(2019). Cara Poland, MD, M.Ed., FASAM. Presented by: Vafi Salmasi, MD, MSCR https://www.ncbi.nlm.nih.gov, Schreiber J & Culpepper L. (2022). It is important to consider opiate overdose or toxicity in a lethargic patient with no other identifiable cause. Contact Hours: 2. Do it for your mindif not for your body: The psychological effects of chronic pain. Physical dependence is a physiological state of neuro-adaptation characterized by emergence of withdrawal syndrome if the drug is stopped, decreased abruptly, or an antagonist is administered. WebMD. Neuropathic pain. Very good course." CME state requirements change frequently. This is separate from continuing education; 1 CPD credit in pain and symptom management required to renew Date of Info: 3/31/2021 Michigan speech-language pathologists can earn up to 15 hours for renewal through online courses offered on the speech-language pathology page of this website. A basic to advanced review of interventional spine treatments for back pain. Nursing CEU Requirements. The following webinars fulfill the Michigan Department of Licensing and Regulatory Affairs (LARA) new requirements for continuing medical education. What is distraction therapy (for pain)? Pain is no longer viewed as a symptom but rather a disease in and of itself. Neuropathy Commons. https://nida.nih.gov, Nnanna O. How do we treat it? Within a residence, an adult may possess up to 10 ounces of marijuana and any marijuana produced by marijuana cultivated on the premises. (n.d.). Did it start somewhere else and is now localized to another spot? These may include: A psychological assessment is intended to identify emotional reactions, maladaptive thinking and behavior, and social problems that can contribute to pain and disability. Therapeutic modalities. Pain Management On Demand: Interdisciplinary Strategies for the 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. 13 red flags to watch for. https://www.uptodate.com. 2022 American Medical Association. Continuing education hours in pain and symptom management, as they relate to the practice of optometry, may include, but are not limited to the following: ethics and health policy related to pain; pain definitions; basic sciences related to pain, including pharmacology, psychology, sociology, and anthropology; clinical sciences related to pain,. Advances in medicine, longer life spans and an aging population only make the challenges all the more important. Further validation tests of EEG and investigation on VR effects are needed to better understand how our brain acts while immersed in a virtual world (VirtualTimes, 2021). https://www.who.int, Wild Iris Medical EducationQuality CE Made Simple, Terms of Service | Copyright Policy | Medical Disclaimer | LegalDisclaimer, (Toney-Butler, 2019; Victoria Department of Health, 2021), (Anesthesia Key, 2019; Tauben & Stacey, 2022), (Agranoff, 2020; Wheeler, 2021; OConnor, 2020), (State of Michigan Department of Community Health, n.d.), (Stanford Health Care, 2021; Keane, 2021), (KFF, 2021; Michigan State University, 2020), Persis Mary Hamilton, EdD, MSN, BSN, PHN, PMHN, Strategies for Treating and Managing Pain, Guidelines on the management of chronic pain in children, Pain due to a stimulus that does not normally provoke pain, Absence of pain in response to stimulation that would normally be painful, A syndrome of sustained burning pain, allodynia, and hyperpathia after a traumatic nerve lesion, An unpleasant abnormal sensation, whether spontaneous or evoked, Increased pain from a stimulus that normally provokes pain, A painful syndrome characterized by an abnormally painful reaction to a stimulus, especially a repetitive stimulus, as well as an increased threshold, Diminished pain in response to a normally painful stimulus, Pain in the distribution of a nerve or nerves, Pain caused by a lesion or disease of the somatosensory nervous system, Pain arising from actual or threatened damage to non-neural tissue due to the activation of nociceptors (high-threshold sensory receptors of the peripheral somatosensory nervous system), Amount of pain required before individuals feel the pain; the lower the threshold, the less pain can be endured; the higher the threshold, the more pain can be endured, Maximum intensity of a pain-producing stimulus that a subject is willing to accept in a given situation; the subjective experience of the individual, An abnormal sensation whether spontaneous or evoked. Michigan Physical Therapy Continuing Education Requirements - PTProgress Because healthcare professionals are trusted with others health and well-being, they are not often suspected of drug addiction themselves; however, they are just as likely as anyone else to become addicted and are at a higher risk for addictive behaviors involving opioids because of their increased access to them. (2021). Idiopathic pain, also called pain of unknown origin, is chronic pain lasting six months or longer that has no identifiable cause. stream https://www.physio-pedia.com, Physiopedia. ), Cara Poland, MD, M.Ed., FASAM - Lead Physician, Center for Integrative Medicine - Spectrum Health Medical Group, Grand Rapids - President, Michigan Society of Addiction Medicine. 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. What is acceptance and commitment therapy (ACT)? Radicular pain is a very specific type of pain that can occur when the spinal nerve becomes compressed or inflamed. Discuss the mechanisms and effects of Gabapentinoids, anticonvulsant and antidepressant drugs in neuropathic pain and help identify different types of medication treatments. Do You Have a Plan to Obtain the Continuing Education and Implicit Bias Does it ever occur before, during, or after meals? 1 contact hour - expires June 2023 Questions? Is your patient a drug seeker? Acute pain is caused by noxious stimulation due to injury, a disease process, or the abnormal function of muscle or viscera. They must also be knowledgeable about the interventions available for the effective relief of pain, including the use of analgesics, particularly opioids, as well as nonpharmacologic treatment methods. Pain is classified by duration as acute or chronic. Therefore, it is recommended that pain be assessed using a multidimensional approach and that these various impacts be addressed and included in the diagnostic formulation. Suicidal ideation and behavior in adults. Michigan State CME Requirements | AMA Ed Hub - American Medical Association Matt Wright, DPT, OCS https://painhealth.csse.uwa.edu, Edward R. (2021). Among people ages 12 and older in 2020, an estimated 2.3 million people in the United States had a prescription opioid use disorder in the past year. Continuing Medical Education (CME) AMA PRA Category 1 Credit (s) are available to those who complete the CME requirements for each learning activity. (2019). % {=x6RW*b|>OA_@_!:QbWOVYTE"(i~eN[UxQFeAGQZ3VL|bFGgEEBS]Q_sE%>%!whj::{jo2EI4"%.kT}&Q:BE4;U The goal of the therapy is to help patients accept whatever discomfort exists, both physical and emotional, while continuing to live their lives according to their values (Glasofer, 2021). The information provided in this course is to be used for educational Ethics Talk Series on US Abortion Care After Dobbs: Wait. Featured courses include: The Michigan Board of Medicine is Michigans governing body for CME and medical license requirements. APA NBCC 5951 Next Renewal: Aug 30th, 2024 30 CE credit hours required every 2 years 30 may be earned with CE-Credit.com. "Excellent review, with updated information, recommendations, resources, and strategies." Chronic pain is ongoing and usually lasts longer than six months. The psychosocial history is an important aspect to a review of systems, because what first appears to be a simple problem can become much more complex due to the influence of psychological and social factors. People with radicular pain may experience tingling, numbness, and muscle weakness (Beaumont Health, 2022). Sign up inyour account interests section of the AMA Ed Hub. Whether youre in Detroit, Traverse City, or anywhere in between, the AMA Ed Hub brings CME courses to youwhenever you are. Only a small number of drug seekers do so to divert opioids for illicit sale. Michigan Nursing CEU | Mandatory Pain and Human Trafficking Course Contact hours: 3 Expiration date: June 1, 2022 Course price: $29 *This course has been retired. 2023 American Medical Association. Education on Pain and Symptom Management - Starting in December 2017, a minimum of three- hours of continuing education must be earned in the area of pain and symptom management. (2021). Presented by: Einar Ottestad, MD, FIPP, CIPS Naloxone is effective if opioids are misused in combination with other sedatives or stimulants. https://www.nccih.nih.gov, National Conference of State Legislatures (NCSL). Blood tests for diagnosing back pain. How Should Food Offered by Health Care Organizations Meet Individual, Community, and Ecological Needs? (2022). Hypnosis can provide analgesia, reduce stress, relieve anxiety, improve sleep, improve mood, and reduce the need for opioids. Understanding the Structural Incentives for Inequity in Health Care and Beyond, Sponsorship in OtolaryngologyHead and Neck Surgery: A Pathway to Equity, Diversity, and Inclusion, Undoing Institutional and Racial Trauma Through Interprofessional, Trauma-Informed Education, Challenges of Shared Decision-making by Clinicians and Patients With Low-risk Differentiated Thyroid Cancer: A Systematic Review and Meta-Ethnography, Etiology, Diagnosis, and Modern Management of Chronic Pancreatitis: A Systematic Review, Building Organizational Structures and Processes for Sustainability in Quality, Safety, and Equity, Equity Case Review: An Example From Brigham and Women's Hospital, Embedding Equity Prompts Into Reporting Solutions: Examples of Implementation, Cancer in Transgender and Gender-Diverse Persons: A Review. https://www.everydayhealth.com, Meldrum M. (2021). http://www.ncsl.org, National Institute on Drug Abuse (NIDA). Identifying pain. |oJb*M0C_?n; T$`:e:mbt#[xv?O^M=>w94$/\I. Publication No. Mental health in Michigan. As an organization accredited by the Michigan State Medical Society, Hurley Medical Center holds an intra-state accreditation intended for an audience of healthcare professionals specifically within the state of Michigan and its contiguous states of Wisconsin, Indiana, and Ohio. Rababa M, Sabbaj A, & Havajneh A. Please click here to fill out our online education survey so MNA can improve how we address your nursing practice concerns and requests. The patient who is drug seeking may: However, drug-seeking patients with addictions are not the only ones who may engage in these behaviors. Other types of disorders that may cluster in families include fibromyalgia, persistent back pain, irritable bowel syndrome, and some types of arthritis (CASN/AFPC, 2021). Drug Abuse Screen Test (DAST-10 and DAST-20 for adolescents), Screener and Opioid Assessment for Patient with Pain-Revised, Brief Screener for Alcohol, Tobacco, and other Drugs. Does it force you to sit down, lie down, slow down? In addition, one hour must be earned in medical ethics. Adjuvant analgesics (co-analgesics) are drugs that were developed for clinical uses other than pain but are used to enhance the analgesic effects of drugs used for pain. Document suspicions regarding the colleague, including any complaints, concerns, behavior patterns, or witnesses to behaviors. Nearly 92,000 persons in the United States died from drug-involved overdose in 2020 due to illicit drugs and prescription opioids. Explain the kinds and use of pain assessment tools. 6. 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. If you pay for this course before taking it, you have upto 60 days after payment to complete this course. All Rights Reserved. Relaxation techniques: What you need to know. Diverting attention (distraction) from feelings and thoughts of pain is a well-researched pain coping strategy. https://www.verywellhealth.com, Keane K. (2021). Chap. 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. <> In 2020 there were 27.8 drug overdoses per 100,000 population in Michigan compared to 28.3 in the United States. What were you doing when the pain started? - Kathleen, RN in Michigan, Nursing Effective pain management by nurses is fundamental to quality of care and is the first responsibility of the nurse. A persons report of pain is the optimal standard for all interventions. 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). In 2020 there were 2,186 opioid overdose deaths in Michigan, which accounted for 79.5% of all drug overdose deaths in the state. It can also enhance the effectiveness of other forms of relaxation therapies and biofeedback for pain (Cosio & Lin, 2020). These may include: The majority of states, including Michigan, allow for the use of medical marijuana. Assessment of cancer pain. Pharmacogenomics in the context of pain management. Examples include methadone, fentanyl, and meperidine (OR ADPC, 2022). Use of naloxone also causes symptoms of opioid withdrawal. List the five most common sources of pain. To find specific accreditations or approvals, click here. All Rights Reserved.Powered by EthosCE, XRX Michigan: Pain and Symptom Management, Please click here for new Michigan Pain 3 unit course, To find specific accreditations or approvals, click here, 2. Policies Guiding Pain Management in Michigan. If you are attending a virtual event or viewing video content, you must meet the minimum participation requirement to proceed. Management of substance abuse. Nonopioids include acetaminophen and nonsteroidal anti-inflammatory drugs used to treat mild pain and also to serve as adjuvant medication for relief of moderate to severe pain. The right of all people to have access to pain management without discrimination, Article 2. Analgesics include nonopioid analgesics and opioid analgesics. (This activity fulfills the CE requirements for pain and symptom management.) Ratka A. - Rachel, RN in Michigan, "I am happy to say that I learned things in this course. Module 7: Pain managementtopic E. https://ououd.ca, Caring to the End. The material on this site is for informational purposes only and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health-care provider. DOs are required 150 hours every three years, 1 hour of which must be in the area of medical ethics, and a minimum of 3 hours of which must be in the area of pain and symptom management. NOTE: Complete URLs for references retrieved from online sources are provided in the PDF of this course. You must score 70% or better on the test and complete the course Verywellhealth. (2021). Differentiating between the two can be very difficult. Outline current Michigan State policies and programs related to pain management. Drug addiction in health care professionals. Management of pain without medications. (2021a). All Michigan LPNs must complete 25 hours of board-approved continuing education, with at least two (2) hours in pain and symptom management, within the two years immediately preceding the expiration date of their license. An adult may transfer up to 2.5 ounces of marijuana to another adult as long as there is no remuneration and the transfer is not advertised or promoted to the public. Michigan: Pain and Symptom Management | ATrain Education Nonverbal indicators of pain may include: Relevant past medical and surgical history may help determine the etiology of pain (e.g., diabetes, history of cancer, rheumatic disease) and may reveal conditions that affect the choice of therapy. 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. Complete your Michigan CE requirement with ease, so you can focus your time on what's most important - your clients. / %YPI34y]x<7|==|H5s]. section 18233(2) of the code, MCL 333.18233(2), at least 2 hours of continuing education must be earned in the area of pain and symptom management. R 338. . Michigan CEU Requirements | CEUfast https://emedicine.medscape.com, American Society of Health-System Pharmacists (ASHP). It is temporary and subsides as healing takes place. Management of the Chronic Opioid User(This activity fulfills the CE requirements for pain and symptom management. hb```~ (2022). Mechanisms of neuropathic pain are complex and involve changes: One example of neuropathic pain is phantom limb syndrome, which can occur following an amputation and when the brain continues to receive pain messages that originally carried impulses from the missing limb (Watson, 2022). https://painhealth.csse.uwa.edu, Stanford Health Care. (2022). This CME activity is designed to increase physician knowledge and competence in recognizing and understanding the unique needs of pain patients as well as further their ability to refer and treat patients in an interdisciplinary, multimodal manner. Its occurrence, severity, duration, response to treatment, and disabling consequences vary from person to person. The AMA Ed Hub online learning platform helps themstayup to date with the practice ofmedicine and fulfills AMAs mission. Q)'0QK#*)?z7+WJCJYAg!4.eY~.n%MR Cosio D & Lin E. (2020). - Donna, RN in Michigan, "Excellent and comprehensive. Most patients who complain of pain are honestly seeking relief from discomfort. At least 2 of these hours must be in pain and pain symptom management. Introduce pharmacological management by reviewing non-opioid medications for pain management. 50,000 individuals used heroin for the first time, and 14,480 deaths from heroin occurred in 2020. Target Audience: Occupational Therapists, OTAs, Content Focus: Category 1Domain of OT, Client Factors. 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). The national overdose deaths involving prescription opioids among all ages in 2020 was 16,416. Rule 2(a): The following accrediting organizations, boards, and programs are permitted by the Michigan Board of Nursing to approve nursing Opioid withdrawal symptoms include: Since naloxone is a temporary treatment and its effects will wear off, medical assistance must be obtained as soon as possible after administering/receiving naloxone (SAMHSA, 2021). Audience Outcomes Examples of causes of acute pain include: In most instances, acute pain does not last longer than six months and disappears when the underlying cause of pain has been treated or has healed (Cleveland Clinic, 2022). https://www.uptodate.com, Toney-Butler T. (2019). Controlled substances drug diversion pharmacy technician toolkit. Yoga has many of the same benefits as mindfulness practice due to the common focus on breath, body, and present-moment awareness. Presented by: Natacha Telusca, MD Get email alerts with new AMA Ed Hub activities that meet your state requirements. Biofeedback is the use of instrumentation to mirror psychophysiologic processes, such as blood pressure, heart rate, and skin temperature, of which an individual normally is unaware and which may be brought under voluntary control. One of the most common types of psychotherapy used in pain management is cognitive-behavioral therapy (CBT). Mirror therapy. (2022). Endotracheal intubation is highly recommended for all patients unable to protect their airways. Opioids are synthetized compounds used for moderate to severe pain and may include: Drugs that are created in laboratories that mimic effects of opiates but are not derived from the opium poppy are synthetized drugs. 2023 ATrain Education. No more than 12 credit hours may be earned during a 24-hour period. Increase understanding of the prevalence of chronic pain, its costs and possible solutions. A comprehensive nursing assessment must be completed, including subjective description of pain, objective data, and identified need for psychosocial/spiritual support. That's always a good thing when the subject matter is mandatory. https://aneskey.com, Asher A. https://www.deadiversion.usdoj.gov, Victoria Department of Health. Pain is a subjective symptom, and pain assessment is, therefore, based on the patients own perception of pain and its severity. 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. The Michigan Board of Nursing requires each nurse to take 25 hours of continuing education. https://virtualtimes-h2020.eu, Watson J. Chronic pain can be disabling, detrimental to functioning and at the very least, distracting. Patients given an automatic injection device or nasal spray should keep the item available at all times. Yoga and pain. Most people who are experiencing pain usually show it either by verbal complaint or nonverbal behaviors or indicators. Pain management CEU topics typically include issues around controlled substances, pain management and ethics, and evidence-based approaches to pain control. Fear of addiction of opioids and other pain medications should not be a barrier to pain management. Physical modalities for relief of pain refer to any therapeutic medium that uses the transmission to or through the patient of thermal, electrical, acoustic, radiant, or mechanical energy. PEP20-02-01-022. Pain is subjective and difficult to quantify, as it has both affective and sensory components. Support teaching, research, and patient care. Mirror therapy exploits the brains preference to prioritize visual feedback over somatosensory/proprioceptive feedback concerning limb position. ), Anthony Saucedo- Retired Detective/Lieutenant, Michigan State Police- DEC Coordinator, Michigan State PoliceLeo Mercer, Jr., MD- Chief of Trauma & Acute Care Surgery, Hurley Medical Center, Flint, The Impact of Bias, Discrimination, and Racism on Children and Adolescent Health, Lynn Smitherman, MD- Department of Pediatrics, Wayne State University- Division of General Pediatrics & Adolescent Medicine- Childrens Hospital of Michigan Wayne State University, Hypertension Management in the Hospitalized Child, Wael Abukwaik, MD- Pediatric Nephrologist- Childrens Hospital of Michigan, Detroit Medical Center, Pediatric Intellectual/Developmental Disabilities, Chioma Torres, MD- Assistant Professor, Behavioral Pediatrics- Michigan State University. Course Summary Covers Michigan's pain policies plus Joint Commission regulations for pain management. Specific learning objectives to address potential knowledge gaps include: Modern pain research began in the 1960s, and in recent decades, there has been a change in the perception of pain that has profoundly influenced scientific and medical pain research and treatment. A comprehensive pain assessment includes a history of the pain, behavioral observations, past medical history, medications, family history, a physical examination, and if necessary, diagnostic testing. Drug seekers include people of every age, gender, and socioeconomic status. 138 0 obj <>/Filter/FlateDecode/ID[<3EA2CF394201E74B860307FCFB05123B><1CB3F6DE60776D449C8245E72678596A>]/Index[123 24]/Info 122 0 R/Length 79/Prev 66692/Root 124 0 R/Size 147/Type/XRef/W[1 2 1]>>stream Powered by the EthosCE Learning Management System, a continuing education LMS. It is not intended as a substitute for professional healthcare. Use of this constitutes acceptance of Hurley Medical Centers terms of use and privacy policy. https://www.merckmanuals.com, Wheeler T. (2021). What relieves it (e.g., medications, massage, heat/cold, changing position, being active, resting)? American Society for Pain Management Nursing, CDC Clinical Practice Guideline for Prescribing Opioids for Pain, Guidelines on the management of chronic pain in children (WHO), National Institutes of Health Pain Consortium. Others seek drugs in order to cope with addiction or to provide income. There are several types of mindfulness-based interventions, including: Virtual reality provides immersive experiences that absorb more of the brains attention. At least 1 of the 3 required hours in pain and symptom management must include controlled substances prescribing. When the virtual event or video content is complete, please press "Next" again. The outcome of pain management is done by assessing: Many disciplines are involved in managing a patients pain, and nurses play a pivotal role in the assessment, monitoring, interpretation, and evaluation of pain. Discuss the importance of interdisciplinary pain management . Qigong and tai chi to help chronic pain. However, federal law continues to prohibit use of cannabis or its derivatives for any purpose. This is referred to as tolerance, a physiological state in which an increased dosage is needed to produce the same effect, or reduced effect is observed with constant use. Chronic, nonmalignant pain, independent of other factors such as sociodemographic and physical and mental health status, doubles the risk of suicide. Michigan Pharmacy - Ethics, Law/Safety, Implicit Bias, Pain CE Participants will be encouraged to apply the concepts both personally and professionally. (2019). Should Uterus Transplantation for Transwomen and Transmen Be Subsidized? https://www.ashp.org, Anesthesia Key. This series will: Review anatomy and taxonomy of pain and its relation to treatment and referral to pain management provider. (See Resources at the end of this course.). Side effects of naloxone may include an allergic reaction from naloxone, such as hives or swelling in the face, lips, or throat, for which medical help should be sought immediately. Compare the Self-Management and Pain Medicine models of pain management, highlighting three main differences between them. Increase understanding of how a multi-disciplinary approach can be effective with clients who have chronic pain. Contact Hope Mwemba. 2022). With fewer mental resources left to process pain signals, people perceive less pain. PDF Continuing Education Requirements for Michigan Optometrists Cosio D & Demyan A. Michigan laws regarding medical marijuana state: Evidence-based nonpharmacologic therapies are safe when correctly administered and can be effective components of comprehensive pain management that can reduce the need for opioids. When the drug is withdrawn, physiologic reactions occur, which can be mild or even life-threatening.
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