Pearls for Practice: Pain and Symptom Management, Part 2

I Know it's Early but Can I Get a Refill on My Pain Medicines?  How to Identify and Manage Chemical Coping in the Cancer Patient
Presenters: Eric Prommer, MD HMDC FAAHPM, David Hui, MD MS MSC, Egidio Del Fabbro, MD, Rony Dev, DO

Objectives: Learn comprehensive assessment of decreased opioid efficacy in the cancer patient. Learn the concept of chemical coping and distinguish it from addiction. Learn how to screen for chemical coping.

High Flow Oxygen for Palliation of Dyspnea: A State-of-the-Science Update
Presenters: David Hui, MD MS MSC, James (Eddy) Jackson, RRT

Objectives: Review the pathophysiology of dyspnea and mechanism of action of high flow oxygen. Provide an up-to-date the clinical evidence to support the use of high flow oxygen. Discuss the logistical and ethical considerations when administering high flow oxygen for palliation.

When the Apple Falls Far From the Tree: A Systematic Approach to Providing Quality Care for Patients at High-Risk for Opioid-Dependence
Presenters: Nelia Jain, MD, Erin L. Bagwell, LCSW, Sean O'Mahony, MD MS

Objectives: Define a systematic approach to identify patients with recent or current substance abuse, opioid-dependence, and diversion. Propose a framework utilizing multi-disciplinary modalities to create action plans that address ongoing substance abuse issues while promoting opioid safety. Formulate conflict resolution model to promote comprehensive, longitudinal care between provider and patient; mitigate provider and patient distress; and develop advocacy strategies for this vulnerable patient population.

The Depressive Spectrum
Presenters: Erin Zahradnik, MD, Priya Krishnasamy, MD, Jodi Smith, LMSW

Objectives: Distinguish between clinical depression, demoralization, and grief reactions. Explain what demoralization is and how it manifests in serious illness. Describe grief reactions and how they differ from demoralization.