Pain Management Part 1: Foundational Information

1. Basic Terminology

Chapter 1 will help the clinician and interdisciplinary team members differentiate between common terms used in pain management. We will examine terms such as allodynia vs. hyperalgesia, effectiveness vs. efficacy, and analgesic vs. anesthetic.

2. Opioid Management in a Time of Increased Scrutiny

Chapter 2 will assist team members in recognizing increased federal and state oversight methods. Despite this increased scrutiny, the clinician is still responsible to manage pain in the hospice patient. We will review tolerance, dependence, and substance use disorder as well as drug-seeking behaviors. Drug diversion management is also discussed, including behaviors that put clinicians at risk. Finally, appropriate medication disposal is discussed.

3. Barriers to Pain Management and Consequences of Ineffective Pain Management

Chapter 3 will assist the team to identify national, systemic, clinician, and patient/family barriers to effective pain management. Increased scrutiny has led to unintended consequences and, in many cases, unmanaged pain. By understanding and examining barriers, healthcare providers can examine their knowledge and attitudes and more effectively advocate for their patients.