Substance Use and Pain: How can we best approach care?

The United States is in the midst of the opioid epidemic which has claimed more lives in 2021 than in any previous year.  The epidemic is being fueled by potent synthetic opioids and at the same time a rising use of methamphetamine with more dangerous sequelae due to the changes in production.  Nurses in all settings will care for individuals who may be experiencing pain but also may be using substances that jeopardize their health. In this session an overview of approaches to pain management will be outlined.  The presenter will describe the use of trauma-informed care and harm reduction principles as a basis for providing compassionate care to this vulnerable population.

Learning Objectives:  At the conclusion of this presentation, learners will be able to:

1.     Describe substance use disorders and relation to pain

2.     Gain insight into relevance of trauma-informed care in the health care setting

3.     Discuss elements of harm reduction relevant to work with patients across the continuum

4.     Describe general approaches utilized to manage pain in the setting of comorbid substance use disorder

Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN, FAANP

Kathleen Broglio is an associate professor of medicine at Geisel School of Medicine at Dartmouth College and a nurse practitioner in palliative medicine at Dartmouth Hitchcock Medical Center. Her studies have included the prevalence of opioid risk in oncology; cannabis use in palliative medicine; implementation of opioid management guidelines in palliative care; and interprofessional education in palliative and hospice. Kathleen’s clinical care focuses on complex pain management and treatment of substance use disorder in patients with serious illness. She mentors clinicians, lectures and has published on the treatment of pain in the setting of risks for substance use disorder. Her experience includes acute and chronic pain management; and acute, ambulatory, and home-based palliative care. She completed her Doctorate in Nursing Practice at New York University; a Palliative Care Fellowship at Beth Israel Medical Center, New York; a master’s in nursing at University of Washington, Seattle; a bachelor’s in nursing at University of Hawaii; and a bachelor’s in economics at University of Maryland.

CRNI® RUs: This session has been approved for 2 CRNI® recertification units and meets the non INS Meeting criteria.

Contact Hours: This session has been approved for 1 contact hour

Expiration date for receipt of contact hours: August 16, 2025

To receive contact hours for this educational activity, you are required to attend the entire educational activity and complete the evaluation.

The Infusion Nurses Society is approved as a provider of continuing nursing education by the California Board of Registered Nursing, provider #CEP14209. The certificate must be retained by the attendee for a period of 4 years.

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