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Pain Assessment and Opiates in the Workplace: Medical, Legal and Practical Issues

Pain Assessment and Opiates in the Workplace: Medical, Legal and Practical Issues. Sean Mackey, M.D.,Ph.D. Stanford University Department of Anesthesia Division of Pain Management http://paincenter.stanford.edu smackey@stanford.edu. Program Overview.

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Pain Assessment and Opiates in the Workplace: Medical, Legal and Practical Issues

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  1. Pain Assessment and Opiates in the Workplace: Medical, Legal and Practical Issues Sean Mackey, M.D.,Ph.D.Stanford UniversityDepartment of Anesthesia Division of Pain Management http://paincenter.stanford.edu smackey@stanford.edu

  2. Program Overview • Day 1 – ‘Spotlight on Opioids – You, Their Use and the Law’ • Day 2 – ‘Assessment of Pain in the Settings of Clinical Care, Medicolegal Proceedings, and Disability Evaluations’

  3. Pain Assessment – The Dilemma • Divide between the personal subjective experience of the patient suffering pain and the objective data available to observers trying to assess and treat the patient’s pain.

  4. Early Imaging Studies to Evaluate Chronic Pain Early microscopes

  5. Welcome!!

  6. “Testing whether laughter is the best medicine”

  7. Pain – Impact on Society • #1 reason people see a doctor • #1 reason people out of work • Indirect/Direct medical expenses US $200B Gureje O, Von Korff M, Simon G and Gater R. Persistent Pain and Well-being: A World Health Organization Study in Primary Care. JAMA 1998;280: 147-151.

  8. Opioid Therapy in Pain Related to Medical Illness Opioid therapy is the mainstay approach for • Acute pain • Cancer pain • AIDS pain • Pain in advanced illnesses But undertreatment is a major problem

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