 2015.

Pain Assessment and Documentation Tool (PADT)

Validated instrument to assess pain intensity and impact on function over time.

At Risk Behaviors for Substance use Disorder
MEMBERS ONLY locked

List of red flags that indicate a need to assess patients for substance use disorder.

Sample Treatment Agreement/Informed Consent Form
MEMBERS ONLY locked

Documentation of patient and clinician goals and expectations for safe and effective opioid treatment.

Treating Constipation at Home

Sample protocol for managing constipation. Organizations can create similar protocols in collaboration with referring clinicians and pharmacists.

Pain Management Glossary

Key terms related to pain and pain management. Center to Advance Palliative Care, 2015.

Analgesics Fact Sheet

When to use - and when to avoid - 6 classes of analgesics including acetaminophen, NSAIDs, opioids, antiepileptics, antidepressants, and corticosteroids.

Substance Use Disorder Specialists

Opioid treatment specialists by state, and resources for substance use disorder from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Opioid Risk Tool (ORT)

Adapted from the Opioid Risk Tool questionnaire developed by Lynn R. Webster, MD to assess risk of opioid use disorder. This adapted version uses currently recommended terminology, for example ‘opioid use disorder’ and ‘substance use disorder’.

Physicians

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the providership of the Icahn School of Medicine at Mount Sinai. The Icahn School of Medicine at Mount Sinai is accredited by the ACCME to provide continuing medical education for physicians.

Icahn School of Medicine at Mount Sinai designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s) ™ effective 2/15/2024-2/15/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Released: 2/15/2024; Valid for credit through 2/15/2026

Estimated Time of Completion for CME: 60 minutes

ABIM MOC Recognition Statement

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 0.5 MOC credits in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC credits equivalent to the amount of CME credits claimed for this activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Physician Assistants

The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME. Icahn School of Medicine at Mount Sinai designates this enduring material with 0.5 AMA PRA Category 1 Credit(s)™ as specified, which can be applied to the continuing education of Physician Assistants. Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (Registered Nurses, Advanced Practice Registered Nurses, Licensed Nurses)

This continuing nursing education activity was approved by the Pennsylvania State Nurses Association Approver Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

CNE Released: 10/12/2022; Valid Credit through 10/11/2024

Estimated Time of Completion for CNE: 60 minutes

This course offers 1.0 Pharmacotherapeutic Contact Hours for Advanced Practice Registered Nurses as required for maintenance of national certification by the American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP) for nurse practitioners and clinical nurse specialists.

Social Workers

Center to Advance Palliative Care SW CPE #0257 is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers effective 8/1/2015-7/31/2027. As of May 29, 2019 this program offers 1.0 continuing education contact hours. While social workers are not prescribers, CAPC advocates that social workers are key members of the interdisciplinary team and should therefore have knowledge of pain management strategies for people with serious illness at risk for or with concurrent substance use disorder.

Social workers licensed outside of NY should contact their regulatory board to determine course approval for continuing education credits for courses without national social work accreditation.

Certified Case Managers

This program is approved by The Commission for Case Manager Certification (Approval # 240001933) to provide 1.0 continuing education credits to CCM® board certified case managers. Effective 7/04/2024-7/04/2025.

Verification of Attendance (VOA)

All users that are not eligible for continuing education will receive a Verification of Attendance certificate upon completion of the course.

Course Media Instructions

Software Requirements: CAPC’s online curriculum, tools and technical assistance are designed to be fully compatible through multiple platforms: computer, smartphone (iOS or Android) or tablet running the following web browsers: Google Chrome, Mozilla Firefox, Safari, and Microsoft Edge.

Content: Each course is comprised of interactive learning components (articles, tools, or supporting materials), video and audio. The learner will be expected to complete various interactive processes such as matching, simulated clinical decision-making, fill in the blanks, and highlighting content.

To successfully earn credit, participants must complete the activity online, receive a minimum score of 80% on the post-test, and complete the course evaluation. A printable certificate of completion or a continuing award document specific to the discipline will be awarded.

Target Audience: Each program is developed for chaplains/spiritual counselors, nurses, physicians, physician assistants, social workers, case managers, palliative care program leaders, and healthcare leaders (hospital, health system and community care).

Activity Description/Statement of Needs: CAPC’s online curriculum provides training in two critical areas. Technical assistance courses are designed to help palliative care program leaders address key challenges such as implementing palliative care in community health care settings. Clinical coursework provides fundamental training in pain and symptom management, communication, and other key skills needed to work with patients with serious illness.

Disclaimers: The opinions expressed in the courses are those of the authors and do not necessarily represent the views of the sponsor, the educational partner, or the supporter. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.

Activities do not contain information on commercial products/devices that are unlabeled for use or investigational uses of products not yet approved.

Faculty Disclosures and Conflict of Interest: It is the policy of CAPC to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-provided educational activities per the highest standards of ANCC and ACGME guidelines. There may be other organizations depending on the topic. For all courses, Faculty/Presenters/Authors/Content Reviewers complete conflict of interest forms to determine any potential bias or conflict of interest. Disclosures are available for each activity.

Copyright Information: All rights reserved by the Center to Advance Palliative Care (CAPC). No materials may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.

Privacy Information: To read CAPC’s privacy policy, click here.

Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care.

Jaime Goldberg, MSW, LCSW, ACHP-SW. PhD student, University of Wisconsin-Madison School of Social Work.

Philip Higgins, PhD, LICSW. President, Lighthouse Counseling of Salem, Inc.

Lynn Hill Spragens, MBA. Partner, Spragens & Gualtieri-Reed.

Jay R. Horton, PhD, ACHPN, FNP-BC, MPH, CENP. Director of Nursing Safety, Quality, and Performance Improvement Mount Sinai Hospital. Assistant Professor Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai.

Khadidjatou Kane, MD. Oncology Hospitalist, Assistant Professor of Hospital Medicine, Northwestern University Feinberg School of Medicine.

Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.

Bridget Montana, MSN, APRN, FPCN, MBA. Hope HealthCare Services, Chief Operating Officer.

Colleen Mulkerin, MSW, LCSW. Director Palliative Care Consult Service, Hartford Hospital.

Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.

David Weissman, MD. President, Palliative Care Education, LLC.

Sherika S. Newman, DO. Hospice & Palliative Medicine, Family Medicine Piedmont Healthcare.*

Karl Bezak, MD. Clinical Assistant Professor of Medicine, Palliative Care and Medical Ethics, University of Pittsburg (UPMC).*

Sivan Ben-Moshe, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.

Sachin Kale, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.

Katie Wang, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.

*indicates ABIM Peer Reviewer

Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email [email protected]. For questions about continuing education credits, contact 201-957-0077.

Provided by the Icahn School of Medicine at Mount Sinai.

Course 1: Comprehensive Pain Assessment

Course 1 of 14

Conducting a comprehensive pain assessment to guide safe and effective treatment.

Course 2: Matching the Drug Class to the Pain

Course 2 of 14

Selecting a safe and appropriate analgesic for patients with serious illness based on the pain assessment.

Course 3: Patient Factors that Influence Prescribing Decisions

Course 3 of 14

Patient and family factors that influence prescribing decisions for patients with serious illness.

View all courses in the unit

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