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Opioid Review
- 1. Christian Sinclair, MD Kansas City Hospice & Palliative Care Opioids April 22, 2010
- 6. Individual
- 7. Assess Treat
- 8. Individual
- 9. Acheivable
- 10. Assess
- 11. Treat
- 16. Listen
- 18. Narcotic
- 34. Morphine
- 35. OMED
- 36. 3:1
- 41. 12 Or 12.5
- 42. Fentanyl Patch
- 45. Methadone
- 47. Avoid Demerol
- 48. Christian Sinclair, MD [email_address]
Notes de l'éditeur
- Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities
- Dame Cicely Saunders Physical Social Psychological Spiritual
- Genetic variation and response to morphine in cancer patients multidrug resistance-1 gene ( MDR-1 and COMT) Journal Cancer
- Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
- Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
- Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
- When using scales Simple, flexible, consistent, patient completed Location Type/Quality Bone, Soft Tissue, Neuropathic, Visceral Consider ‘Total Pain’ Concept
- Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
- Heat/Cold Massage Turning Physical/Occupation Therapy Music/Art Therapy Listening Meditation/guided imagery Cognitive behavioral therapy/biofeedback TENS
- http://flickr.com/photos/trevormorgan/393489807/
- http://flickr.com/photos/wisdoc/113675789/sizes/l/
- http://flickr.com/photos/limando/2085166716/sizes/o/
- Communication Interventions Validate presence and severity of pain Demonstrate pain can be adequately relieved Explain the origin of pain Find meanings in pain
- Paroxetine inhibits CYP2D6
- Paroxetine inhibits CYP2D6
- PO Morphine to IV Morphine PO Morphine to Fent Patch
- PO Morphine to IV Morphine PO Morphine to Fent Patch
- PO Morphine to IV Morphine PO Morphine to Fent Patch
- PO Morphine to IV Morphine PO Morphine to Fent Patch
- PO Morphine to IV Morphine PO Morphine to Fent Patch
- Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities