Education on Pain and Symptom Management - Starting in December 2017, a minimum of three- hours of continuing education must be earned in the area of pain and symptom management. Special Needs, State-Mandated No outside commercial support was received for the creation of this course material. Which Concerns Deserve Consideration in Dietary Counseling of Patients Earning Low Incomes? Acute pain begins suddenly, is usually sharp in quality, and correlates with the amount of damage. Under Michigan law, all RNs and LPNs are required to complete 25 continuing education contact hours, with two hours of pain and symptom management, during the two years preceding application for license renewal. The Michigan state CME requirements listed above were accurate when posted. Explain the kinds and use of pain assessment tools. Rababa M, Sabbaj A, & Havajneh A. Data show that the intranasal route is as effective as the intramuscular route in the prehospital setting (Schiller et al., 2022). Identify the three components of analgesic pain management. Michigan Physical Therapy CEU Requirements Matt Wright, DPT, OCS Chronic pain can be disabling, detrimental to functioning and at the very least, distracting. https://stanfordhealthcare.org, State of Michigan Department of Community Health. Often these people initially used prescription drugs for valid medical conditions, and drug-seeking behaviors may have developed as a result of disease progression, undertreatment of pain, tolerance to the medication, or unrecognized addiction. This means that people may be arrested and charged with possession even in states where marijuana use is legal (Kellogg et al. Other recommendations include drug testing, primarily urine screening. It is not intended as a substitute for professional healthcare. 6. This series will: Review anatomy and taxonomy of pain and its relation to treatment and referral to pain management provider. Medscape. R 338. . https://nida.nih.gov, Nnanna O. Medical Economics. Chronic pain is prevalent in people who die by suicide. Support Lucile Packard Children's Hospital Stanford and child and maternal health, Addressing the Unmet Challenges of Chronic Pain Management. How do doctors find the cause of pain? Tai chi and qigong are forms of traditional Chinese exercise that incorporate the concepts of two opposing forcesyin and yang. Verbal description is only one of several behaviors to express pain; inability to communicate does not negate the possibility that a human or a nonhuman animal experiences pain. Psychosocial factors include the persons personality, the meaning ascribed to pain by an individual, fear and catastrophizing, and emotional distress (Ratka, 2020; Padgett, 2019). Continuing education contact hours in pain and pain symptom management may include, but are not limited to, courses in behavior management, psychology of pain, pharmacology, behavior modification, stress management, clinical applications, and drug interventions. At least one hour must be from a course in pain management. Michigan laws and penalties. (2022). Nursing CEU Requirements. Nociplastic pain arises from altered nociception despite the absence of clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system. Physicians and medical professionals are committed to lifelong learning to continually improve patient care. https://www.webmd.com, Beaumont Health. Idiopathic pain, also called pain of unknown origin, is chronic pain lasting six months or longer that has no identifiable cause. Arthritis and other musculoskeletal conditions, At the peripheral nociceptor and nerve level, In the central nervous system, nociceptive pathways, and terminal structures. Please click here for new Michigan Pain 3 unit course. The review of systems may suggest conditions that are associated with nociplastic sensory hypersensitivity (pain with no clear evidence as to source), and may support a syndromic pain diagnosis such as chronic fatigue, headache, or widespread conditions such as fibromyalgia (Tauben & Stacey, 2022). Do it for your mindif not for your body: The psychological effects of chronic pain. It does not refer to the common idea that pain experienced by some patients is exacerbated by psychological factors, or the finding of high pain-related distress or comorbid psychiatric disease. Authority: Public Act 368 of 1978, as amended. Blood tests for diagnosing back pain. Summarize issues concerning the use of controlled substances in pain management. https://www.practicalpainmanagement.com, Crozer Health. CME Credits Offered: 0.75. Review the incidence and prevelance of cancer pain, some unique challenges we face in treating cancer pain, and both common and less-frequently-used medications and interventions used to treat this subset of the pain population. Radicular pain is a very specific type of pain that can occur when the spinal nerve becomes compressed or inflamed. Physicians are advised to confirm requirements with the Michigan Board of Medicine. (2021). Copyright 2023 Wild Iris Medical Education, Inc. All Rights Reserved. In 2020 there were 27.8 drug overdoses per 100,000 population in Michigan compared to 28.3 in the United States. Management of the Chronic Opioid User. CBT can be described as the gold standard psychological treatment for persons with a wide range of pain issues. Module 7: Pain managementtopic E. https://ououd.ca, Caring to the End. ~g`0pl0x/@*i/a`lh@520| Slxx*!p"+ I`[@,nb`d20 MD Licensing Requirements: Are required 150 hours every three years, a maximum 110 of which may be AMA PRA Category 1 Credit, and a minimum of 3 must be in pain and symptom management and at least 1 of the 3 must include controlled substance prescribing. A persons report of an experience as pain should be respected. Q)'0QK#*)?z7+WJCJYAg!4.eY~.n%MR Persons with a history of substance abuse have a right to adequate pain relief even if opioids must be used. Psychogenic pain is believed to be sustained mainly by psychological factors. https://www.ncbi.nlm.nih.gov, Schreiber J & Culpepper L. (2022). The National Institute on Drug Abuse (2022a) reports that: The state of Michigan ranks in the top third nationally for drug-related deaths, with over half due to synthetic opioids, mainly fentanyl. Ratka A. Audience Outcomes When patients develop tolerance to the analgesic effects of a particular opioid, providers can consider either escalating the dosage or switching from one opioid to another at a low dose that will effectively relieve pain without increasing the risk of relapse (SAMHSA, 2021). (2022). Listed below are online CME activities that meet the Michigan topical state CME requirements. 1 0 obj Pharmacogenomics in the context of pain management. 2: Assessment and measurement of pain and pain treatment. This type of pain continues even after the injury or illness that caused it has healed. Before introducing any opioids into a patients treatment regimen, an assessment is done to determine the patients risk for developing a substance abuse disorder (SUD). Practical Pain Management, 15(4). 2023 American Medical Association. Trauma & Pain Management Approved as required Michigan license renewal pain content. Covers understanding and responding to misuse, abuse, and diversion of opioids in providing pain management; assessing risk for substance abuse disorders; and efforts to address the problem. One of the most common types of psychotherapy used in pain management is cognitive-behavioral therapy (CBT). Increase understanding of how a multi-disciplinary approach can be effective with clients who have chronic pain. Chronic pain and high-impact chronic pain among U.S. adults, 2019. https://www.cdc.gov, Cleveland Clinic. It must be remembered that psychogenic pain is truly experienced and is not a deception. The State of Michigan's continuing education requirements for chiropractors - one hour in ethics, one hour in sexual boundaries, one hour in pain and symptom management, two hours in physical measures, and two hours in the performance and ordering of tests - will be available at these programs. Care of the patient at the scene depends on the vital signs. https://www.michigan.gov. Opioid misuse, abuse, and diversion are major problems with serious consequences. Mental distractions actually block pain signals from the body before they ever reach the brain (Stanford Health Care, 2021; Keane, 2021). Why would the Michigan Legislature pass a law establishing a right to adequate pain relief? They must understand the importance of controlling pain, knowing that inadequately managed pain can lead to adverse physical and psychological outcomes for individuals and their families. Review common pain conditions and the latest treatment options. http://www.ca, Centers for Disease Control and Prevention (CDC). (2022). Moving meditation: The art of tai chi. Currently, CBT is the prevailing psychological treatment for individuals with chronic pain issues (Physiopedia, 2022a). Everyday Health. CME Credits Offered: 0.5. Some Clinicians Agree to Watch Their Patients Get AMA Debunking Medical Practice Regulatory Myths Learning Series, AMA Health Systems Science LearningSeries, AMA Medical Student Leadership LearningSeries, AMA Pharmacogenomics Summit SeriesEducation, Cardiovascular Disease (CVD) Prevention Education from the AMA, Education from the AMA Center for Health Equity, Training for future physicians from AMAChangeMedEd, American Academy of Allergy, Asthma and Immunology (AAAAI), American Academy of Hospice and Palliative Medicine (AAHPM), American College of Lifestyle Medicine(ACLM), American College of Medical Genetics and Genomics (ACMG), American Public Health Association (APHA), National Council of Urban Indian Health (NCUIH), Partners in Contraceptive Choice and Knowledge (PICCK). Cara Poland, MD, M.Ed., FASAM. (n.d.). https://www.beaumont.org, Canadian Association of Schools of Nursing/Association of Faculties of Pharmacy of Canada (CASN/AFPC). This involves selecting the appropriate opioid, dosage titration, treatment agreements, and testing and monitoring. Pain is no longer viewed as a symptom but rather a disease in and of itself. Most people who are experiencing pain usually show it either by verbal complaint or nonverbal behaviors or indicators. Managing chronic pain in adults with or in recovery from substance use disorders. The right of all people to have access to pain management without discrimination, Article 2. Drug testing offers a critical adjunct to clinical assessment of SUD risk. MANDATORY MICHIGAN NURSING CEU. Blood tests to identify medical causes of neuropathy. Chronic pain is linked to such conditions as: The sources (causes) of pain are divided into the categories of nociceptor, neuropathic, psychogenic, and idiopathic. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> A persons report of pain is the optimal standard for all interventions. St. John Fisher College. Describe pharmacologic and nonpharmacologic interventions for pain. Pain management continuing education courses focus on various degrees of pain management across a range of patients. If you think this message was received in error, please contact an administrator. Drug addiction in health care professionals. endobj Be careful, our free continuing education for nurses is offered across a wide variety of clinical and professional development topics and is designed to help nurses meet state CE contact hour requirements. In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Through their life experiences, individuals learn the concept of pain. Continuing education contact hours in pain and symptom management may include, but are not limited to, courses in behavior management, psychology of pain, behavior modification, and stress management." - Part 5. Acute pain is caused by noxious stimulation due to injury, a disease process, or the abnormal function of muscle or viscera. Cancer pain management: Role of adjuvant analgesics (coanalgesics). The neuroanatomic basis of pain reception develops before birth, and individual pain responses are learned in early childhood. Wild Iris Medical Education, Inc., is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Dependence is characterized by the symptoms of tolerance and withdrawal. How does our brain respond to virtual reality? evaluation to earn a certificate of completion for this CE activity. https://www.physio-pedia.com, Physiopedia. What seems to trigger it (e.g., stress, position, certain activities)? It is not effective in treating overdoses of benzodiazepines or stimulant overdoses involving cocaine and amphetamines (SAMHSA, 2021).
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