2022 Primary Care Update “Updates in Acute and Chronic Pain Management”

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Enduring Activity: 2022 Primary Care Update
“Updates in Acute and Chronic Pain Management”
Evaluation and Credit: www.surveymonkey.com/r/QPVN83T
Target Audience
Physicians, advanced practiced providers and nurses in primary care (internal medicine, family practice, im-ped and
preventative medicine).
Statement of Need
As primary care practitioners treat a variety of issues and the ongoing evolution of clinical guidelines and best practices,
physicians need to learn the latest recommendations and patient protocols to provide optimum care for their patients.
Objectives
At the conclusion of this offering, the participant will be able to:
1. List the three main mechanisms of pain and their impact on acute and chronic pain.
2. Identify the optimal treatment options for acute non-low back musculoskeletal pain according to recent
guidelines from the American College of Physicians and American Academy of Family Physicians.
3. Describe the primary mechanism of chronic pain and identify one pharmacologic (non-opioid) and one
behavioral treatment to reduce pain and improve quality of life.
Faculty
Don R. Teater, M.D., MPH
Pain and Addiction Specialist
SouthEast Alaska Regional Health Consortium
Owner, Teater Health Solutions
Denver, Colorado
Relevant Financial Relationships
Faculty
Faculty for this activity have no relevant financial relationships.
Planners
No planners have any relevant financial relationships to disclose.
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for
physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians
should claim only the credit commensurate with the extent of their participation in the activity.
House Bill 1 credits
The 26th annual Primary Care Update has been approved for 1.5 HB1 credit hours by the Kentucky Board of Medical
Licensure. ID# 0521-H.75-NHC2f
Date of Original Release | October 2022
Course Termination Date | September 2024
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources
Medication-Assisted Treatment of Adolescents With Opioid Use Disorders
pubmed.ncbi.nlm.nih.gov/27550...
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
www.hhs.gov/opioids/sites/def...

Опубликовано:

2 ноя 2022

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Комментарии : 164

@leolady8114 Год назад

I believe these doctors need to actually speak to long time patients in chronic pain. This seems quite ridiculous!

@michaeldefiore8477 Год назад

Makes no sense the cdc weakens the guidelines and providers are still against prescribing opioids for people who are suffering on a day to day basis all because these drug addicts messed everything up for ppl who truly are having pain I am highly against doctors who say stay away from the pills they don’t know what pain does to a person let alone feels like these doctors don’t have to live on a day to day basis with chronic pain I suffer from osteoporosis advanced stage and also have osteogenesis imperfecta and with me constantly having fractures makes me have pain I am in palliative care for my pain but the medication is managed through my primary care provider and I must say being prescribed a extended release opioid and an immediate release pain medication for break through pain has been a life saver for me now do I wish I didn’t have pain problems of course I do but in order for me to live a good quality of life I need my pain medication because with out it I would be in a wheelchair

@kimberlygorman584

I hate when these so-called "experts" talk about the treatment of chronic pain when they themselves are not experiencing the horrific types of pain that we, the patients, go through.

@susiebell5303

I hope the medical students read the comment section! Who is funding this research? Who is paying for this garbage? There are MANY of these "lessons" being taught right now! Ugh.

@markmcallister7076

Typical ONE SIZE FITS ALL BS. "Just go outside, take a deep breath, you'll be fine".

@lockelamora0717 Год назад

A study done on upper middle class patients with low pain scores and specifically low back pain doesn't really represent the average chronic pain sufferer.

@Brian-nl1ok Год назад

My pain is not imaginary. I have damage to my spine and it hurts all the time. Leave my pain medication alone. It gives me quality of life and it gets me the hell out of bed instead of putting me in the bed.

@JW-oz5xp Год назад

Banner reads, "From an accredited hospital." Accredited by whom? Exactly who holds moral authority? Where do they get this authority over my quality of life and millions of other chronic pain sufferers? I have a damaged spine and get maybe 10 fully functioning days on my feet out of any given month. How many of these "Professionals" struggle with debilitating pain 24/7/365 ?

@CoCo-if2fi

under the section 'problem with opioids' everything he is saying is contrary to the truth!

@TiffanyT-LaDolceVita

Until you have chronic pain, how can you actually really know how much relief we get from our medication?!?! For me, it’s like night and day.

@jmclaren2006 Год назад

As a pain patient on opiates since 1994, due to a horrific car accident, my pain has been managed very well, until the 2016 CDC guidelines. My doc reduced me to 90 mme. Now i can barely exercise, let alone get ready in the mornings. Before my dose was cut (was on the same dose thru 2016) i was doing so much better. How dare this doctor say you can only do menial work on opioids. I have an MBA and have been a practice manager going on 25 years. Im truly Disgusted that pain patients are treated like this. Shame on this group of anti opioid zealots, trying to say its all in your head!! This is infuriating!

@blueeyedchippewa8271 Год назад

As a pain patient of 30+ years, I find a lot of this video quite insulting. Do you really think I can just "will" myself out of having 8 screws and a very large metal plate embedded in my femur? Can I just will away the spasms and the weakness? Oh if only I could meditate more often and better. If only, if only.... It's hard not to wish pain on these docs sometimes, but I try to be a better person than that. 🙄. And as far as fear - you bet! When you struggle through day after day, in agony, trying to convince your kids and family you are ok, when the pain is unbearable... You bet there is fear. You fear that you will never feel better. You FEAR the docs will drop you. You fear a lot! You know, you can also fear having to live in this amount of pain for years to go...

@brendapcmt Год назад

Dr. Teater, I watched your lengthy mythical lecture again today. I thought I saw you smirking the first time I watched and wanted to check again. And, yes, I’m sure you had a difficult time keeping a straight face. I was waiting for you to suggest we get a cauldron and mix up a magic potion. Are you aware that it’s the pain medication that takes the edge off and allows us to live a more normal life? For the most part the patients depressed and in bed all the time are the ones that have had their medication yanked away due to these insane policies. These policies are causing more harm than the medication. Why don’t you people focus on getting Fentanyl off the streets and treating the addicts leaving their needles on the sidewalks? That would benefit the nation much more than adding insult to injury on the shoulders of suffering patients.

@gaylea.griffin9733 Год назад

Omg I’ve heard it all. I’m not even going to go into why I need my pain medication. You sir one day will need pain medication and you sir will nope be able to get it. It’s called karma and shame on you. Not everyone gets addicted. You have hurt thousands of people who need the pain meds.

@Scraggledust Год назад

Nothing has worked for me. Non-invasive treatment, exercise, chiropractic visits, acupuncture, nerve ablation, physical therapy, counseling, CBT (was a fat joke), non-opioids, NSAIDS, 6 surgeries… nothing has worked for CNS and radicular pain. (Never had opioids) I plan on seeking out street drugs now, if I don’t get help in the next month, I plan on assisted death. Ty for NOT acknowledging real, daily pain and I hope you and those like you know - have contributed to my suicide

@arnie1005 Год назад

Well they finally got me after doing so well in 25 years on drugs . like JanaJJ said, I also had the very same outcome on taking opioids . Like him my meds was cut back in 2020, and then cut off completely in 2022. I am unable to go anywhere, my house has not been cleaned since 2020. Before when I was on 2 50 mcg patches and 180 mg oxycodone. This is not much of a Doctor. When a patient is doing thing when taking meds, and then not being able to do anything without. Then this Doctor needs to retire!

@brendapcmt Год назад

So… it’s all in your head pain sufferers 🙄 This is unreal. I’m actually wicked enough to wish pain on doctors that peddle this bullcrap!

@florabraswell-nm1re Год назад

Now they are trying to say pain in all in their head because of the opioid crisis, there is people suffering like me in pain every day of their life , they tell you that you have fibromyalgia