Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention

Introduction Despite the prevalence of pain in patients with serious illness, recent guidelines for opioid prescribing practices have largely excluded palliative care patients. In lieu of such guidelines, many have recommended adapting risk mitigation strategies from the chronic pain arena for palli...

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Autores principales:	Alana Sagin, Sharon M. Kimberly, Jill P. Farabelli, Kava Schafer, Pallavi Kumar, Tanya J. Uritsky
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Palliative Care Opioid Risk Mitigation Pain Management Interdisciplinary Team Opioids Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/60e0e8db48834dd68674bcfd45f0492e
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spelling	oai:doaj.org-article:60e0e8db48834dd68674bcfd45f0492e2021-11-19T15:06:36ZTeaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention10.15766/mep_2374-8265.110062374-8265https://doaj.org/article/60e0e8db48834dd68674bcfd45f0492e2020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11006https://doaj.org/toc/2374-8265Introduction Despite the prevalence of pain in patients with serious illness, recent guidelines for opioid prescribing practices have largely excluded palliative care patients. In lieu of such guidelines, many have recommended adapting risk mitigation strategies from the chronic pain arena for palliative care and oncology populations. Teaching interventions are needed to demonstrate how these methods can be applied to patients with serious illness. Methods We developed a teaching intervention for fourth-year medical students to improve knowledge about safe opioid prescribing practices in palliative care patients and emphasized both effective and safe pain management. A secondary aim of the intervention was to demonstrate how a palliative care interdisciplinary team works together to care for a complex patient near the end of life. The intervention lasted 1 hour and consisted of an interdisciplinary case presentation as well as a slide presentation. Results Twenty-two medical students attended the session over 2 years. After the intervention, medical students better understood risk mitigation strategies and felt more strongly that opioids can be a useful tool in treating pain for patients with serious illness. Students' familiarity with palliative care interdisciplinary roles also improved after the intervention. Discussion This session was a useful part of a palliative care 2-week classroom elective and was well received by students. The development of a survey tool that assesses student attitudes around effective and safe pain management in patients with serious illness may be of use to others who teach pain management in palliative care populations.Alana SaginSharon M. KimberlyJill P. FarabelliKava SchaferPallavi KumarTanya J. UritskyAssociation of American Medical CollegesarticlePalliative CareOpioid Risk MitigationPain ManagementInterdisciplinary TeamOpioidsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Palliative Care Opioid Risk Mitigation Pain Management Interdisciplinary Team Opioids Medicine (General) R5-920 Education L
spellingShingle	Palliative Care Opioid Risk Mitigation Pain Management Interdisciplinary Team Opioids Medicine (General) R5-920 Education L Alana Sagin Sharon M. Kimberly Jill P. Farabelli Kava Schafer Pallavi Kumar Tanya J. Uritsky Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
description	Introduction Despite the prevalence of pain in patients with serious illness, recent guidelines for opioid prescribing practices have largely excluded palliative care patients. In lieu of such guidelines, many have recommended adapting risk mitigation strategies from the chronic pain arena for palliative care and oncology populations. Teaching interventions are needed to demonstrate how these methods can be applied to patients with serious illness. Methods We developed a teaching intervention for fourth-year medical students to improve knowledge about safe opioid prescribing practices in palliative care patients and emphasized both effective and safe pain management. A secondary aim of the intervention was to demonstrate how a palliative care interdisciplinary team works together to care for a complex patient near the end of life. The intervention lasted 1 hour and consisted of an interdisciplinary case presentation as well as a slide presentation. Results Twenty-two medical students attended the session over 2 years. After the intervention, medical students better understood risk mitigation strategies and felt more strongly that opioids can be a useful tool in treating pain for patients with serious illness. Students' familiarity with palliative care interdisciplinary roles also improved after the intervention. Discussion This session was a useful part of a palliative care 2-week classroom elective and was well received by students. The development of a survey tool that assesses student attitudes around effective and safe pain management in patients with serious illness may be of use to others who teach pain management in palliative care populations.
format	article
author	Alana Sagin Sharon M. Kimberly Jill P. Farabelli Kava Schafer Pallavi Kumar Tanya J. Uritsky
author_facet	Alana Sagin Sharon M. Kimberly Jill P. Farabelli Kava Schafer Pallavi Kumar Tanya J. Uritsky
author_sort	Alana Sagin
title	Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
title_short	Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
title_full	Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
title_fullStr	Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
title_full_unstemmed	Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention
title_sort	teaching pain management in serious illness in the era of the opioid epidemic: a team-based intervention
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/60e0e8db48834dd68674bcfd45f0492e
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Teaching Pain Management in Serious Illness in the Era of the Opioid Epidemic: A Team-Based Intervention

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