SlideShare ist ein Scribd-Unternehmen logo
1 von 50
Christian Sinclair, MD Kansas City Hospice  & Palliative Care Opioids April 22, 2010
DISCLAIMER ,[object Object],[object Object]
Creative Commons ,[object Object]
 
PAIN SUFFERING
Individual
Assess Treat
Individual
Acheivable
Assess
Treat
 
 
 
 
Listen
 
Narcotic
 
Opioid Receptors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
Chronic Opioid Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Components of Opium
Name Your Opioids ,[object Object],[object Object],[object Object]
Codeine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Propoxyphene ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hydrocodone ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
 
[object Object]
Morphine
OMED
3:1
3:1 75mg: 25mcg/hr
 
 
 
12 Or 12.5
Fentanyl Patch
 
Oxycodone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone
 
Avoid Demerol
Christian Sinclair, MD [email_address]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object]

Weitere Àhnliche Inhalte

Andere mochten auch

УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸ
УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸĐŁĐżŃ€Đ°ĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸ
УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸAnna Grinenko
 
Internet of everything
Internet of everything Internet of everything
Internet of everything Jayesh Pai
 
Sinclair end of-life presentation 1a (1)
Sinclair end of-life presentation 1a (1)Sinclair end of-life presentation 1a (1)
Sinclair end of-life presentation 1a (1)Christian Sinclair
 
iPads special needs learning
iPads special needs learningiPads special needs learning
iPads special needs learninglnash
 
31210 A5 Port Sign Brochure V12
31210 A5 Port Sign Brochure V1231210 A5 Port Sign Brochure V12
31210 A5 Port Sign Brochure V12doddy990
 
National simultaneous story time
National simultaneous story timeNational simultaneous story time
National simultaneous story timelnash
 
Ewasko Galleries: Interiors
Ewasko Galleries: InteriorsEwasko Galleries: Interiors
Ewasko Galleries: InteriorsTommy Ewasko
 
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°Anna Grinenko
 
New Scheme Teachers Workshop Catholic Education Diocese of Parramatta
New Scheme Teachers Workshop Catholic Education Diocese of ParramattaNew Scheme Teachers Workshop Catholic Education Diocese of Parramatta
New Scheme Teachers Workshop Catholic Education Diocese of Parramattalnash
 
2011 04 13 hpm tweetchat transcript
2011 04 13 hpm tweetchat transcript2011 04 13 hpm tweetchat transcript
2011 04 13 hpm tweetchat transcriptChristian Sinclair
 
EMF Forms Introduction
EMF Forms IntroductionEMF Forms Introduction
EMF Forms IntroductionAkira Tanaka
 
iPads in Education QLD study tour
iPads in Education QLD study touriPads in Education QLD study tour
iPads in Education QLD study tourlnash
 
Graduates
GraduatesGraduates
Graduatestadewald
 
Make up test 8 9
Make up test 8 9Make up test 8 9
Make up test 8 9Evelin Peña
 
LW SOQ
LW SOQLW SOQ
LW SOQjhorneman
 
Social Media In Palliative Care Communities 1 of 3 - Smith
Social Media In Palliative Care Communities 1 of 3 - SmithSocial Media In Palliative Care Communities 1 of 3 - Smith
Social Media In Palliative Care Communities 1 of 3 - SmithChristian Sinclair
 
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«Akira Tanaka
 

Andere mochten auch (19)

УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸ
УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸĐŁĐżŃ€Đ°ĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸ
УпраĐČĐ»Đ”ĐœĐžĐ” Đ·ĐœĐ°ĐœĐžŃĐŒĐž про Ń€Đ°Đ·Ń€Đ°Đ±ĐŸŃ‚ĐșĐ” ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ Đ“Đ§ĐŸ
 
Internet of everything
Internet of everything Internet of everything
Internet of everything
 
Sinclair end of-life presentation 1a (1)
Sinclair end of-life presentation 1a (1)Sinclair end of-life presentation 1a (1)
Sinclair end of-life presentation 1a (1)
 
iPads special needs learning
iPads special needs learningiPads special needs learning
iPads special needs learning
 
31210 A5 Port Sign Brochure V12
31210 A5 Port Sign Brochure V1231210 A5 Port Sign Brochure V12
31210 A5 Port Sign Brochure V12
 
National simultaneous story time
National simultaneous story timeNational simultaneous story time
National simultaneous story time
 
Ewasko Galleries: Interiors
Ewasko Galleries: InteriorsEwasko Galleries: Interiors
Ewasko Galleries: Interiors
 
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°
ĐœĐ”Ń‚ĐŸĐŽĐžĐșĐ° ŃĐŸĐżŃ€ĐŸĐČĐŸĐ¶ĐŽĐ”ĐœĐžŃ ĐżŃ€ĐŸĐ”ĐșŃ‚ĐŸĐČ ĐłĐŸŃŃƒĐŽĐ°Ń€ŃŃ‚ĐČĐ”ĐœĐœĐŸ-Ń‡Đ°ŃŃ‚ĐœĐŸĐłĐŸ ĐżĐ°Ń€Ń‚ĐœĐ”Ń€ŃŃ‚ĐČĐ°
 
I am the guard
I am the guardI am the guard
I am the guard
 
New Scheme Teachers Workshop Catholic Education Diocese of Parramatta
New Scheme Teachers Workshop Catholic Education Diocese of ParramattaNew Scheme Teachers Workshop Catholic Education Diocese of Parramatta
New Scheme Teachers Workshop Catholic Education Diocese of Parramatta
 
2011 04 13 hpm tweetchat transcript
2011 04 13 hpm tweetchat transcript2011 04 13 hpm tweetchat transcript
2011 04 13 hpm tweetchat transcript
 
EMF Forms Introduction
EMF Forms IntroductionEMF Forms Introduction
EMF Forms Introduction
 
iPads in Education QLD study tour
iPads in Education QLD study touriPads in Education QLD study tour
iPads in Education QLD study tour
 
Graduates
GraduatesGraduates
Graduates
 
Make up test 8 9
Make up test 8 9Make up test 8 9
Make up test 8 9
 
LW SOQ
LW SOQLW SOQ
LW SOQ
 
Social Media In Palliative Care Communities 1 of 3 - Smith
Social Media In Palliative Care Communities 1 of 3 - SmithSocial Media In Palliative Care Communities 1 of 3 - Smith
Social Media In Palliative Care Communities 1 of 3 - Smith
 
Friend
FriendFriend
Friend
 
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«
Eclipse modeling ć‹‰ćŒ·äŒš ăŻă˜ă‚ă«
 

Ähnlich wie Opioid review

Opioid free Emergency Department?
Opioid free Emergency Department?Opioid free Emergency Department?
Opioid free Emergency Department?SCGH ED CME
 
EMS - Street Drug Review 2008 1 hour
EMS - Street Drug Review 2008 1 hourEMS - Street Drug Review 2008 1 hour
EMS - Street Drug Review 2008 1 hourRobert Cole
 
Cc Juv 03 2008
Cc Juv 03 2008Cc Juv 03 2008
Cc Juv 03 2008guest2279bfb2
 
Opioids agonists and antagonists
Opioids agonists and antagonistsOpioids agonists and antagonists
Opioids agonists and antagonistsMahendraPrajapati22
 
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-Opioids
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-OpioidsIVMS-CNS Pharmacology- Intro to Drugs of Abuse II-Opioids
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-OpioidsImhotep Virtual Medical School
 
Typical antipsychotics
Typical antipsychoticsTypical antipsychotics
Typical antipsychoticsDr. Bappa Azizul
 
DRUG REPUROSING SEMINAR.pptx
DRUG REPUROSING SEMINAR.pptxDRUG REPUROSING SEMINAR.pptx
DRUG REPUROSING SEMINAR.pptxRiya Gagnani
 
Anticholinergic pharmacology
Anticholinergic pharmacologyAnticholinergic pharmacology
Anticholinergic pharmacologyNunkoo Raj
 
Treatment of Different Types of Pain.pdf
Treatment of Different Types of Pain.pdfTreatment of Different Types of Pain.pdf
Treatment of Different Types of Pain.pdfAarifa Munny
 
Schizophrenia and Psychosis: Antipsychotics
Schizophrenia and Psychosis: AntipsychoticsSchizophrenia and Psychosis: Antipsychotics
Schizophrenia and Psychosis: AntipsychoticsPranav Sopory
 
Drugs - Use, Misuse and Abuse
Drugs - Use, Misuse and AbuseDrugs - Use, Misuse and Abuse
Drugs - Use, Misuse and AbuseVenkateswaramurthy N
 
Pharma star notes for prometric pharmacy specialist.pdf
Pharma star notes for prometric pharmacy specialist.pdfPharma star notes for prometric pharmacy specialist.pdf
Pharma star notes for prometric pharmacy specialist.pdfssuserc028cd
 
lec 7b Use of Opioids in Pain Management.pptx
lec 7b Use of Opioids in Pain Management.pptxlec 7b Use of Opioids in Pain Management.pptx
lec 7b Use of Opioids in Pain Management.pptxKipronoKeitanyTimoth
 
Manikandan_antiemetics
Manikandan_antiemeticsManikandan_antiemetics
Manikandan_antiemeticsFlavio GuzmĂĄn
 

Ähnlich wie Opioid review (20)

Opioid free Emergency Department?
Opioid free Emergency Department?Opioid free Emergency Department?
Opioid free Emergency Department?
 
Psychopharmacology prof satya
Psychopharmacology prof satyaPsychopharmacology prof satya
Psychopharmacology prof satya
 
EMS - Street Drug Review 2008 1 hour
EMS - Street Drug Review 2008 1 hourEMS - Street Drug Review 2008 1 hour
EMS - Street Drug Review 2008 1 hour
 
Cc Juv 03 2008
Cc Juv 03 2008Cc Juv 03 2008
Cc Juv 03 2008
 
Opioids agonists and antagonists
Opioids agonists and antagonistsOpioids agonists and antagonists
Opioids agonists and antagonists
 
Lect 2 Sedative-Hypnotic and Anxiolytic Drugs
Lect 2 Sedative-Hypnotic and Anxiolytic DrugsLect 2 Sedative-Hypnotic and Anxiolytic Drugs
Lect 2 Sedative-Hypnotic and Anxiolytic Drugs
 
Depression
DepressionDepression
Depression
 
Sedation
SedationSedation
Sedation
 
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-Opioids
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-OpioidsIVMS-CNS Pharmacology- Intro to Drugs of Abuse II-Opioids
IVMS-CNS Pharmacology- Intro to Drugs of Abuse II-Opioids
 
Typical antipsychotics
Typical antipsychoticsTypical antipsychotics
Typical antipsychotics
 
DRUG REPUROSING SEMINAR.pptx
DRUG REPUROSING SEMINAR.pptxDRUG REPUROSING SEMINAR.pptx
DRUG REPUROSING SEMINAR.pptx
 
Anticholinergic pharmacology
Anticholinergic pharmacologyAnticholinergic pharmacology
Anticholinergic pharmacology
 
Psychiatry 5th year, 6th lecture (Dr. Saman Anwar)
Psychiatry 5th year, 6th lecture (Dr. Saman Anwar)Psychiatry 5th year, 6th lecture (Dr. Saman Anwar)
Psychiatry 5th year, 6th lecture (Dr. Saman Anwar)
 
Toxicology
Toxicology Toxicology
Toxicology
 
Treatment of Different Types of Pain.pdf
Treatment of Different Types of Pain.pdfTreatment of Different Types of Pain.pdf
Treatment of Different Types of Pain.pdf
 
Schizophrenia and Psychosis: Antipsychotics
Schizophrenia and Psychosis: AntipsychoticsSchizophrenia and Psychosis: Antipsychotics
Schizophrenia and Psychosis: Antipsychotics
 
Drugs - Use, Misuse and Abuse
Drugs - Use, Misuse and AbuseDrugs - Use, Misuse and Abuse
Drugs - Use, Misuse and Abuse
 
Pharma star notes for prometric pharmacy specialist.pdf
Pharma star notes for prometric pharmacy specialist.pdfPharma star notes for prometric pharmacy specialist.pdf
Pharma star notes for prometric pharmacy specialist.pdf
 
lec 7b Use of Opioids in Pain Management.pptx
lec 7b Use of Opioids in Pain Management.pptxlec 7b Use of Opioids in Pain Management.pptx
lec 7b Use of Opioids in Pain Management.pptx
 
Manikandan_antiemetics
Manikandan_antiemeticsManikandan_antiemetics
Manikandan_antiemetics
 

Mehr von Christian Sinclair

Communication and Prognosis 2017
Communication and Prognosis 2017Communication and Prognosis 2017
Communication and Prognosis 2017Christian Sinclair
 
Hospice and Palliative Care Online: From clutter to curation
Hospice and Palliative Care Online: From clutter to curationHospice and Palliative Care Online: From clutter to curation
Hospice and Palliative Care Online: From clutter to curationChristian Sinclair
 
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Christian Sinclair
 
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Christian Sinclair
 
Before I Die - Advance Care Planning
Before I Die - Advance Care PlanningBefore I Die - Advance Care Planning
Before I Die - Advance Care PlanningChristian Sinclair
 
Social Media = Public Health
Social Media = Public HealthSocial Media = Public Health
Social Media = Public HealthChristian Sinclair
 
Radiation Therapy in Palliative Care Spring 2012
Radiation Therapy in Palliative Care Spring 2012Radiation Therapy in Palliative Care Spring 2012
Radiation Therapy in Palliative Care Spring 2012Christian Sinclair
 
Prolonged dying phase aahpm 2012
Prolonged dying phase aahpm 2012Prolonged dying phase aahpm 2012
Prolonged dying phase aahpm 2012Christian Sinclair
 
Prolonged dying phase handouts march 2012
Prolonged dying phase handouts march 2012Prolonged dying phase handouts march 2012
Prolonged dying phase handouts march 2012Christian Sinclair
 
2011 05 11 hpm tweetchat transcript
2011 05 11 hpm tweetchat transcript2011 05 11 hpm tweetchat transcript
2011 05 11 hpm tweetchat transcriptChristian Sinclair
 
2011 05 04 hpm tweetchat transcript
2011 05 04 hpm tweetchat transcript2011 05 04 hpm tweetchat transcript
2011 05 04 hpm tweetchat transcriptChristian Sinclair
 
2011 04 27 hpm tweetchat transcript
2011 04 27 hpm tweetchat transcript2011 04 27 hpm tweetchat transcript
2011 04 27 hpm tweetchat transcriptChristian Sinclair
 
2011 04 06 hpm tweetchat transcript
2011 04 06 hpm tweetchat transcript2011 04 06 hpm tweetchat transcript
2011 04 06 hpm tweetchat transcriptChristian Sinclair
 
2011 03 30 hpm tweetchat transcript
2011 03 30 hpm tweetchat transcript2011 03 30 hpm tweetchat transcript
2011 03 30 hpm tweetchat transcriptChristian Sinclair
 
2011 03 23 hpm tweetchat transcript
2011 03 23 hpm tweetchat transcript2011 03 23 hpm tweetchat transcript
2011 03 23 hpm tweetchat transcriptChristian Sinclair
 
2011 03 16 hpm tweetchat transcript
2011 03 16 hpm tweetchat transcript2011 03 16 hpm tweetchat transcript
2011 03 16 hpm tweetchat transcriptChristian Sinclair
 
2011 05 18 hpm tweetchat transcript
2011 05 18 hpm tweetchat transcript2011 05 18 hpm tweetchat transcript
2011 05 18 hpm tweetchat transcriptChristian Sinclair
 
2011 06 22 hpm tweetchat transcript
2011 06 22 hpm tweetchat transcript2011 06 22 hpm tweetchat transcript
2011 06 22 hpm tweetchat transcriptChristian Sinclair
 
2011 06 15 hpm tweetchat transcript
2011 06 15 hpm tweetchat transcript2011 06 15 hpm tweetchat transcript
2011 06 15 hpm tweetchat transcriptChristian Sinclair
 

Mehr von Christian Sinclair (20)

#PallimedValentines
#PallimedValentines#PallimedValentines
#PallimedValentines
 
Communication and Prognosis 2017
Communication and Prognosis 2017Communication and Prognosis 2017
Communication and Prognosis 2017
 
Hospice and Palliative Care Online: From clutter to curation
Hospice and Palliative Care Online: From clutter to curationHospice and Palliative Care Online: From clutter to curation
Hospice and Palliative Care Online: From clutter to curation
 
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
 
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
 
Before I Die - Advance Care Planning
Before I Die - Advance Care PlanningBefore I Die - Advance Care Planning
Before I Die - Advance Care Planning
 
Social Media = Public Health
Social Media = Public HealthSocial Media = Public Health
Social Media = Public Health
 
Radiation Therapy in Palliative Care Spring 2012
Radiation Therapy in Palliative Care Spring 2012Radiation Therapy in Palliative Care Spring 2012
Radiation Therapy in Palliative Care Spring 2012
 
Prolonged dying phase aahpm 2012
Prolonged dying phase aahpm 2012Prolonged dying phase aahpm 2012
Prolonged dying phase aahpm 2012
 
Prolonged dying phase handouts march 2012
Prolonged dying phase handouts march 2012Prolonged dying phase handouts march 2012
Prolonged dying phase handouts march 2012
 
2011 05 11 hpm tweetchat transcript
2011 05 11 hpm tweetchat transcript2011 05 11 hpm tweetchat transcript
2011 05 11 hpm tweetchat transcript
 
2011 05 04 hpm tweetchat transcript
2011 05 04 hpm tweetchat transcript2011 05 04 hpm tweetchat transcript
2011 05 04 hpm tweetchat transcript
 
2011 04 27 hpm tweetchat transcript
2011 04 27 hpm tweetchat transcript2011 04 27 hpm tweetchat transcript
2011 04 27 hpm tweetchat transcript
 
2011 04 06 hpm tweetchat transcript
2011 04 06 hpm tweetchat transcript2011 04 06 hpm tweetchat transcript
2011 04 06 hpm tweetchat transcript
 
2011 03 30 hpm tweetchat transcript
2011 03 30 hpm tweetchat transcript2011 03 30 hpm tweetchat transcript
2011 03 30 hpm tweetchat transcript
 
2011 03 23 hpm tweetchat transcript
2011 03 23 hpm tweetchat transcript2011 03 23 hpm tweetchat transcript
2011 03 23 hpm tweetchat transcript
 
2011 03 16 hpm tweetchat transcript
2011 03 16 hpm tweetchat transcript2011 03 16 hpm tweetchat transcript
2011 03 16 hpm tweetchat transcript
 
2011 05 18 hpm tweetchat transcript
2011 05 18 hpm tweetchat transcript2011 05 18 hpm tweetchat transcript
2011 05 18 hpm tweetchat transcript
 
2011 06 22 hpm tweetchat transcript
2011 06 22 hpm tweetchat transcript2011 06 22 hpm tweetchat transcript
2011 06 22 hpm tweetchat transcript
 
2011 06 15 hpm tweetchat transcript
2011 06 15 hpm tweetchat transcript2011 06 15 hpm tweetchat transcript
2011 06 15 hpm tweetchat transcript
 

KĂŒrzlich hochgeladen

Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Timevijaych2041
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
call girls in munirka DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïž
call girls in munirka  DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïžcall girls in munirka  DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïž
call girls in munirka DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïžsaminamagar
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 

KĂŒrzlich hochgeladen (20)

Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
call girls in munirka DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïž
call girls in munirka  DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïžcall girls in munirka  DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïž
call girls in munirka DELHI 🔝 >àŒ’9540349809 🔝 genuine Escort Service đŸ”âœ”ïžâœ”ïž
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 

Opioid review

Hinweis der Redaktion

  1. Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities
  2. Dame Cicely Saunders Physical Social Psychological Spiritual
  3. Genetic variation and response to morphine in cancer patients multidrug resistance-1 gene ( MDR-1 and COMT) Journal Cancer
  4. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  5. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  6. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  7. When using scales Simple, flexible, consistent, patient completed Location Type/Quality Bone, Soft Tissue, Neuropathic, Visceral Consider ‘Total Pain’ Concept
  8. Assess the pain Treat the underlying cause Individualize therapy Reassess the pain and the treatment 24 hour pain control is achievable Work with long-acting and short-acting meds
  9. Heat/Cold Massage Turning Physical/Occupation Therapy Music/Art Therapy Listening Meditation/guided imagery Cognitive behavioral therapy/biofeedback TENS
  10. http://flickr.com/photos/trevormorgan/393489807/
  11. http://flickr.com/photos/wisdoc/113675789/sizes/l/
  12. http://flickr.com/photos/limando/2085166716/sizes/o/
  13. Communication Interventions Validate presence and severity of pain Demonstrate pain can be adequately relieved Explain the origin of pain Find meanings in pain
  14. Paroxetine inhibits CYP2D6
  15. Paroxetine inhibits CYP2D6
  16. PO Morphine to IV Morphine PO Morphine to Fent Patch
  17. PO Morphine to IV Morphine PO Morphine to Fent Patch
  18. PO Morphine to IV Morphine PO Morphine to Fent Patch
  19. PO Morphine to IV Morphine PO Morphine to Fent Patch
  20. PO Morphine to IV Morphine PO Morphine to Fent Patch
  21. Address multidisciplinary approach to pain management Understand the assessment of pain and identify causes of pain Identify effective pain symptom management and various treatment modalities