Chronic Pain Management

Recorded Webinar: Chronic Pain Management

Date: August 17, 2016
Time: 7:00 - 8:30 PM EST
Speaker: Eric G. Tangalos, MD, FACP, AGSF, CMD

This presentation will include the evaluation and treatment of chronic non-malignant pain in post-acute care, long-term care, and primary care settings. Dramatic changes have occurred since the Joint Commission first declared that Pain was the “Fifth Vital Sign” in 2007. The opioid epidemic is unique to America and is being addressed on a variety of fronts. The Society and the American Medical Association (AMA) now support removal of the Pain Scores from Quality Metrics reporting and the Five Star rating system.


Pain management should include continuous therapy and the use of PRN treatment should only be available to assist in dose escalation. Special considerations should be given in dosing to Morphine Milligram Equivalents and serotonin syndrome. Both the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services (HHS) released new guidelines for reducing the burden of chronic pain in the United States in March 2016. Outpatient procedure clinics have significantly reduced the need for non-steroidal therapies in the elderly.

Prescription Monitoring Programs are in use in most states and controlled substance agreements may be coming to long-term care environments. Narcotic use in the elderly requires careful management of constipation and of falls risk. This presentation will also address the interface between pain management and the principles of addiction medicine. One principle currently gaining traction is to keep opioid naïve patients naïve.

Learning Objectives:

  • Review the pathogenesis of pain
  • Apply recent guidelines in pain management
  • Choose appropriate drug therapy and multimodal interventions for the relief of pain
  • Enroll in your state’s Prescription Drug Monitoring Program (PDMP)
  • Balance the management of patients who present with both pain and opioid addiction

Credit Information:

1.5 CME

1.5 clinical

CME/CMD Credits available until August 2019.

Nursing Credits:
This continuing nursing education activity was approved by the Maryland Nurses Association an accredited approver by the American Nurses’ Credentialing Center’s Commission on Accreditation.”

Program Code: LA16-12-524-301 1.5 contact hours

Contact hours available until May 24, 2019.

Speaker Biography:

Eric Tangalos, MD, FACP, AGSF, CMD, is Professor of Medicine at the Mayo Clinical in Rochester, Minnesota. He was Chair of Primary Care, Internal Medicine from 1997-2006. Dr. Tangalos received his undergraduate training from the University of Michigan, is a graduate of the Loyola University Stritch School of Medicine in Chicago, and was a resident and fellow in Internal Medicine at Mayo. Dr. Tangalos was a member of the Board of Directors for the American Geriatrics Society, is a member of the Quality and Performance Measurement Committee and continues to serve on their Foundation for Health in Aging. He is a Past President of AMDA – The Society for Post-Acute and Long-Term Care Medicine and is a fellow and Past Governor of the American College of Physicians. He served 8 years on the National Board of the Alzheimer's Association and was a member of their Executive Committee. Dr. Tangalos continues as Co-Director of Education for the Mayo Clinic Alzheimer's Disease Research Center and has been continuously funded by the NIA since 1987. He is also active with NCQA, JCAHO, AMA/PQRI, CMSS and NQF. He has served as the Chairperson for the Omnicare P&T Committee for the past 15 years.

Speaker Disclosures:

All members of the education and online education committees have no financial relationships to disclose. Dr. Tangalos has no financial relationships to disclose.