APSA/SIA Pain Management Project Health Fair (Poster) Training

1. APSA/SIA Pain Management ProjectHealth Fair (Poster) Training Adrienne Tran & Kathlyn Lim

2. Objective • Before Health Fair • What to bring • During Health Fair • Attract audiences • Educate patients and answer their questions • Do’s and Don’ts • After Health Fair • Evaluate yourself

3. Before the Health Fair

4. What to Bring to the Health Fair • Get a good nights rest and review your notes on pain management • Remember to bring • A copy of your intern license • Your CPR card • White coat with your USC name tag

5. During the Health Fair

6. Attract your audiences • Smile and be professional • Ask simple questions to trigger their interest • Have you ever use Motrin or Tylenol? • Do you know the difference between Motrin and Tylenol? • Offer our prize if they can answer your questions correctly

7. Once they are at our booth • You can answer specific questions they have Or • Teach them something they don’t know • Present our poster tailoring to their interest • Let’s get familiar with what is on the poster

8. What’s on our Poster?? • Left panel • What are the common types of pain • Middle panel • How to prevent pain and manage pain • Common OTC and Rx pain medication • Right panel • Non-pharmacological therapy • Resources

9. Common Types of Pain There are many types of pain, but we are going to focus the most common ones. They are: • Headache • Lower back pain • Menstrual pain • Osteoarthritis

10. Pain#1 Headache • There are different types of headaches. They are: • Tension headache • Migraine headache • Sinus headache • Cluster headache (Rx only) • Most common type of headache is a tension headache.

11. Pain#1 Headache • Common triggers of a tension headache are • Stress • Anxiety • Depression • Fatigue • Emotional conflicts • Repressed hostility

12. Pain#1 Headache • OTC treatment options: • Excedrin Tension Headache • (APAP 500 mg/caffeine 60 mg) • Tylenol • (APAP 500 mg) • Motrin or Advil • (Ibuprofen 200 mg), • Aleve • (Naproxen 220 mg) • Aspirin • (acetylsalicylic acid 325 mg)

13. Pain#2 Lower Back Pain • Soreness or tightness of the lower back • Possible causes are • sedentary lifestyle • poor posture • improper shoes • excess body weight • poor mattresses • improper technique in lifting heavy objects • osteoarthritis

14. Pain#2 Lower Back Pain • Treatment options: • Rest • Ice or heat therapy • Massage • Motrin (Ibuprofen 200 mg) • Aleve (Naproxen 220 mg) • Topical Analgesics • IcyHot • Bengay • Salonpas • Capsaicin

15. Pain#3 Menstrual Pain • Cramping and/or pain in the lower abdominal area • Occurs in young women, teens, and early 20's

16. Pain#3 Menstrual Pain • Treatment options: • Midol Menstrual Complete • (APAP 500 mg/Caffeine 60mg/ Pyrilamine 15mg) • Pamprin Multi-Symptom • (APAP 500 mg/Pamabrom 25 mg/Pyrilamine 15 mg)

17. Pain#4 Osteoarthritis • Breakdown and eventual loss of joint cartilage • Possible causes are family history and wear and tear

18. Pain#4 Osteoarthritis • Treatment options: • Tylenol Arthritis (first choice!) • APAP 650mg • Glucosamine Chondroitin • Topical Analgesics • IcyHot • Bengay • Capsaicin • Salonpas

19. Ways to Prevent Pain • Exercise Regularly and Healthy Diet! • Have Proper Posture! • Lift Loads Safe and Easy! • Build Strong Bones!

20. Common Pain MedicationsOver-the Counter • Tylenol • Aspirin • Motrin, Advil, Aleve • Topical Analgesics

21. Common Pain MedicationsOver-the Counter • Tylenol • Also known as Acetaminophen or APAP • Used for fever, headache, mild-moderate pain without inflammation, osteoarthritis, muscloskeletal pain • Regular Strength - 325 mg • Extra Strength - 500 mg • Tylenol Arthritis Pain & Tylenol 8-Hour - 650 mg • Max Dose – 4g/day, 2g/day in pts on warfarin therapy, have liver dysfunction, >3 EtOH drinks a day, or have poor nutritional intake

22. Common Pain MedicationsOver-the Counter • Aspirin • Also known as Acetylsalicylic Acid • Used for fever, headache, mild-moderate pain, musculoskeletal pain • 81 mg (used for heart protection) • Regular Strength - 325 mg • Extra Strength - 500 mg • Max Dose - 4000 mg/day • No anti-inflammatory effects until 4-6g/day (more than max dose)

23. Common Pain MedicationsOver-the Counter • Motrin, Advil, and Aleve • Belongs to a class of medications known as NSAIDs (Non-steroidal anti-inflammatory drugs) • Used for fever, headache, mild-moderate pain andinflammation, musculoskeletal pain, menstrual pain, toothache, back pain, arthritis • Ibuprofen - 200 mg • Max Ibuprofen Dose - 1200 mg/day • Naproxen Sodium - 220 mg • Max Naproxen Dose - 660 mg/day

24. Common Pain MedicationsOver-the Counter • Topical Analgesics • IcyHot • Thermacare Wraps • Capzaicin • Bengay • Salonpas

25. Common Pain MedicationsPrescription Only • NSAID • Ibuprofen (Motrin): 600 mg, 800 mg • Naproxen Sodium (Naprosyn): 550 mg • Meloxicam (Mobic): 7.5 mg, 15 mg

26. Common Pain MedicationsPrescription Only • Opioid Analgesic • Hydrocodone-APAP (Vicodin): 5 mg/500 mg • Morphine Sulfate (Kadian, MS Contin): 15 mg, 30 mg, 60 mg, 100 mg • Oxycodone-APAP (Percocet): 5mg/325 mg • OxycodoneHCl Extended Release (OxyContin ER): 10 mg, 20 mg, 40 mg, 80 mg

27. Non-Pharmacological Therapy • Headache • Regular sleeping & eating schedule • Avoid triggers (stress and food) • Cold packs and massage • Lie in dark and quiet room • Keep a headache journal

28. Non-Pharmacological Therapy • Lower Back Pain • Alternate heat/cold (cold for spasms, heat to loosen muscle) • Massage, chiropractic manipulation • Physical exercise • RICE Therapy • Rest • Ice • Compression • elevation

29. Non-Pharmacological Therapy • Menstrual Pain • Heating pads • Regular exercise • Loose Clothing • Massage • Stop smoking

30. Non-Pharmacological Therapy • Osteoarthritis • Weight loss • Wear shock-absorbing shoes • Physical or occupational therapy • Acupuncture • Low-impact exercise

31. Pain Management Resources • Referral to Pain Specialists • American Chronic Pain Association at 800-533-3231 • USC/Norris Comprehensive Cancer Center at 323-865-3000 • USC Pain Center at 323-442-6202 • If you do not have a doctor or insurance, try: • LA Social Serve info line at 800-339-6993 • LAC/USC Referral Line at 323-226-4970 • Patient Advocate Foundation at 800-532-5274 • Poison Control for medication overdose at 800-222-1222

32. Do’s and Don’t’s at Health Fair • Do • Give advice and make suggestions • Determine if OTC medications will help • Provide resources • Suggest options and let people know their pain can be managed • Use common sense • Don’t • Say something you are not sure about • Diagnose or suggest specific prescription therapy • Recommend self-treatment when not appropriate • Give false hope

33. After the Health Fair

34. Evaluate • Write a few sentences on • The experiences you learned from health fair • Something to continue or improve • Email Adrienne or Kathlyn within a week after the health fair

35. That’s all, folks!! • Thank you for your attention  • Email us if you have any question • Adrienne: adriennt@usc.edu • Kathlyn: kathlynl@usc.edu • See you at HF!!