Saturday, April 28 (29)


7:30 am - 5 pm Registration Open

10 - 11:30 am Resource Center Open

9:15-10:15 am

The Conundrum of Acute Hospital Opioid Management: Treatment Challenges, Discharge Opportunities, and Balancing Compassionate Care While Decreasing Harm (301)

Managing patients’ pain levels during hospitalization presents many challenges. Some patients may be naïve to opioids while others are habituated to them, making it difficult to appropriately regulate individual patients’ doses. As patients prepare to leave the hospital, clinicians must decisions about discharge prescriptions. Utilizing case-based scenarios, this session will address these challenges of acute hospital opioid management and provide solutions for balancing compassionate care while decreasing potential harm.

Acute Pain Care in a Complex World: The Harborview Medical Center Experience

Ivan K. Lesnik, MD

The Role of Acute Care Prescribing in the Opioid Epidemic

Chad M. Brummett, MD

Learning Objectives:

  • Implement strategies in their hospital to reduce the amount of opioids prescribed during the hospitalization, upon discharge and for ongoing, chronic use in the community.
  • Identify patients hospitalized with pain for history of substance use, misuse, and/or abuse in order to provide more individualized treatment plan.
  • Provide clinical recommendations or treatment for hospitalized patients that need alternative management of pain due to their history of prior substance misuse/abuse.
9:15–10:15 am

Urine, Oral Fluid, or Serum? Interpretation of Interactive Case Studies Using Point of Care (POC) and Laboratory-Based Tests (302)

Urine, oral fluid, or serum drug testing is commonly incorporated into the management of pain patients. This session discusses the advantages and limitations of these tests using interactive case studies to directly apply this knowledge to correctly interpret patient test results.

Understanding and Interpreting Oral Fluid Testing in Pain Management Patients

Paul J. Jannetto, PhD

Understanding and Interpreting Urine Testing in Pain Management Patients

Robin J. Hamill-Ruth, MD

Understanding and Interpreting Serum Testing in Pain Management Patients

Loralie J. Langman, PhD

Learning Objectives:

  • Integrate urine, serum, and/or oral fluid drug testing to support the treatment and monitoring of pain management patients.
  • Describe the advantages and limitations of urine, serum, and oral fluid drug tests for pain management patients.
  • Interpret urine, serum, and oral fluid drug testing results from pain management patients.
9:15–10:15 am

Not All Headaches Are Migraines! A Practical Approach to Cranial Neuralgias, Unilateral, and Medication Overuse Headaches (303)

Not all unilateral headaches are migraine. Correct treatment depends on correct diagnosis. This session focuses on the diagnostic approach to unilateral headache and an evidence based treatment approach to non-migrainous unilateral headaches including cranial neuralgias. The challenge of successful management of medication overuse headache will also be addressed.

A Practical Approach to Cranial Neuralgias

James C. Watson, MD

Non-Migrainous Unilateral Headache

Alexander Feoktistov, MD PhD

Successful Management of Medication Overuse Headache

Zahid H. Bajwa, MD

Learning Objectives:

  • Describe the diagnostic approach to unilateral headaches and an evidence-based pharmacologic and interventional treatment approach to non-migrainous unilateral headache.
  • Identify the pathophysiology and classification of trigeminal neuralgia and other facial pain conditions.
  • Describe an evidence based algorithmic approach to the treatment options for patients with trigeminal neuralgia: pharmacological, interventional, and surgical.
  • Recognize the causes of chronic daily headache, with an emphasis on medication overuse, and an evidence based pharmacologic and behavioral approach to treatment.
10:15–11:30 am

Networking Break

Attendees are encouraged to take advantage of the final opportunity to visit exhibits and see scientific posters (Group 2) in the Resource Center.

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