pain and symptom management continuing education michigan

Nursing admission assessment and examination. Receptors for this type of pain are located all around the body, particularly under the skin and the internal organs. The right of all people with pain to have access to appropriate assessment and treatment of the pain by adequately trained healthcare professionals. Introduce pharmacological management by reviewing non-opioid medications for pain management. Naloxone, an opioid antagonist, rapidly reverses an opioid overdose. Physiologic factors include age, gender, genetic makeup, and stress response. Assessment of cancer pain. Wild Iris Medical Education, Inc., provides Thank you." MANDATORY MICHIGAN NURSING CEU. Pain cannot be inferred solely from activity in sensory neurons. There is a one-time requirement for training in identifying victims of human trafficking. Chronic pain and high-impact chronic pain among U.S. adults, 2019. https://www.cdc.gov, Cleveland Clinic. Identifying pain. Develop knowledge of the risks of using opiates to treat chronic pain. Fear of addiction of opioids and other pain medications should not be a barrier to pain management. Use of this constitutes acceptance of Hurley Medical Centers terms of use and privacy policy. It is also possible for this type of pain to remain long after a medical condition has healed when pain normally should have ended (Jacques, 2021). ), Anthony Saucedo- Retired Detective/Lieutenant, Michigan State Police- DEC Coordinator, Michigan State PoliceLeo Mercer, Jr., MD- Chief of Trauma & Acute Care Surgery, Hurley Medical Center, Flint, The Impact of Bias, Discrimination, and Racism on Children and Adolescent Health, Lynn Smitherman, MD- Department of Pediatrics, Wayne State University- Division of General Pediatrics & Adolescent Medicine- Childrens Hospital of Michigan Wayne State University, Hypertension Management in the Hospitalized Child, Wael Abukwaik, MD- Pediatric Nephrologist- Childrens Hospital of Michigan, Detroit Medical Center, Pediatric Intellectual/Developmental Disabilities, Chioma Torres, MD- Assistant Professor, Behavioral Pediatrics- Michigan State University. All Rights Reserved.Powered by EthosCE, XRX Michigan: Pain and Symptom Management, Please click here for new Michigan Pain 3 unit course, To find specific accreditations or approvals, click here, 2. The national overdose deaths involving prescription opioids among all ages in 2020 was 16,416. This means that people may be arrested and charged with possession even in states where marijuana use is legal (Kellogg et al. Through their life experiences, individuals learn the concept of pain. This module meets the State of Michigan requirement for CE on pain and symptom management. Review of the interventions pain physicians offer; their indications; a brief description of how they are done; and their potential risks. Trauma & Pain Management Approved as required Michigan license renewal pain content. https://www.britannica.com, Michigan Department of Health & Human Services (MDHHS). As an organization accredited by the Michigan State Medical Society, Hurley Medical Center holds an intra-state accreditation intended for an audience of healthcare professionals specifically within the state of Michigan and its contiguous states of Wisconsin, Indiana, and Ohio. Pain: Psychogenic pain. Evaluation of physiologic tolerance (diminished response) related to chronic use of some medications and use of alcohol and illicit drugs is also included. Mechanisms of neuropathic pain are complex and involve changes: One example of neuropathic pain is phantom limb syndrome, which can occur following an amputation and when the brain continues to receive pain messages that originally carried impulses from the missing limb (Watson, 2022). What is acceptance and commitment therapy (ACT)? (2022). Medical Economics. 0 This type of pain continues even after the injury or illness that caused it has healed. Course Summary Covers Michigan's pain policies plus Joint Commission regulations for pain management. R 338.10602 ACCEPTABLE CONTINUING EDUCATION. https://www.kff.org, Marks JL. Pain is a multidimensional phenomenon that produces strong emotional reactions that can affect an individuals function, quality of life, emotional state, social and vocational status, and general well-being. Does it force you to sit down, lie down, slow down? Contact hours: 3 Expiration date: June 1, 2022 Course price: $29 *This course has been retired. Due to their pharmacologic effects, opioids in high doses can cause respiratory depression and death. Copyright 2023 Wild Iris Medical Education, Inc. All Rights Reserved. UpToDate. Medscape. 2 0 obj This nursing CEU course fulfills the requirement for 2 contact hours in pain and symptom management for each MI nursing license renewal. 13 red flags to watch for. (2019). https://www.beaumont.org, Canadian Association of Schools of Nursing/Association of Faculties of Pharmacy of Canada (CASN/AFPC). Continuing education hours in pain and symptom management, as they relate to the practice of optometry, may include, but are not limited to the following: ethics and health policy related to pain; pain definitions; basic sciences related to pain, including pharmacology, psychology, sociology, and anthropology; clinical sciences related to pain,. https://www.verywellmind.com, International Association for the Study of Pain (IASP). Chronic pain and high-impact chronic pain are among the most common reasons adults seek medical care and are associated with decreased quality of life, opioid dependence, and poor mental health (CDC, 2020). In acute pain, the central nervous system is intact, and acute pain is a symptom. This applies to renewals after Dec. 30, 2020. PDF Sites to Free Nursing CE - Wicha Lab Examples include methadone, fentanyl, and meperidine (OR ADPC, 2022). Publication No. At least one hour must be from a course in pain management. Increase understanding of how a multi-disciplinary approach can be effective with clients who have chronic pain. Cosio D & Demyan A. - Kathleen, RN in Michigan, Nursing (2021). PDF Continuing Education Requirements for Michigan Optometrists Pain management continues even if the person becomes unresponsive. Ratka A. painHEALTH. 146 0 obj <>stream Nociceptor pain is acute pain that results when tissue damage produces a stimulus that sends an electrical impulse across a receptor (nociceptor) by way of a nerve fiber to the central nervous system. The reflection tricks the brain into thinking there are two healthy limbs (Physiopedia, 2022b). (2019). - Rachel, RN in Michigan, "I am happy to say that I learned things in this course. Its occurrence, severity, duration, response to treatment, and disabling consequences vary from person to person. Suicidal ideation and behavior in adults. The effort to prevent misuse, abuse, and diversion involves government and regulatory agencies, drug researchers and manufacturers, as well as healthcare institutions and individual clinicians. A basic to advanced review of interventional spine treatments for back pain. Sign up inyour account interests section of the AMA Ed Hub. https://virtualtimes-h2020.eu, Watson J. Target Audience: Occupational Therapists, OTAs, Content Focus: Category 1Domain of OT, Client Factors. http://www.ca, Centers for Disease Control and Prevention (CDC). Legal Disclaimer Traditional medicine, complementary and alternative medicine, psycho- social methods and other approaches will be presented. The following course information applies to occupational therapy professionals: Study the course material, achieve a score of 80% or higher on the post test (the post test can be repeated if a learner scores less than 80%), complete the course evaluation, and pay where required. 2: Assessment and measurement of pain and pain treatment. Check the agencys written drug and alcohol policy and follow recommendations. hbbd``b`: $W- :,. Trusted NCBTMB Approved Provider Unlimited access to Text and Seminar-on-Demand Video Courses! PDF CONTINUING EDUCATION REQUIREMENTS FOR MICHIGAN NURSES - State of Michigan Please click here for new Michigan Pain 3 unit course. Pain management continuing education courses focus on various degrees of pain management across a range of patients. https://www.verywellhealth.com, Keane K. (2021). Patients given an automatic injection device or nasal spray should keep the item available at all times. WebMD. https://www.uptodate.com, Toney-Butler T. (2019). No outside commercial support was received for the creation of this course material. Michigan - pdresources.org Verbal description is only one of several behaviors to express pain; inability to communicate does not negate the possibility that a human or a nonhuman animal experiences pain. In 2020 there were 27.8 drug overdoses per 100,000 population in Michigan compared to 28.3 in the United States. Explain the kinds and use of pain assessment tools. (2022). At least 1 of the 3 required hours in pain and symptom management must include controlled substances prescribing. An overview of interdisciplinary pain management education designed to give physicians the competence in recognizing and understanding the unique needs of pain patients as well as further their ability to refer and treat patient in an interdisciplinary, multimodal manner. Continuing Education Requirements For Michigan Medical Doctors, Other sites that fulfill requirements for renewal, Hypertension Management in the Hospitalized Child. endstream endobj startxref Presented by: Vafi Salmasi, MD, MSCR Nonpharmacologic interventions include physical, psychological, and mind-body modalities. How severe is the pain on a scale of 010, with 0 as no pain and 10 as the worst pain ever? Chronic pain can be disabling, detrimental to functioning and at the very least, distracting. Neuropathic pain results from damage to or dysfunction of the peripheral or central nervous system rather than from stimulation of pain receptors. Manual modalities (massage, manipulation therapy), Electrophysical agents (TENS, iontophoresis, percutaneous electric nerve stimulation), Acoustic modalities (ultrasound, phonophoresis, shortwave and microwave diathermy, vibroacoustic therapy), Light therapy (low-level laser, ultraviolet light), Interventional modalities (injection, radiofrequency ablation, intrathecal pump, spinal cord stimulator), The degree of analgesic effect in comparison to the patients baseline, The time to onset of the analgesic effect and the time to maximum reduction in pain intensity, Secondary effects related to the treatment, Ensuring the patient or legal representative actively participates in treatment plan and understands available options and potential side effects, Educating persons and families in a culturally competent manner regarding pain management, Using a standardized scale to periodically assess and document the patients pain, Developing and implementing a plan of care that prevents and alleviates pain as much as possible, Administering medications and treatment as prescribed, Initiating nonpharmacologic nursing interventions as indicated, Communicating side effects or reports of unrelieved pain to the prescriber and team members, Documenting pain assessment, intervention, evaluation, and ongoing changes. Physical dependence is a physiological state of neuro-adaptation characterized by emergence of withdrawal syndrome if the drug is stopped, decreased abruptly, or an antagonist is administered. Psychogenic pain is believed to be sustained mainly by psychological factors. https://president.msu.edu, National Center for Complementary and Integrative Health (NCCIH). Be careful, our free continuing education for nurses is offered across a wide variety of clinical and professional development topics and is designed to help nurses meet state CE contact hour requirements. Effective December 6, 2017 a minimum of 3 hours of continuing education must be earned in the area of pain and symptom management. Michigan Nursing CEU | Mandatory Pain and Human Trafficking Course Presented by: Corinne Cooley, DPT, OCS, TPS and (2022). Michigan Physical Therapy Continuing Education Requirements - PTProgress These may include: The majority of states, including Michigan, allow for the use of medical marijuana. CME Credits Offered: 0.75. Review the advantages and disadvantages of different pain treatment modalities in the treatment of acute pain and understand how to minimize the side effects of acute pain treatments. https://my.clevelandclinic.org. If the individual has no intravenous access, naloxone can be administered intramuscularly, intranasally, intraosseous, or via the endotracheal tube. Pain signals remain active in the nervous system for weeks, months, or years. (2021). Neuropathy Commons. Ethics Talk Series on US Abortion Care After Dobbs: Wait. Medications should be started at a low dose to ease pain, then titrated to maintain pain relief without decreasing function or risking addiction or replace. (2022). ), Cara Poland, MD, M.Ed., FASAM - Lead Physician, Center for Integrative Medicine - Spectrum Health Medical Group, Grand Rapids - President, Michigan Society of Addiction Medicine. Like other diseases, pain is more than a biological phenomenon; it has profound emotional and cognitive effects. https://painhealth.csse.uwa.edu, Stanford Health Care. What? Currently, CBT is the prevailing psychological treatment for individuals with chronic pain issues (Physiopedia, 2022a). Disclosures An adult may possess up to 2.5 ounces of marijuana, up to 15 grams of which may be marijuana concentrate. Nociplastic pain arises from altered nociception despite the absence of clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system. Support teaching, research, and patient care. Tauben D & Stacey B. Signed into law on October 4, 2001, requires most California-licensed physicians to take, as a one-time requirement, 12 units of continuing medical education (CME) on "pain management" and "the appropriate care and treatment of the terminally ill." All physicians licensed on and after January 1, 2002, shall complete this requirement within four years of their initial license or by their second renewal date, whichever occurs first. A minimum of 1 hour of continuing education must be earned in the area of medical ethics. https://www.health.vic.gov, VirtualTimes. What aggravates it (e.g., movement, bending, lying down, walking, standing)? For further questions or concerns regarding this course contact the CE department via email at ce_ssw@wayne.edu. Increase understanding of the prevalence of chronic pain, its costs and possible solutions. Wild Iris Medical Education, Inc., is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. That's always a good thing when the subject matter is mandatory. Michigan Nurses CE Requirements, Accreditations & Approvals One should be aware that naloxone can also cause agitation and aggression when it reverses the opiate. Substance Abuse and Mental Health Services Administration (SAMHSA). Before introducing any opioids into a patients treatment regimen, an assessment is done to determine the patients risk for developing a substance abuse disorder (SUD). This type of pain may reflect changes in the way the nervous and immune systems function (Slater & Davies, 2021). Management of pain without medications. Whereas the 2016 guideline focused on recommendations for primary care physicians, the newer guideline expands the scope to additional clinicians whose scope of practice includes prescribing opioids (e.g., physicians, nurse practitioners and other advanced-practice registered nurses, physician assistants, and oral health practitioners). Neuropathic pain. Document suspicions regarding the colleague, including any complaints, concerns, behavior patterns, or witnesses to behaviors. Some body tissues, such as the brain and lung, have no nociceptors, and some tissues have many. Evaluation of chronic non-cancer pain in adults. Continuing Education Modules - Michigan Nurses Association Authority: Public Act 368 of 1978, as amended. Module 7: Pain managementtopic E. https://ououd.ca, Caring to the End. Michigan State CME Requirements | AMA Ed Hub - American Medical Association Mirror therapy. https://www.physio-pedia.com, Portenoy R, Ahmed E, & Keilson Y. Nurses recognize and apply the following concepts when providing care: Tolerance and physical dependence are consequences of sustained use of opioid analgesics and are not symptoms of addiction. Nurse planners, content experts, faculty, and others in control of content (either individually or as a group) have no relevant financial relationships with ineligible companies. After that, no refund or CEs will be issued. Acute pain is protective in that it motivates a person to take action immediately. When do you usually experience it (e.g., daytime, night, early morning)? Increase understanding of how a multi-disciplinary approach can be effective with clients who have chronic pain. https://www.uptodate.com, Slater H & Davies S. (2021). https://www.anzca.edu, Girgis L. (2021). Managing chronic pain in adults with or in recovery from substance use disorders. Beginning June 1, 2022, completion of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration is . Should Clinicians Care About How Food Behaviors Express Gender Identity? How do we treat it? 50,000 individuals used heroin for the first time, and 14,480 deaths from heroin occurred in 2020. However, federal law continues to prohibit use of cannabis or its derivatives for any purpose. Michigan Nursing CEU - No Tests, Easy Enrollment Physical dependence does not equate with addiction. Britannica. This is referred to as tolerance, a physiological state in which an increased dosage is needed to produce the same effect, or reduced effect is observed with constant use. Pain Management On Demand: Interdisciplinary Strategies for the StatPearls [Internet]. * "At least 2 of the 45 continuing education contact hours in each renewal period must be in pain and symptom management. https://emedicine.medscape.com, American Society of Health-System Pharmacists (ASHP). https://www.who.int, Wild Iris Medical EducationQuality CE Made Simple, Terms of Service | Copyright Policy | Medical Disclaimer | LegalDisclaimer, (Toney-Butler, 2019; Victoria Department of Health, 2021), (Anesthesia Key, 2019; Tauben & Stacey, 2022), (Agranoff, 2020; Wheeler, 2021; OConnor, 2020), (State of Michigan Department of Community Health, n.d.), (Stanford Health Care, 2021; Keane, 2021), (KFF, 2021; Michigan State University, 2020), Persis Mary Hamilton, EdD, MSN, BSN, PHN, PMHN, Strategies for Treating and Managing Pain, Guidelines on the management of chronic pain in children, Pain due to a stimulus that does not normally provoke pain, Absence of pain in response to stimulation that would normally be painful, A syndrome of sustained burning pain, allodynia, and hyperpathia after a traumatic nerve lesion, An unpleasant abnormal sensation, whether spontaneous or evoked, Increased pain from a stimulus that normally provokes pain, A painful syndrome characterized by an abnormally painful reaction to a stimulus, especially a repetitive stimulus, as well as an increased threshold, Diminished pain in response to a normally painful stimulus, Pain in the distribution of a nerve or nerves, Pain caused by a lesion or disease of the somatosensory nervous system, Pain arising from actual or threatened damage to non-neural tissue due to the activation of nociceptors (high-threshold sensory receptors of the peripheral somatosensory nervous system), Amount of pain required before individuals feel the pain; the lower the threshold, the less pain can be endured; the higher the threshold, the more pain can be endured, Maximum intensity of a pain-producing stimulus that a subject is willing to accept in a given situation; the subjective experience of the individual, An abnormal sensation whether spontaneous or evoked. Applying mindfulness-based stress reduction for comorbid pain and PTSD. Our online CME courses are available in text, video, and audio/podcast formats. Because healthcare professionals are trusted with others health and well-being, they are not often suspected of drug addiction themselves; however, they are just as likely as anyone else to become addicted and are at a higher risk for addictive behaviors involving opioids because of their increased access to them. MD Licensing Requirements: Are required 150 hours every three years, a maximum 110 of which may be AMA PRA Category 1 Credit, and a minimum of 3 must be in pain and symptom management and at least 1 of the 3 must include controlled substance prescribing. Social workers completing this course receive 1.0 continuing education credits. 3 Great Ways to Meet Your Michigan MT CE Requirements: Unlimited MT Membership Access to Unlimited MT CEUs for 1 Full Year! Management of the Chronic Opioid User(This activity fulfills the CE requirements for pain and symptom management. The patient who is drug seeking may: However, drug-seeking patients with addictions are not the only ones who may engage in these behaviors. Pain. PDF PART 4. CONTINUING EDUCATION R 338.2581 License renewals; psychologist In 2022, the CDC updated its guidelines for prescribing opioids for the treatment of pain. {=x6RW*b|>OA_@_!:QbWOVYTE"(i~eN[UxQFeAGQZ3VL|bFGgEEBS]Q_sE%>%!whj::{jo2EI4"%.kT}&Q:BE4;U Patient education includes showing patients, their family members, or caregivers how to administer naloxone. Radicular pain is a very specific type of pain that can occur when the spinal nerve becomes compressed or inflamed.
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