Transcript APSA/SIA Pain Management Project

APSA/SIA Pain Management Project
Health Fair (Poster) Training
Adrienne Tran & Kathlyn Lim
Objective

Before Health Fair
◦ What to bring

During Health Fair
◦ Attract audiences
◦ Educate patients and answer their questions
◦ Do’s and Don’ts
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After Health Fair
◦ Evaluate yourself
Before the Health Fair
What to Bring to the Health Fair
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Get a good nights rest and review your
notes on pain management
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Remember to bring
◦ A copy of your intern license
◦ Your CPR card
◦ White coat with your USC name tag
During the Health Fair
Attract your audiences
Smile and be professional
 Ask simple questions to trigger their
interest

◦ Have you ever use Motrin or Tylenol?
◦ Do you know the difference between Motrin
and Tylenol?

Offer our prize if they can answer your
questions correctly
Once they are at our booth

You can answer specific questions they have
Or
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Teach them something they don’t know
◦ Present our poster tailoring to their interest
◦ Let’s get familiar with what is on the poster
What’s on our Poster??

Left panel
◦ What are the common types of pain

Middle panel
◦ How to prevent pain and manage pain
◦ Common OTC and Rx pain medication

Right panel
◦ Non-pharmacological therapy
◦ Resources
Common Types of Pain
There are many types of pain, but we are going to
focus the most common ones. They are:
◦ Headache
◦ Lower back pain
◦ Menstrual pain
◦ Osteoarthritis
Pain#1 Headache
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There are different types of headaches.
They are:
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Tension headache
Migraine headache
Sinus headache
Cluster headache (Rx only)
Most common type of headache is a
tension headache.
Pain#1 Headache
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Common triggers of a tension
headache are
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Stress
Anxiety
Depression
Fatigue
Emotional conflicts
Repressed hostility
Pain#1 Headache

OTC treatment options:
◦ Excedrin Tension Headache
 (APAP 500 mg/caffeine 60 mg)
◦ Tylenol
 (APAP 500 mg)
◦ Motrin or Advil
 (Ibuprofen 200 mg),
◦ Aleve
 (Naproxen 220 mg)
◦ Aspirin
 (acetylsalicylic acid 325 mg)
Pain#2 Lower Back Pain
Soreness or tightness of the lower back
 Possible causes are
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sedentary lifestyle
poor posture
improper shoes
excess body weight
poor mattresses
improper technique in lifting heavy objects
osteoarthritis
Pain#2 Lower Back Pain
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Treatment options:
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Rest
Ice or heat therapy
Massage
Motrin (Ibuprofen 200 mg)
Aleve (Naproxen 220 mg)
Topical Analgesics
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IcyHot
Bengay
Salonpas
Capsaicin
Pain#3 Menstrual Pain
Cramping and/or pain in the lower
abdominal area
 Occurs in young women, teens, and early
20's

Pain#3 Menstrual Pain
 Treatment
options:
◦ Midol Menstrual Complete
 (APAP 500 mg/Caffeine 60mg/ Pyrilamine 15mg)
◦ Pamprin Multi-Symptom
 (APAP 500 mg/Pamabrom 25 mg/Pyrilamine 15 mg)
Pain#4 Osteoarthritis
Breakdown and eventual loss of joint
cartilage
 Possible causes are family history and
wear and tear
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Pain#4 Osteoarthritis
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Treatment options:
◦ Tylenol Arthritis (first choice!)
 APAP 650mg
◦ Glucosamine Chondroitin
◦ Topical Analgesics
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IcyHot
Bengay
Capsaicin
Salonpas
Ways to Prevent Pain
Exercise Regularly and Healthy Diet!
 Have Proper Posture!
 Lift Loads Safe and Easy!
 Build Strong Bones!
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Common Pain Medications
Over-the Counter
Tylenol
Aspirin
Motrin, Advil, Aleve
Topical Analgesics
Common Pain Medications
Over-the Counter
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Tylenol
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Also known as Acetaminophen or APAP
Used for fever, headache, mild-moderate pain
without inflammation, osteoarthritis,
muscloskeletal pain
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◦ Regular Strength - 325 mg
◦ Extra Strength - 500 mg
◦ Tylenol Arthritis Pain & Tylenol 8-Hour - 650 mg
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Max Dose – 4g/day, 2g/day in pts on warfarin
therapy, have liver dysfunction, >3 EtOH
drinks a day, or have poor nutritional intake
Common Pain Medications
Over-the Counter
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Aspirin
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Also known as Acetylsalicylic Acid
Used for fever, headache, mild-moderate
pain, musculoskeletal pain
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◦ 81 mg (used for heart protection)
◦ Regular Strength - 325 mg
◦ Extra Strength - 500 mg
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Max Dose - 4000 mg/day
No anti-inflammatory effects until 4-6g/day
(more than max dose)
Common Pain Medications
Over-the Counter
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Motrin, Advil, and Aleve
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Belongs to a class of medications known as
NSAIDs (Non-steroidal anti-inflammatory drugs)
Used for fever, headache, mild-moderate pain and
inflammation, musculoskeletal pain, menstrual
pain, toothache, back pain, arthritis
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◦ Ibuprofen - 200 mg
◦ Max Ibuprofen Dose - 1200 mg/day
◦ Naproxen Sodium - 220 mg
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Max Naproxen Dose - 660 mg/day
Common Pain Medications
Over-the Counter
 Topical Analgesics
◦ IcyHot
◦ Thermacare Wraps
◦ Capzaicin
◦ Bengay
◦ Salonpas
Common Pain Medications
Prescription Only
 NSAID
◦ Ibuprofen (Motrin): 600 mg, 800 mg
◦ Naproxen Sodium (Naprosyn): 550 mg
◦ Meloxicam (Mobic): 7.5 mg, 15 mg
Common Pain Medications
Prescription Only
 Opioid Analgesic
◦ Hydrocodone-APAP (Vicodin): 5 mg/500 mg
◦ Morphine Sulfate (Kadian, MS Contin): 15 mg,
30 mg, 60 mg, 100 mg
◦ Oxycodone-APAP (Percocet): 5mg/325 mg
◦ Oxycodone HCl Extended Release
(OxyContin ER): 10 mg, 20 mg, 40 mg, 80 mg
Non-Pharmacological Therapy
 Headache
◦ Regular sleeping & eating schedule
◦ Avoid triggers (stress and food)
◦ Cold packs and massage
◦ Lie in dark and quiet room
◦ Keep a headache journal
Non-Pharmacological Therapy
 Lower Back Pain
◦ Alternate heat/cold (cold for spasms, heat to
loosen muscle)
◦ Massage, chiropractic manipulation
◦ Physical exercise
◦ RICE Therapy
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Rest
Ice
Compression
elevation
Non-Pharmacological Therapy
 Menstrual Pain
◦ Heating pads
◦ Regular exercise
◦ Loose Clothing
◦ Massage
◦ Stop smoking
Non-Pharmacological Therapy
 Osteoarthritis
◦ Weight loss
◦ Wear shock-absorbing shoes
◦ Physical or occupational therapy
◦ Acupuncture
◦ Low-impact exercise
Pain Management Resources
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Referral to Pain Specialists
◦ American Chronic Pain Association at 800-533-3231
◦ USC/Norris Comprehensive Cancer Center at 323865-3000
◦ USC Pain Center at 323-442-6202
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If you do not have a doctor or insurance, try:
◦ LA Social Serve info line at 800-339-6993
◦ LAC/USC Referral Line at 323-226-4970
◦ Patient Advocate Foundation at 800-532-5274
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Poison Control for medication overdose at 800222-1222
Do’s and Don’t’s at Health Fair
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Do
◦ Give advice and make suggestions
◦ Determine if OTC medications will help
◦ Provide resources
◦ Suggest options and let people know their pain
can be managed
◦ Use common sense
Don’t
◦ Say something you are not sure about
◦ Diagnose or suggest specific prescription therapy
◦ Recommend self-treatment when not appropriate
◦ Give false hope
After the Health Fair
Evaluate
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Write a few sentences on
◦ The experiences you learned from health fair
◦ Something to continue or improve
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Email Adrienne or Kathlyn within a week
after the health fair
That’s all, folks!!
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Thank you for your attention 
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Email us if you have any question
◦ Adrienne: [email protected]
◦ Kathlyn: [email protected]
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See you at HF!!