2005
Inside this issue….
1 A Word from the President
2 April Pain Tips
3 Certification Exam…
6 Plan to Attend…
6 “Interested in Joining”
6 “Our Sponsors”
A Word from the President…..
In the last issue of this
newsletter I mentioned one of the goals we need to review was becoming a more visible
presence in the community in order to let people know who we are and how we may
be able to help them. I made several suggestions and a brief discussion of this
goal was started at our March 3, 2005 meeting.
Have you given it hours of deep
thought? If so you are probably a recent retiree or a recent lottery
winner. I do hope you have or will give
this subject a few ponderous minutes. I (and the other chapter members who
attended) brought exciting news on this topic back from the recent ASPMN National
Conference.
In November 2003, the ASPMN-
Maryland chapter launched a POWER OVER PAIN Initiative. The developer of the
Power Over Pain Toolkit gave a report on the history of the development of the initiative
and their partnerships with the Maryland Pain Initiative and the American Pain
Foundation. This initiative is a vehicle for fighting the SILENT EPIDEMIC OF
UNDERTREATED PAIN, an epidemic we are all too familiar with. The premise of
this community initiative is that “the face of pain is hidden from the general
public eye” and that by holding meetings open to the community, people would
have the opportunity to share their pain experiences with others experiencing
pain or those sympathetic to their plight.
The goals of the Power - Over
- Pain initiative were to:
1) Promote a safe environment
for disclosure.
2) Give voice to the silent
pain public.
3) Clarify community-specific
barriers to access of pain management for a targeted population.
4) Allow for development of
solution-driven strategies that are focused, community-based and collaborative.
The ASPMN-Maryland chapter teamed up with
local churches and together with the ministers of the churches, chapter members
were able to help facilitate comforting and/or healing, as well as education on
community resources, through these meetings. They held eight meetings in 16
months. They were also able to identify and groom community-based advocates to
continue the process.
I will present more
information on the Power Over Pain Initiatives (other National Conference,
attendees feel free to jump in with comments during the meeting) and then open
it up to group discussion. The Power Over Pain Toolkit is free to any chapter
wanting to use it.
If you are unable to attend
May 19th, please email me for more information on this topic or give
me other ideas on making our chapter a presence in the community in order to
help those in pain. I hope to see you at our next meeting May 19th,
Thursday, at 5:30 PM in the Brown Room of Barnes-Jewish Hospital North.
Please email your ideas to me, Cathy Flasar cef7336@bjc.org or bring your ideas with you to our next meeting – May 19th, 2005. Details of the meeting are in this newsletter. B
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April Pain Tips |
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|
Pain Tips |
April 2005 |
Palladone®
On September 24, 2004 the FDA approved a new extended-release formulation of the narcotic hydromorphone, called Palladone®. This is the first extended-release hydromorphone product (or Dilaudid®) available in the US.
Palladone® capsules utilize a controlled-release melt extrusion technology in which pellets of active drug within the capsule slowly release hydromorphone over a 24 hour period. This formulation is marketed in four strengths: 12mg, 16mg, 24mg, and 32mg capsules.
Palladone® capsules are indicated for the management of persistently moderate to severe pain in patients requiring around-the-clock analgesia with a high potency opioid for an extended period of time . Palladone® is not indicated for prn use or when therapy of a short duration is required. Furthermore, it should not be initiated in opioid-naïve patients. Palladone® is only indicated for opioid-tolerant patients who are taking at least: 60mg of oral morphine, or 30mg of oxycodone, or 8mg of oral hydromor-phone daily (or equianalgesic amounts of other opioids) for 7 days or longer. Palladone®16mg daily is equivalent to Dilaudid® 4mg 4 times daily. Overestimating the dose when initiating therapy can result in a significant overdose.
Palladone® should be swallowed whole. Alcoholic beverages or
medications (elixirs) should be avoided since they can degrade Palladone’s® controlled release matrix &
significantly increase the drug’s blood levels. Likewise, if the medication is
broken, chewed, dissolved, or crushed, the controlled-release properties of the
drug will be compromised and inappropriately high amounts of hydromorphone
would be rapidly absorbed by the patient with potentially severe or fatal drug
toxicity.
Palladone® undergoes biphasic absorption with a rapid initial peak concentration followed by a second broader peak with levels stable over 24 hours. Absorption is not significantly affected when administered with food. It has a mean elimination half-life of 18 hours. Metabolism occurs by direct conjugation in the liver. Patients with mild to moderate renal dysfunction have slightly elevated drug levels when compared to patients with normal renal function. Elderly and debilitated patients are generally more sensitive to the drug & require more conservative dosing. Dose determination should be based on standard equianalgesic dose table recommendations and modification of recommended dose based on patient characteristics (medical condition, past drug history, co-morbid conditions, concurrent meds, & pain characteristics). Patients initiated on Palladone® should have frequent assessments of their pain needs with dosage adjustment no more frequently than q2-3 days. Patients should receive constipation prophylaxis & an immediate release product for breakthrough pain.
Common side effects include: constipation, nausea, dizziness, somnolence, & urinary retention. An FDA-approved patient information sheet is required to be dispensed with each out-patient Palladone® prescription.
Submitted: Stephen J. Schafers, PharmD, BCPS
Pain
Management Certification Exam
Starting October 15, 2005 staff nurses will be able
to take the Pain Management Certification Exam, offered by the American Nurses
Credentialing Center (ANCC).
The
American Society for Pain Management Nursing (ASPMN) and ANCC collaborated over
the past several years in development of this certification exam. A dozen
nurses were recruited to write questions for the exam. There are 175 questions.
Of these, 150 are scored questions and 25 are nonscored pretest questions.
Pretest questions are for data collection only and cannot be distinguished from
scored questions.
Categories
of questions are: Pathophysiology (18), Pain assessment (43), Interventions
(24), Side effects (17), Patient/Family Education and Counseling (17), and
Collaborative/Institutional Issues (31).
Questions test pain concepts across the life span and in specialty
populations (cognitively impaired, chemically sedated, addicted, pregnant
and/or culturally diverse).
A detailed test content
outline can be downloaded at the ANCC website (http://nursing(http://nursingworld.org).
Look for the Pain Management Certification Exam announcement.
The
exam is designed to test pain management knowledge above the staff nurse level,
but below that of advanced practice nurses and/or nurses who work in pain
clinics or centers.
Eligibility
criteria are:
-
Hold a diploma, associate, baccalaureate or higher degree in nursing.
-
Hold a current active RN license in one of the 50 states or its territories
-
Practice the equivalent of 2 years full-time as an RN in the US or its
territories
- Practiced
in a nursing role which involves aspects of pain management (e.g. pain
assessment and management, pain management education, pain research, etc.) at
least 2,000 hours in the three years prior to applying to take the exam; and
-
Have 30 hours of continuing education in the three years prior to applying to
take the examination, of which a minimum of 15 hours must be related to pain
management.
Pain
management certification review courses are currently scheduled for March 31,
2005 at the National ASPMN meeting in Albuquerque, NM. For more information go
to www.aspmn.org/
In
addition, the St. Louis Regional and Greater Kansas City Chapters of ASPMN have
scheduled a review course in September at Tan-Tar-A in Lake of the Ozarks: date
pending. Periodically access www.aspmnstlouisregional.org website for details.
Barnes-Jewish
College of Nursing and Allied Health (formerly Jewish Hospital College) also
offers an 8 week (four hours, one night a week) basic pain management course.
Call 314-454-7055 for more information.
Joan D. Wentz, MSN, RN
American Society of Pain Management Nurses
Fourth Annual Joint Conference
Greater Kansas City and St. Louis Regional Chapters
Tan-Tar-A Resort,
September 16 &17, 2005
Exhibit Space Application and Contract
This Application and Contract is by and between the
American Society of Pain Management Nurse Greater Kansas City and St. Louis
Regional Chapters (referred to as ASPMN) and the company listed below (referred
to as Exhibitor). ASPMN agrees to provide the Exhibitor the space/services
listed below:
Exhibit space @
$300.00 each
· Number of
booths required: ______
· 8’X10’
exhibit space with draped table, 2 chairs, and wastebasket.
· Food for
two (2) representatives: includes hospitality night, breakfast, lunch and
breaks.
· Recognition
in official conference program book.
___Electrical
Service available, check here if needed
Door prizes will be used for the ASPMN official prize drawings.
· Recognition
on site during prize drawings.
· Recognition
in official conference program book
· Prize
description:
______________________________
Please indicate any potential
exhibitor you DO NOT wish to be located near:
____________________________________________________
ADVERTISING OPPORTUNITIES
Advertising space is available in
ASPMN’s Second Annual Meeting program book. Advertising in the program book is
an excellent way to reinforce your presence as an exhibitor or sponsor; it is
also a great way to have a “presence” at the meeting if you are unable to
participate in other ways. Every participant receives a program book. Your ad
will remain visible long after the meeting is over!
Your advertisement is included in
the general information section of the program book (with the precise location
at the discretion of ASPMN). We must receive your artwork (black/white;
camera-ready; no bleeds) by Aug. 31, 2005 to include it in the program book. If
your advertisement requires stripping, re-shooting from negatives, color
separations, or any other shop services, we will be unable to accommodate your
needs.
· Finish size
for full-page artwork is 8” X 10.5” (vertical only), 133 line space
preferred. $100.00
· Finish size
for half-page artwork is 8” X 5” (horizontal only), 133 line space
preferred. $50.00
SPONSORSHIP OPPORTUNITIES
Sponsorship affords benefactors
increased visibility beyond exhibiting. ASPMN is pleased to provide
opportunities for corporate support of the annual meeting. There are a variety
of sponsorship opportunities available including:
1. Breakfast or
Lunch Symposium 4.Registration Support Materials
2. Speaker
Honorariums/lodging costs 5.
Refreshment Breaks
3.
Welcome Hospitality Room 6.
Door Prizes
Sponsors will receive free
exhibitor booth if sponsorship is greater than $250.00. Sponsors will receive
recognition in the official meeting program book, which is distributed to all
participants, there will be onsite recognition as well. If you are unable to
participate as a sponsor/exhibitor, but would like to support ASPMN’s
endeavors, we will find a way to accommodate you! Please note that partial
sponsorships are also available. For more information on arranging
sponsorships, please contact:
Charla Hess, Conference Co-chair or
Cathy Flasar, Conference Co-Chair
Greater Kansas City Chapter St. Louis Regional
Chapter
Char8891@aol.com Cef7336@bjc.org
Company Name________________________________________________
Contact Person______________________Title______________
Address______________________________________________________
City_______________________
State_________ Zip__________
Phone
_____________________Fax________________________
E-mail________________________________________________
Brief
description of product/service to be displayed ___________________ ________________________________________________________________________________________________________________________
The Exhibitor agrees to abide by
the terms of this contract, and any applicable provisions under ASPMN’s
agreement with the management of the Hotel, all of which are made a part of
this contract by reference and full incorporated herein. The Exhibitor assumes the entire
responsibility and liability for losses, damages and claims arising out of
injury or damage to exhibitor’s displays, equipment and other property brought
upon the premises of the hotel. The Exhibitor shall indemnify and hold harmless
the Tan-Tar-A Resort, its agents, servants, and employees, and ASPMN from any
and all such losses, damages, and claims.
NOTE: Cancellations and requests for refunds must
be received in writing forty-five (45) days prior to the opening date of
exhibits. If these requirements are met, fifty (50%) perscent of the exhibit
fee will be refunded after the conference.
All exhibits fees are due
forty-five (45) days prior to the conference.
The individual signing on behalf of
the Exhibitor warrants that he/she is authorized to do so.
Authorized
Signature:___________________________________ Date______________
Payment: ___Check Enclosed Check #_______
Please make check payable to GKCC
ASPMN
Our EIN is 38-3660421
Contact Charla Hess (Char8891@aol.com) with any questions about
exhibiting or completing this form.
Booth assignments will be made in the order received; with premium
locations going to the companies whose applications/contract are received
first. We would appreciate the courtesy of receiving your application at least
forty-five (45) days before the opening date of exhibits. After that date, booths
will be available as space allows. All exhibit fees are due forty-five (45)
days prior to conference or you booth may be reassigned. Thank you for being a
part of the ASPMN Joint Conference!
Please complete & return this form to:
GKCC ASPMN
Pain Management Certification Exam Offered by ANCC
For the content
outline of the Pain Management Certification Exam to be offered by ANCC, go to: http://nursingworld.org/ancc.certification/cert/exams/tcos/56painmgmttco.html
The exam will be offered
Oct 15, 2005. The exam is NOT only for nurses whose specialty is pain
management, but for STAFF nurses who routinely care for patients with
pain. The test questions are written to test pain knowledge that is beyond
the generic staff nurse, but NOT into the advance practice or specialty
nurse realm.
If
they read McCaffery and Pasero's book and the APS booklet, understand
it and internalize the contents...they should pass without
difficulty.
Come Join Us…
St. Louis Regional-
ASPMN Chapter Meeting
Brown
Room of
The Duragesic
rep is Kyle Boehler, and Kerry Dangos is with Rehabilicare, who will be
speaking on new trends in TENS therapy.
5:30 dinner, 6 PM presentation, finally chapter business.
Bring a friend who might be interested in joining!
For more
information email Cathy Flasar cef7336@bjc.org orJoan Wentz @ jdomigan@aol.com or Dorothy
Stratman-Lucey @ Dlucey@shrinenet.org.B
Raffle
tickets…
Available for distribution to Chapter members at the May meeting.
Raffle
prizes are:
- Night
for two at the Chase Park Plaza Hotel, and this includes movie tickets!
- Mother
Earth Pillow gift (worth $150)
- Dinner
for two at Lombardo's ($75)
- Dinner
for two at Bella Melano's, ($50)
- Basket
of books
ASPMN
National 20th Annual Conference
March
31-
For
details go to: www.aspmn.org or
call
888.34ASPMN.
“Get Your Life Back”
At The Marriott In Overland Park, Kansas
This will be one of the largest events ever
dedicated to the discussion of fibromyalgia/chronic fatigue syndrome and more
importantly to reversing these conditions. Attendees will participate in two
days of lectures followed by questions and answers featuring the brightest
minds in FM/CFS treatment. You will be able to network with patients and
healthcare providers from treatment centers around the nation.
Speakers and topics include:
· Jacob Teitelbaum, MD: "Effective
Treatment of CFS, Fibromyalgia and Pain – How to Get Well NOW!"
· Kent Holtorf, MD: “The Hypercoagulable
State, Neurotoxins & Heavy Metals”
· Stephen C. Gradwohl, DC: “Optimal Health
Through Enzyme Therapy”
· David Yoo, DC, TCM, Dipl. Ac.: “Medical
Acupuncture – A Scientific Approach”
Oram Miller, BBEI, (Building
Biology Environmental Inspector): “Is Your House Making You Sick?"
For further
information:
visit www.fibrocoalition.org
or call 877-376-4673
---------------------------Know of any
upcoming events????…
We want to hear from you!!!!!
Please submit any seminars, meetings or
workshops related to pain and pain management, by email to Davey Voss @ dvoss@blessinghospital.com
Information to include:
Date, time, location, event name, a description of your event, and phone # to call for more information.
----------------------------------------------------
Interested in joining St. Louis Regional Chapter of
ASPMN??
Contact:
Cathy Flasar cef7336@bjc.org
Joan Domigan Wentz- jdomigan@aol.com
Phone-314.454.7063 (work)
Dorothy Stratman-Lucey- dlucey@shrinenet.org
Phone-314.432.3600 (work)
Davey Voss- dvoss@blessinghospital.com
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