navigating pain management at uihc...• symptom management for serious illness • symptom...
TRANSCRIPT
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Navigating Pain Management at UIHC
Lee Kral, PharmD, CPEUIHC Pain Management
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FormWeb
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Example: UIHC Pain Assessment
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Example: UIHC Pain Assessment
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https://iowa.pmpaware.net/
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PDMP Key Points• Included information
• Consider calling prescriber if clarification required• Lag time
• May need to call local pharmacy for most recent information
• Some providers do not report• Federal hospitals/health systems• Methadone clinics• Skilled nursing facilities• Inpatient institutions
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What are your resources at UIHC?•Acute pain service•Chronic pain service•Chemical dependency team•Psychiatry/psychology/chemical dependency•Rehab therapies (physical, occupational, music)•Pharmacist •Social work•Chaplain•Surgeons•Child life specialists
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Acute Pain Service
• Acute Pain Faculty on call, Fellow(s), Anesthesia Residents, Acute Pain Nurses
• Pain pharmacist (Lee Kral) available for consult
• Round twice a day on weekdays, once a day on weekends
• Appreciate your consults before 5pm on weekdays and before 12 noon on weekends (if possible) #3832
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Chronic Pain Clinic/Inpatient Consult
• Chronic pain faculty (anesthesia), fellows, residents• Pain Pharmacist for medication review/recommendations• Pain Psychologists for support• Outpatient consults are triaged by faculty to determine if the service
can add benefit to patient care• Inpatient consults - offer management recommendations• Pager #4380
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Supportive and Palliative Care Service
• Inpatient consult service• 6-bed dedicated Palliative Care Unit on 7JPC• Outpatient continuity of care clinic• Services
• Goals of care and advance care planning• Symptom management for serious illness• Symptom management in end-of-life setting
• Team members• Physicians, APPs, nurses, pharmacists, music therapists, chaplains, social
workers and volunteers
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MultimodalApproach
Physical modalities
Medications
Cognitive Behavioral Therapies
Interventions
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Comfort Menu
www.uihealthcare.org
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Medication Storage and DisposalProtect your Community
https://www.deadiversion.usdoj.gov/drug_disposal/fact_sheets/disposal_public.pdf
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Thank you!