Integrative Pain Management (2017-2019)

Current statistics on pain in the United States are overwhelming; data from the 2012 National Health Survey reported that over 50% (126 million) adults experienced pain in the last 3 months and of these, 50 million reported bothersome or severe pain. Half of these reported the pain was chronic daily pain. Pain is a multifaceted issue involving nutritional, psychosocial, biochemical, neurological and physical components. The conventional medical model typically addresses pain in a unidimensional mode -- with medications.

With the growing awareness of the opioid epidemic, clinicians and patients are seeking to decrease pharmaceutical use, turning to alternative therapies.

The Integrative Pain Management course offers an in-depth look at the current state of pain management; including challenges, latest evidence-based integrative therapies, and clinical applications.

Educational Purpose

Participants will gain an understanding of the pathophysiology of acute pain vs chronic pain, learning to assess the evidence for the safety and benefit of a wide variety of integrative modalities including nutritional approaches, mind-body therapies, manual therapy techniques, acupuncture, and many more. Participants will review current strategies for de-prescribing opiate medications, and be able to discuss the role of Integrative Medicine in the management of chronic pain.

Curriculum

I. Introduction
II. Pain Management
III. IM Therapies
IV. Common Pain States Management
V. Special Topics
VI. Evaluation

Course objectives:

  • Assess the evidence for the safety and benefit of nutrition, dietary supplements, herbal therapies, Traditional Chinese Medicine, hypnosis, mindfulness, guided imagery, biofeedback, energy medicine and movement and therapies for the management of pain.
  • Apply the evidence for specific IM treatment strategies for common chronic pain states (headache, IBS, peripheral neuropathy, trigeminal neuralgia, low back pain, complex regional pain syndrome and obesity related pain.)
  • Discuss strategies for de-prescribing opiate medications
  • Recognize the current state of affairs for the management for chronic pain in the United States
  • Discuss the role of Integrative Medicine in the management of pain
  • Review the pathophysiology of acute pain and chronic pain
  • Identify the risk factors that contribute to acute pain converting into chronic pain and discuss strategies for modification of these risk factors
  • Review the current risks and benefits of pharmaceuticals for the management of pain

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

This online enduring material educational program is designed for physicians, advanced nurse practitioners, and physician assistants and other health care providers who have an interest in chronic pain treatment.

Enrollment

You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.


Integrative Pain Management
Disclosure & Education Credit Info

Continuing Nursing Education Information: 10.58 CNE Contact Hours for RNs

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Current CNE Approval Period:12/12/2017 to 12/12/19

Conflict of Interest Disclosure Information

Dr. Donald Abrams has disclosed that he is a consultant for Abcann, Axim, Maui Grown Therapies, Scriptyx, and Tikum Olam.

All other presenters, planners, and faculty have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CNE activity.

This educational activity is jointly provided by the Center for Integrative Medicine and the University of Arizona Continuing Nursing Education.

The University of Arizona Continuing Nursing Education is an approved provider of continuing nursing education by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

COM CME

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 11 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 20 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: 12/1/2017 to 11/30/2019

Most Recent Review by Author: 12/1/2017

Conflict of Interest Disclosure Information

Dr. Donald Abrams has disclosed that he is a consultant for Abcann, Axim, Maui Grown Therapies, Scriptyx, and Tikum Olam.

All other Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Robert Bonakdar, MD, Director of Pain Management at the Scripps Center for Integrative Medicine. Assistant Clinical Professor at the University of California, San Diego, School of Medicine and is the immediate past president of the American Academy of Pain Management.

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Priscilla D. Abercrombie, RN, NP, PhD, AHN-BC. Assistant Clinical Professor in the UCSF Departments of Family Health Care Nursing and Obstetrics, Gynecology and Reproductive Sciences, San Francisco, California.

Steven Gurgevich, PhD, Clinical Asst Professor of Medicine and Director, The Mind-Body Clinic, Tucson, Arizona

Leila Ali-Akbarian, MD, MPH, Assistant Professor, University of Arizona, Tucson, AZ

Belleruth Naparstek, LISW, BCD. Psychotherapist, author and creator/owner of HealthJourneys.com

Ian Koebner, PhD, M.Sc., M.A.O.M., L.Ac. Director of Integrative Pain Management and a Clinical Instructor in the Division of Pain Medicine at UC Davis School of Medicine

Mike Kurisu, DO. Clinical Director for the Center for Integrative Medicine at UCSD, Director of Clinical Training at the Osteopathic Center San Diego

Melanie Brown, MD. Associate Professor of Pediatrics, Medical Director, Pediatric Comfort Team, Associate Program Director, Pediatric Residency Program The University of Chicago Medicine, Comer Children's Hospital

Jeannie Lee, PharmD, BCPS, CGP, FASHP. Assistant Head, Department of Pharmacy Practice and Science, Associate Professor, College of Pharmacy & College of Medicine Banner University Medical Center

Rosanne Sheinberg, MD. Associate Program Director, Adult Cardiothoracic Anesthesiology Fellowship Program, Assistant Professor of Anesthesiology and Critical Care, Johns Hopkins University School of Medicine

Donald I. Abrams, M.D. Professor of Clinical Medicine, Step VII, Department of Medicine, School of Medicine, University of California San Francisco, San Francisco, CA

Cathy Stallworth, MD.

Roger Mignosa, DO. Physical Medicine and Rehabilitation Specialist, Professor of Family Medicine and Public Health

Deborah Nesbitt, ARNP

Rebecca Wells, MD, MPH. Assistant Professor, Neurology, Office of Women in Medicine and Science

Mark Pirtle, PhD

Cynthia Potter, President / Partner, Hidden Paradox Consulting, LLC