Session II: Intractable Pain, Opioid Failure and the Exit Plan-Recording

Video Transcription

Video Summary

The presentation focused on the complexities of managing sickle cell disease, particularly the challenges associated with pain management and opioid use. The session began with disclosures and information on how participants could earn continuing education credits. Christine Tekel-Heimanot, a nurse practitioner, shared her experience in treating patients with sickle cell disease, emphasizing the importance of understanding and addressing total pain, which includes physical, social, psychological, and spiritual aspects. She discussed the traditional use of opioids in managing pain and highlighted the concept of "opioid failure," wherein opioids no longer effectively manage a patient's pain or functional goals.<br /><br />Christine shared a case study of a patient suffering from opioid failure and highlighted the complexities involved, such as the patient's mental health issues and substance misuse. She advocated for a multidisciplinary approach and the use of buprenorphine as an alternative for pain management, which the patient eventually agreed to, showing marked improvement.<br /><br />Dr. Prasad continued by discussing the importance of cognitive-behavioral therapy (CBT) and relaxing strategies in managing pain. He illustrated how stress can exacerbate pain and explained the role of the nervous system in this process. The session concluded with a Q&A, reinforcing the need for an interdisciplinary approach and patient-specific strategies in managing chronic pain effectively.

Keywords

sickle cell disease

pain management

opioid use

opioid failure

multidisciplinary approach

buprenorphine

cognitive-behavioral therapy

total pain

interdisciplinary strategies