0
MYTH of OPIOID
Fact or Myth
People who take pain medication
(opioids) generally become
addicted.
MYTH
Less then 1 percent of those
who take opioids for pain
become addicted.
Fact or Myth
Elders tend to report more pain
as they age.
MYTH
Many elders tend to not report
their pain because they think
it is a natural part of growing
older.
Fact or Myth
Opioids should not be
considered when treating
elders with severe pain.
MYTH
Opioids are the first line of
defense we have to combat
severe pain. Opioids have no
maximum daily dose.This allows
u...
Fact or Myth
Effective pain control improves the
ability to fight disease.
FACT
One side effect of unrelieved
pain is a compromised
immune system.
Fact or Myth
Constipation is a manageable
side effect of opioid use.
A bowel program must always
be initiated with opioid use.
FACT
True or False
Communication is a key
component in good pain
management.
Communication must occur
between all
persons/departments.
TRUE
Name three reasons why
families or caregivers may not
recognize or believe elders’
reports of pain.
• Fear of addiction
• Culture
• Fear of side effects
• Don’t want loved one to
be “targeted or labeled”
• Knowledge deficit
Name three barriers to
good pain management
by health care providers.
• Personal biases
• Inadequate pain assessment
skills
• Lack of knowledge
• Lack of time
• Fear of patient addiction
Name three barriers to
good pain management by
physicians.
• Fear of legal issues
• Fear of regulatory scrutiny
• Unfamiliarity with opioids
• Fear of patient addiction
• Concern ab...
Give three reasons elders
may not report pain.
• Worry about cost
• Fear of addiction
• Fear of losing independence
• Don’t want to be a bother
• Culture
• Fear of side ...
True or False
A person’s pain is whatever
they say it is and exists
whenever they say
it does.
This is the definition advocated
by Margo McCaffery and is
subscribed to by many pain
management programs.
TRUE
Give three signs of pain
that might be exhibited by
cognitively impaired elders.
 Changes in emotion (tears)
 Changes in movement
(restlessness)
 Verbal cues (whimpering,
screaming)
 Facial cues (gri...
What doesWILDA stand for?
Words to describe pain
Intensity of the pain
Location of the pain
Duration of pain
Aggravating/Alleviating factors
What words might a person
use to describe Neuropathic
pain?
• Shooting
• Stabbing
• Burning
• Tingling
• Numbness
• Radiating
What words might a person
use to describe
Somatic and/orVisceral pain?
Somatic – aching, throbbing,
gnawing
Viceral – cramping, pressure,
deep aching, referred
True or False
Pain medication can not be
administered to a person unless
they ask for it.
Staff and family should recognize
signs/symptoms of pain in
individuals and speak on their
behalf.
FALSE
True or False
Nursing is the only discipline
that needs to be educated on
pain.
All health care workers are part of
the team responsible for providing
effective pain management.
FALSE
Name three different non-
pharmacological interventions.
 Massage
 Heat/Cold
 Relaxation/
Imagery
 Distraction
 Pastoral Consult
 Exercise
 Immobilization
 TENS
(transcuta...
How often should the nurse
complete a comprehensive
pain assessment?
 Admission/Readmission
 Change in pain status or health
status
 Each Minimum Data Set/
Outcome and Assessment
Informati...
Name three things to
educate the elder and family
about when implementing
opioids or pain
management.
 Benefits of effective pain
management
 Options available
 Goal of treatment
 Side Effects and their treatment
(bowels...
True or False
The elderly usually have
at least three different
sites of pain.
And it is important to assess
each pain site separately and
document according to
WILDA criteria.
TRUE
List at least three differences
between acute and chronic
pain.
 Acute Pain
 Short term
 Sudden onset
 Usually known
cause
 Usually goes away
 Typically doesn’t
cause severe
emotio...
What are some non-
pharmacological
interventions that the
departments other than
nursing can do?
 Involve in activities
 1:1 room visits
 Aromatherapy
 Touch – massage, lotion
 Take on walks
 Read
 Support groups
What can administration do to
support effective pain management?
 Effective policies
 Adequate supplies
 Training/education
programs
What does theWHO Ladder
stand for and how is it
used?
 World Health Organization
▪ Systematic approach to treat
mild, moderate and severe pain
Jeopardy Game Template adapted from the work of Susan Collins and
Eleanor Savko, District Resource Teachers for Hardin Cou...
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400 pt
500 pt
100 pt
200 pt
300 pt
400...
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Myth of opioid

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Transcript of "Myth of opioid"

  1. 1. MYTH of OPIOID
  2. 2. Fact or Myth People who take pain medication (opioids) generally become addicted.
  3. 3. MYTH Less then 1 percent of those who take opioids for pain become addicted.
  4. 4. Fact or Myth Elders tend to report more pain as they age.
  5. 5. MYTH Many elders tend to not report their pain because they think it is a natural part of growing older.
  6. 6. Fact or Myth Opioids should not be considered when treating elders with severe pain.
  7. 7. MYTH Opioids are the first line of defense we have to combat severe pain. Opioids have no maximum daily dose.This allows us to adjust dose to effective level, no matter how severe.
  8. 8. Fact or Myth Effective pain control improves the ability to fight disease.
  9. 9. FACT One side effect of unrelieved pain is a compromised immune system.
  10. 10. Fact or Myth Constipation is a manageable side effect of opioid use.
  11. 11. A bowel program must always be initiated with opioid use. FACT
  12. 12. True or False Communication is a key component in good pain management.
  13. 13. Communication must occur between all persons/departments. TRUE
  14. 14. Name three reasons why families or caregivers may not recognize or believe elders’ reports of pain.
  15. 15. • Fear of addiction • Culture • Fear of side effects • Don’t want loved one to be “targeted or labeled” • Knowledge deficit
  16. 16. Name three barriers to good pain management by health care providers.
  17. 17. • Personal biases • Inadequate pain assessment skills • Lack of knowledge • Lack of time • Fear of patient addiction
  18. 18. Name three barriers to good pain management by physicians.
  19. 19. • Fear of legal issues • Fear of regulatory scrutiny • Unfamiliarity with opioids • Fear of patient addiction • Concern about detrimental side effects • Lack of communication by health care personnel and the patient/family
  20. 20. Give three reasons elders may not report pain.
  21. 21. • Worry about cost • Fear of addiction • Fear of losing independence • Don’t want to be a bother • Culture • Fear of side effects • Cognitively Impaired • Depression • Low expectations for pain relief
  22. 22. True or False A person’s pain is whatever they say it is and exists whenever they say it does.
  23. 23. This is the definition advocated by Margo McCaffery and is subscribed to by many pain management programs. TRUE
  24. 24. Give three signs of pain that might be exhibited by cognitively impaired elders.
  25. 25.  Changes in emotion (tears)  Changes in movement (restlessness)  Verbal cues (whimpering, screaming)  Facial cues (grimacing)  Changes in body position (guarding)
  26. 26. What doesWILDA stand for?
  27. 27. Words to describe pain Intensity of the pain Location of the pain Duration of pain Aggravating/Alleviating factors
  28. 28. What words might a person use to describe Neuropathic pain?
  29. 29. • Shooting • Stabbing • Burning • Tingling • Numbness • Radiating
  30. 30. What words might a person use to describe Somatic and/orVisceral pain?
  31. 31. Somatic – aching, throbbing, gnawing Viceral – cramping, pressure, deep aching, referred
  32. 32. True or False Pain medication can not be administered to a person unless they ask for it.
  33. 33. Staff and family should recognize signs/symptoms of pain in individuals and speak on their behalf. FALSE
  34. 34. True or False Nursing is the only discipline that needs to be educated on pain.
  35. 35. All health care workers are part of the team responsible for providing effective pain management. FALSE
  36. 36. Name three different non- pharmacological interventions.
  37. 37.  Massage  Heat/Cold  Relaxation/ Imagery  Distraction  Pastoral Consult  Exercise  Immobilization  TENS (transcutaneous electrical nerve stimulation)  Acupuncture  Hypnosis
  38. 38. How often should the nurse complete a comprehensive pain assessment?
  39. 39.  Admission/Readmission  Change in pain status or health status  Each Minimum Data Set/ Outcome and Assessment Information Set (MDS/OASIS) Assessment
  40. 40. Name three things to educate the elder and family about when implementing opioids or pain management.
  41. 41.  Benefits of effective pain management  Options available  Goal of treatment  Side Effects and their treatment (bowels!)  Cost  Negative effects of pain  Pain symptoms – including nonverbal
  42. 42. True or False The elderly usually have at least three different sites of pain.
  43. 43. And it is important to assess each pain site separately and document according to WILDA criteria. TRUE
  44. 44. List at least three differences between acute and chronic pain.
  45. 45.  Acute Pain  Short term  Sudden onset  Usually known cause  Usually goes away  Typically doesn’t cause severe emotional stress  Chronic Pain  Often unknown cause/onset  Causes depression, sadness, anxiety, anger, loss of control  May continue throughout life and requires comprehensive treatment
  46. 46. What are some non- pharmacological interventions that the departments other than nursing can do?
  47. 47.  Involve in activities  1:1 room visits  Aromatherapy  Touch – massage, lotion  Take on walks  Read  Support groups
  48. 48. What can administration do to support effective pain management?
  49. 49.  Effective policies  Adequate supplies  Training/education programs
  50. 50. What does theWHO Ladder stand for and how is it used?
  51. 51.  World Health Organization ▪ Systematic approach to treat mild, moderate and severe pain
  52. 52. Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm This material was prepared by the New Mexico Medical Review Association (NMMRA), the Medicare Quality Improvement Organization for New Mexico, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. It is based on material produced by the Kansas Foundation for Medical Care. The contents presented do not necessarily reflect CMS policy. 9SOW-NM-PS-08-36
  53. 53. 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt 200 pt 300 pt 400 pt 500 pt 100 pt Fact/Myth Barriers Assessment Education Interventions
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