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					       HOW TO USE THIS SLIDE DECK

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[PRESENTATION TITLE]
       [Date of presentation]
PRESENTATION OVERVIEW
                 WHAT IS PAIN?

• Pain is an unpleasant sensory and emotional
  experience.
• The emotional component of pain is called suffering.
• The sensation of pain is unique to each individual
  and is difficult to measure.
      WHO IS AFFECTED BY PAIN? (1/2)

• Pain is a national health care crisis. It is our Nation’s
  hidden epidemic.
   – According to the National Center for Health Statistics,
     an estimated 53 million Americans reported pain that
     lasted for more than 24 hours.1
   – Undertreated pain has serious physiological,
     psychological, and social consequences.2
   – The pain problem in America will continue to grow with
     the aging of the baby boomer generation.3
      WHO IS AFFECTED BY PAIN? (2/2)

• Pain is a national healthcare crisis. It is our Nation’s
  hidden epidemic.
   – Pain can slow recovery from disease or injury and
     weakens the immune system.
   – The annual cost of chronic pain in the U.S. is estimated
     to be more than $100 billion, including healthcare
     expenses, lost income, and lost productivity.4
   – Most people experience pain at some time during their
     lives. It may affect physical and mental functioning, and
     can profoundly affect quality of life.
              PAIN TAKES ITS TOLL

• When pain is properly managed, many people can
  resume their lives.
   – Untreated or undertreated pain typically results from a
     failure to apply existing knowledge about pain
     management, and not from the lack of effective
     treatment modalities.
   – People often mistakenly believe that pain is something
     they “just have to live with.” They are often made to
     feel that the pain is “just in their heads.”
    RIGHTS OF PEOPLE WITH PAIN (1/2)
• People who suffer from pain have a right to
  appropriate assessment and treatment.
   – While pain can affect anyone regardless of gender,
     race or economic status, some people have difficulty
     getting adequate pain care.
   – Women5, African-Americans, certain ethnic groups6,
     the elderly7 and the uninsured are more likely to be
     denied appropriate pain treatment.8
   – Often, pain management requires an integrative
     treatment approach - this could mean combining the
     use of prescription pain medicines with complementary
     approaches.9
    RIGHTS OF PEOPLE WITH PAIN (2/2)

• People who suffer from pain have a right to
  appropriate assessment and treatment of their pain.
   – People who suffer from pain and their loved ones need
     to speak with their healthcare professional and take an
     active role in managing their pain.
   – Pain can and should be treated. We all have a right to
     proper medical care.
    BARRIERS TO EFFECTIVE PAIN
         TREATMENT (1/2)

– The public – including doctors and people with
  pain – carry concerns about addiction to pain
  medication.
– Funding for pain research is woefully inadequate:
  Less than 1% of the NIH research budget is
  dedicated to pain.
– Overly restrictive regulatory policies may impede
  pain relief.
    BARRIERS TO EFFECTIVE PAIN
         TREATMENT (2/2)

– Efforts to prevent the diversion and abuse of pain
  medication must be balanced so they do not
  interfere with patient care.
– Concerns about regulatory scrutiny may affect
  healthcare professionals’ (HCPs) treatment
  choices.
– Some barriers exist for a reason. HCPs are
  concerned about their patients, patients are
  concerned about their health, and the healthcare
  system struggles with providing effective
  healthcare at a cost that can be sustained.
     PROFESSIONAL BARRIERS
TO EFFECTIVE PAIN TREATMENT10 (1/2)

– Some health care professionals have little or no
  training in pain management and how to
  appropriately assess for substance abuse
– Inadequate knowledge of pain mechanisms
– Inadequate knowledge of pain assessment
– Inadequate knowledge of the appropriate use of
  pain medications
– Fear of producing iatrogenic addiction
– Concern about analgesic side effects
     PROFESSIONAL BARRIERS
TO EFFECTIVE PAIN TREATMENT10 (2/2)

– Inadequate knowledge about how to treat side
  effects of analgesic medications
– Concern about the development of analgesic
  tolerance
– Inability to differentiate between tolerance,
  physical dependence, and addiction
– Fear of regulatory scrutiny
– Time and reimbursement pressures that prohibit
  effective pain assessment and management
          PATIENT BARRIERS
    TO EFFECTIVE PAIN TREATMENT11

– Reluctance to report pain
– Reluctance to take pain medications as prescribed
– Concerns about addiction
– Belief that pain is inevitable and not treatable
– Lack of access to pain management professionals
– Inability to effectively manage the side effects of pain
  medications
– Fear of masking new symptoms
– Cost of pain medications and/or other treatment
  modalities
– Lack of comprehensive insurance coverage for pain
  management
        SYSTEM BARRIERS
  TO EFFECTIVE PAIN TREATMENT12

– Failure to make pain management a high priority
– Lack of a systematic and collaborative approach
  to pain assessment and management
– Absence of accountability for pain management
– Lack of organized pain management teams
– Inadequate reimbursement for pain management
– Regulations and/or legislation that restricts access
  to needed treatment such as the prescribing and
  dispensing of controlled substances
            MEDICATION ADHERENCE

• Medication adherence is an important components
  of appropriate pain management.
   – Nearly three out of four Americans report that they
     do not always take their medications as directed.13
   – Failure to take medications as instructed is not just
     an individual’s problem; it impacts everyone – as
     patients, caregivers, employers, health care
     practitioners, researchers, and taxpayers.
       MEDICATION SAFETY (1/2)

– Some medications have special storage
  instructions, such as keeping out of the heat or
  light. Also, it may be important to safeguard
  medications from those for whom they are not
  prescribed.
– The National Council on Patient Information and
  Education (NCPIE) has developed a resource with
  information on medication safety and storage in
  addition to other safety issues, accessible at
  http://www.learnaboutrxsafety.org/.14
        MEDICATION SAFETY (2/2)

– Medicines should be disposed of properly to avoid
  harm. According to the Food and Drug
  Administration (FDA), almost all medicines can be
  thrown away in the household trash after mixing
  them with some unpalatable substance (e.g.,
  coffee grounds) and sealing them in a container.
  However, some medicines have special disposal
  instructions. You can find this document at
  http://www.fda.gov/downloads/Drugs/ResourcesForYou/Con
  sumers/BuyingUsingMedicineSafely/UnderstandingOver-
  the-CounterMedicines/ucm107163.pdf.15
 MEDICATION ADHERENCE, SAFETY,
  STORAGE AND DISPOSAL GOALS

– Common goals for improving medication
  adherence, safety, storage and disposal are
  through patient information and education, health
  professional intervention, and supportive
  government policies.
– The Bottom Line: People in pain have a right to
  timely and appropriate pain care.
[PERSISTENT PAIN INTERFERES WITH
         EVERYDAY LIFE]
[ACUTE VS. PERSISTENT PAIN]
[CAUSES OF PAIN]
[IMPORT STATISTICS FROM RESOURCES
             SECTION]
[WHAT AND HOW TO COMMUNICATE]
             QUESTIONS TO ASK
           YOUR HEALTH CARE TEAM

•   What is causing my pain?
•   What can be done to make it better?
•   What can I do to help manage my pain?
•   What is the treatment plan?
•   Please tell me about the medications you prescribed
    for me:
    –   What are the medications for and when do I take them?
    –   What effects should I expect?
    –   What should I do if I have side effects?
    –   What if the medicine does not help?
• I would like to discuss setting the goals for my
  treatment plan.
          PAIN MANAGEMENT TIPS

• Take an active role in seeking treatment
• Work with your health care professional to develop a
  program
• Set pain management goals and follow through
• Maintain a balanced lifestyle
• Seek and accept support
• Reinforce your positive attitude and accomplishments
    HOW FRIENDS AND FAMILY CAN HELP

•   Ask about his/her pain
•   Listen to and believe his/her reports of pain
•   Run errands and help around the house
•   Work with him/her to set pain management goals
•   Help him/her to remain positive
•   Ensure he/she maintains a balanced lifestyle
•   Encourage him/her to find support
LOCAL RESOURCES
THANK YOU!

				
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