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Transforming health care… through palliative care wwww.OhioHealth.com

Palliative Care & Hospice Program. Transforming health care… through palliative care wwww.OhioHealth.com. Beyond Opioids: Pain Management in a Culture of Progressive Opioid Aversion. Frank D. Ferris, MD, FAAHPM, FAACE OhioHealth, Columbus, OH University of California San Diego

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Transforming health care… through palliative care wwww.OhioHealth.com

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  1. Palliative Care &Hospice Program Transforming health care… through palliative care wwww.OhioHealth.com

  2. Beyond Opioids:Pain Management in a Culture of Progressive Opioid Aversion Frank D. Ferris, MD, FAAHPM, FAACE OhioHealth, Columbus, OH University of California San Diego University of Toronto

  3. Treat the Pain Video Movie Trailer, see http://www.youtube.com/watch?v=mNberB51pL4

  4. What challenges are you hearing about pain management in Michigan ?

  5. USA Mortality 2010 • 2,468,435 Deaths • 40,393 Drug-induced ( 1.6 % ) Michigan • 88,021 Deaths • 1,723 Drug-induced ( 1.96 % ) Ohio • 108,711 Deaths • 1,911 Drug-induced ( 1.7 % )

  6. Pain Management • Acute pain • Post operative • Procedural • Chronic pain • Pain with advanced illness

  7. Opiophobia

  8. Substance Abuse • Addiction • Pseudo-addiction • Diversion • Other psychiatric disorders Kirsh et al, Clin J of Pain 2002 Adopted by CA AB 2198 Houston Controlled Substances 2006 Fed State Medical Boards Pain Guideline

  9. Treat the Pain Video Opiophobia, see http://www.youtube.com/watch?v=KREufd4t0vo

  10. Discussion…

  11. Pain & Palliative Care Skills... 1°Advanced SkillsOncology, Cariology,Geriatrics,Etc. 2°Expert skillsConsultants /Teams 1° Basic SkillsAll HealthcareProfessionals 3°AcademicPain &Palliative Care

  12. Efficacy & Safety Appropriate pain assessment Screening for high-risk patients Choice of analgesic & coanalgesics Titration using ‘ Catch-up ’ Technique

  13. Future…

  14. Take-home Messages

  15. The standards of practice we createAnd the people we trainWill look after usWhen it’s your turn to receive care…Will Michigan be ready for you ?

  16. You must be the change you want to see in the world Gandhi www.IPCRC.net

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