Learning Framework

Session Title: Opioid Management – Escalation of Medications

Learning Objectives:

By the end of the session, learners will be able to:

ü  Describe Opioid management

ü  List assessment tools that may be useful (10 available)

ü  Explain the importance of a opioid management strategy

ü  Develop an Action Plan for treatment

Tools:

Learning Framework

·  Pain Diagram

·  BPI or PDI Questionnaire

·  Opioid Manager

·  Urine Drug Screen

·  Opioid Agreement Letter

·  DN4

·  PHQ9/GAD7

Learning Framework

Patient Populations:

·  Patients on Opioids

·  Adult Male

·  Primary care practice

Patient / Condition / Issues / Tools
Mr. G.H.., 54 years old / Mixed Chronic Nociceptive and Neuropathic Pain to left chest / Abdomen / Intermittent electric pain
Escalating opioid use
Life stressors
Random Urine test positive for opioids, cocaine, marijuana / Pain Diagram
BPI or PDI Questionnaire
Opioid Manager
Urine Drug Screen
Opioid Agreement Letter
DN4

Time: 30 minutes

Materials:

·  Facilitator laptop connected to internet and projector with display screen

·  Wireless Network connection instructions projected on display screen

·  Power point slide deck

·  Opioid Manager (1 per attendee)

·  Pain Diagram (1 per attendee)

·  BPI or PDI Questionnaire (1 each per attendee)

·  Opioid Manager (1 per attendee)

·  Urine Drug Screen (1 per attendee)

·  Opioid Agreement Letter (1 per attendee)

·  DN4 (1 per attendee)

·  PHQ9/GAD7 (1 each per attendee)

·  Handout (1 per attendee)

References:

1.  Opioid Manager

2.  Pain Management algorithm

Agenda:

Time / Topic / Delivery Format
5 min / Introductions and Session Overview / Didactic presentation
5 min / Objectives / Didactic presentation
15 min / Case study / Facilitated conversation
10 min / Questions / Q&A
5 min / Review and Wrap-up / Didactic presentation, Evaluation forms

Assessment:

·  How many participants can identify the problem and explain the supporting history and lab findings.

·  Can participants list 3 assessment tools that may be useful?

·  How many participants can role model delivering key messages of concern and appropriate response?

·  How many participants can develop an Action Plan for treatment?

Learning Framework

Procedure:

Time / Directions / Slide Showing
[10 min before session starts] / Pre-session facilitator preparations
·  Show slide on Objectives
·  Set up room
·  Introduce yourself to participants as they come in / Slide 2
5 min / Introductions and Session Overview
·  Ask learners to introduce themselves, including: (if necessary)
o  their names
o  where they work / Slide 1
5 min / Objectives
·  Show Slide 2 and review intended learning objectives:
By the end of the session, learners will be able to…
ü  Describe Opioid management
ü  List assessment tools that may be useful (10 available)
ü  Explain the importance of a opioid management strategy
ü  Develop an Action Plan for treatment / Slide 2
35 min / Case Study (Mr. G.H., 54 yr old – Opioid Diversion)
Present case information one slide at a time, pausing where appropriate to solicit participant input
Slide 3- what else would people want to know from history (before slide 4)
Slide 4- ask audience- what assessment tools would they use?
Slide 5- what else would people want to know from history? What assessment tools might be useful?
Slide 6- Ask audience what they think of Mr. G.H.’s urine drug screen result
Note: cocaine and marijuana present in urine, which shouldn’t be present
Slide 7- Ask what the audience would say to this patient.
What would be the audience’s next steps
Slide 8- Presenter’s comments
*Use the handout resources which will help guide you in facilitating participant questioning and discussion at key points
[Timing reminder: you have about 1.5 minutes to cover each slide] / Slides 3 - 8
10 min / Questions
·  Ask if the audience has any questions
·  Discuss questions and ask if participants have other responses to offer / Slide 9
Not done
5 min / Wrap-up
·  Briefly summarize session
·  Give overview of resources
·  Review learning objectives and ask if they were achieved
·  Thank participants for their participation and provide take-home resource / Slide 10
Not done