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Pharmacologic Management of Persistent Pain in Older Persons

Release Date: 6/21/2010      Expiration Date: 6/20/2011

Program Description:
The program is designed to provide a balanced overview of current concepts in management of persistent pain in older adults, an increasingly common condition. The complex and atypical manifestations of pain in older adults make it a challenging condition to appropriately assess and treat.

Target Audience:
This program is intended for geriatricians and other health professionals dedicated to improving the health, independence and quality of life of all older people, including, but not limited to: primary care physicians (geriatricians, internists, family medicine), physician assistants, nurse practitioners, and pharmacists.

Learning Objectives:

At the end of this activity, participants will be able to:

  1. Utilize the AGS's Persistent Pain Guideline to assess pain in older patients, including those with cognitive impairment.

  2. Discuss the AGS Guideline's recommendations for the use of non-opioid analgesics, including acetaminophen and nonsteroidal anti-inflammatory drugs in treating persistent pain and outline the risks of chronic NSAID use in older persons.

  3. Discuss opioid options, when to transition, and issues of concern in various settings and circumstances.

Continuing Education

Accreditation:
The American Geriatrics Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Continuing Medical Education:
The American Geriatrics Society designates this educational activity for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Estimated Time to Complete: 1 hour

Disclosure of Financial Interests
As an accredited provider of Continuing Medical Education, the American Geriatrics Society continuously strives to ensure that the education activities planned and conducted by our faculty meet generally accepted ethical standards as codified by the ACCME, the Food and Drug Administration, and the American Medical Association's Guide for Gifts to Physicians. To this end, we have implemented a process wherein everyone who is in a position to control the content of an education activity has disclosed to us all relevant financial relationships with any commercial interests as related to the content of their presentations and under which we work to resolve any real or apparent conflicts of interest.

Faculty conflicts of interest in this particular CME activity have been resolved by having the presentation content independently peer reviewed by a member of the Annual Meeting Program Committee. The existence of commercial or financial interests of speakers related to the subject matter of their presentations should not be construed as implying bias or decreasing the value of their presentations. However, disclosure should help participants form their own judgments.

All speakers were independently selected by the organizing committee. Those speakers who disclosed affiliations or financial interests with commercial interests involved with the products or services to which they may refer are listed below. We have also noted if a speaker has indicated that s/he will be discussing a commercial product or an off-label or investigational use.

The following faculty (and/or their spouses/partners) have reported real or apparent conflicts of interest that have been resolved through a peer review content validation process.

F. Michael Gloth, III, MD
Dr. Gloth receives research support from Merck, and serves as a consultant to Novartis, Wyeth, and Endo. He is a member of the Speakers Bureau for Novartis, Wyeth, Endo, Roche, GSK, Merck, MER, and receives royalties and other financial support from Humana Press (Springer), DiaMedica Publishing, and HCR Manor Care.

James D. Katz, MD
Dr. Katz receives research support from UCB

The following faculty have returned disclosure forms indicating that they (and/or their spouses/partners) have no affiliation with, or financial interest in, any commercial interest that may have direct interest in the subject matter of their presentation(s):

Bruce A. Ferrell, MD
Keela Herr, PhD, RN
Annie Medina Walpole, MD (Program Committee Representative and CME Reviewer)

Support Statement:
This CME activity is supported by an educational grant from Pricara, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc., administered by Ortho-McNeil Janssen Scientific Affairs, LLC.

Method of Participation:
There are no fees for participating in and receiving credit for this online educational activity. The participant should, in order, read the objectives and faculty disclosures, complete the multiple-choice pre-test, study the educational content online, answer the multiple-choice post-test and complete the evaluation. CME certificates will be emailed approximately 6 to 8 weeks after receipt of completed post-test and evaluation.

Hardware/Software Requirements:
This program requires that you have Adobe Reader installed on your computer.

Provider Contact Information:
For questions regarding the content of this activity or for technical assistance, contact Dennise McAlpin at dmcalpin@americangeriatrics.org or by phone at 212-308-1414.

Policy on Privacy and Confidentiality:
The American Geriatrics Society respects and values your privacy and the confidentiality of the information you choose to share with us. We are committed to protection of this information and will assure your privacy when participating in CME activities on our Web site.

We've structured our Web site so that, in general, you can visit the site without identifying yourself or revealing any personal information. Once you choose to provide us personally identifiable information (any information by which you can be identified), you can be assured that it will only be used to support your relationship with the AGS. We do automatically collect internet tracking information.

Awareness
AGS provides this Online Privacy Statement to make you aware of our privacy policy and practices and of the choices you can make about the way your information is collected and used. To make this notice easy to find, we make it available on our homepage and from the bottom of every CME web page.

What we collect
Information collected when you are visiting our Web site: We may collect the following information:

  • The type of browser and operating system on which that browser is operating
  • The pages that were visited and the date and time of that visit

We use this data to better understand how our site is navigated and to modify and improve the site. We do not use cookies (a small line of text stored with your Web browser) on this site to track visitor's identification. We do use cookies however when you register for online CME. The cookies are used to remember that you have logged in to the web site. Since web page requests are stateless in that each request is a completely independent transaction something is needed to remember who you are between requests. No personal information is stored in the cookie. The session id is just a random string assigned each time you visit the portal and the id is an internal id assigned to you when you registered for a course online.

Information collected when you register: If you decide to register for one of our course offerings, we will collect personal information that you voluntarily share with us. This information is transferred using secure encryption technology.

In addition to using this data for registration and entry into our database, we may use this information to contact you with email updates when new material is posted to the site. We will only contact you if you indicate that you want to be notified. If you want to change your status regarding this notification at a later time, you can change it yourself on the registration page for Internet courses or you can contact us to change it.

We keep confidential any personal information that you provide to us. This information includes your name, postal and e-mail addresses, and telephone number. The personal information you provide is stored in a secure location and only authorized people are able to access it. We do not share our registrants information with other institutions, except as may be required by law. However, your name may be published in the list of registrants in the syllabus of the particular course for which you have registered.

If a fee is charged and registrants can pay online, we ask for credit card information. These transactions are encrypted before transmission over the internet.

Information collected when you participate in a CME activity: We ask participants to complete a knowledge test and we ask them to evaluate the CME activity providing feedback to us on the educational value of the activity.

How we use it
AGS uses your information to better understand your needs and provide you with better service. Specifically, we use your information to help you complete a transaction, to communicate back to you, to update you on service and benefits, and to personalize our web site for you.

Who we share it with
AGS will not sell, rent, or lease your personally identifiable information to others. Unless we have your permission or are required by law, we will only share the personal data you provide online with other entities and/or business partners who are acting on our behalf to complete the activities described above. Such entities and/or business partners, including those located in other countries, are governed by our privacy policies with respect to the use of this data.

Choice
AGS will not use or share the personally identifiable information provided to us online in ways unrelated to the ones described above without letting you know and offering you a choice.

Security
AGS is committed to ensuring the security of your information. To prevent unauthorized access, maintain data accuracy, and ensure the appropriate use of information, we have put in place appropriate physical, electronic, and managerial procedures to safeguard and secure the information we collect online. As described above, we use encryption when collecting or transferring sensitive data such as credit card information.

Change in Policy
As our internet site changes and grows, we may collect additional information or may use information in different ways. If our information practices change, we will modify this policy statement. When it does, we will post a notice on our home page to inform visitors of this change.

Links to other Web sites
We provide links to other Web sites that may have privacy policies that are different from ours and not affiliated with the American Geriatrics Society. We are not responsible for the content or privacy policies of those sites.

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