Opioid Addiction: Challenging Cases in Diagnosis, Treatment, and Prevention

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Getting Started

Read all the information presented below. When ready select the "Introduction / Case One" tab above.

Claiming CME/CE Credits

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better.

System Hardware/Software and Internet Connection Requirements

The following information is provided for your reference in conjunction with review of this program.

General System and Internet Requirements:  Speakers or Headphones, High Speed Internet connection, Wireless 3G and 4G.
Web browsers: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher and Chrome.

Operating Systems:  Windows 2000 or higher, (MS Surface and other MS mobile devices compatible), MAC OSX 10.3 or higher, Mac iOS 5.0 or higher (iPad, iPhone compatible), Android 4.3 or higher (most Android mobile devices compatible).

Effective Date: June 19, 2018
Expiration Date: June 19, 2021
Format: Self Instructional - Audio Visual Voice-Over with Slides
Maximum Credits: 1.0 AMA PRA Category 1 CME Credit™ , 1.0 Nursing Contact Hours (1.0 Pharmacotherapeutic Hours), 1.0 Pharmacy CE (Knowledge Based)
Estimated Completion Time: 1 hour

It is estimated that each day more than 1000 people are treated in emergency departments for not using prescription opioids as prescribed. Combine this with illicit drug use and the cost of treatment and productivity losses related to addiction and we have a current epidemic costing Americans over 500 billion dollars and rising.

This interactive course will give the participant the resources and tools necessary to identify, educate and treat opioid tolerant and opioid addicted patients in primary care. We will cover the pathophysiology of opioids and their receptors, then we will transition to discussing tolerance vs. withdrawal and addiction. We will also review overdose antagonist medications, medication assisted treatments as well as briefly discuss new treatments and research on the horizon.

Target Audience & Cost

This program is intended for Primary Care Physicians, Physician Assistants, Nurse Practitioners, Nurses, Pharmacists and Other Health Care Professionals.

Fee: $30.00

Outcome Objectives

Upon completion of this CME/CE activity healthcare provider will be able to:

  1. Describe the pathophysiology of opioid receptors in the dopamine reward pathway and how different opioids and opioid antagonists interact and bind to these receptors.
  2. Describe the common clinical features of chronic opioid abuse and suspected opioid withdrawal including appropriate diagnostic work-up.
  3. Discuss the current best practice treatment options for suspected opioid overdose including routes of administration and formulations as well as medication assisted treatment options.
  4. Identify new or emerging areas of research and treatment options 
for opioid dependence including pharmacologic and psychosocial strategies.

Authored and Presented by

Christine Mintz, MD

Christine is a research physician with an interest in addiction, public policy and education. She has worked in clinical trial design and implementation as well as novel and emerging patient monitoring systems and patient assessment protocols.

Co Authored by

Jeanette M. Dunn, RN, MSN, EdD

Jeanette is an educator, consultant, medical publisher, international lecturer, and nurse entrepreneur. Dr. Dunn has authored and published books on Trauma, Nutrition, HIV/AIDS, Newsletters, and Research monographs. She has been involved in education of nurses and physicians for 40 years, has lectured in 22 countries, and set up schools of nursing in six.

Conflict of Interest Disclosure Policy

It is the policy of the Foundation for Care Management (FCM) to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. FCM requires everyone in a position to control the content of this activity to disclose any relevant financial conflicts of interest they may have as related to the content of this activity and having occurred within the last 12 months. The faculty must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned. All identified conflicts of interest are thoroughly vetted by FCM for fair balance, scientific objectivity of studies mentioned in the material or used as the basis for content, and appropriateness of patient care.

“A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients.”

Disclosures

Faculty:

Christine Mintz, MD, has no financial interest in any of the products or manufacturers mentioned.

Jeanette M. Dunn, RN, MSN, EdD, has no financial interest in any of the products or manufacturers mentioned.

FCM’s Planning Committee:

Jeanette M Dunn, RN, MSN, EdD, Lead Nurse Planner; Christine Mintz, MD, content expert; Lisa Chamberlain, PharmD, have no financial interest in any of the products or manufacturers mentioned.

Accreditation

AMA PRA Category 1 Credit(s)™

Accreditation Statement: The Foundation for Care Management (FCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for Physicians.

Designation Statement: FCM designates this educational activity for a maximum of 1.0 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of the participation in the activity.

CE for Pharmacists

Accreditation Statement: ACPE Logo The Foundation for Care Management is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Program # 0347-0000-15-019-H01-P. All objectives are appropriate for pharmacists
* This CE activity is knowledge-based.

CE for Nurses

Accreditation Statement: The Foundation for Care Management is an approved provider of continuing nursing education by the Western Multi-State Division (WMSD), Approver of Continuing Nursing Education an accredited approver by the American Nurses Credentialing Center’s Commission (ANCC) on Accreditation.

Method of Participation/Criteria for Success

To receive CME/CE credits, participants must review the program materials in their entirety and complete the online post examination and evaluation with a score of 70% or better. A statement of credit will be available for printing upon successful completion.

If you have questions about this CME/CE activity, please contact FCM at debbiedunn@FCMcme.org.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Privacy and Confidentiality Policy

To view our privacy policy click the link provided. http://www.fcmcme.org/privacystatement.aspx