Management Strategies of Chronic Pain;
Let’s Talk about Opioids

A continuing medical education activity sponsored by NAMCP and AAMCN.

This activity is an archive from the live session at the 2016 Fall Forum. If you participated in the live session, you are not eligible for continuing education credits from this archive.

This activity is valid from December 15, 2016 to December 31, 2017

Instructions for CME/CNE: Listen to the audio and view the slides, complete the post test, complete the evaluation form and hit submit. If you close your internet browser without completing the post test, you will have ONE more opportunity to complete. A score of 70% must be achieved on the post test to receive continuing education credits. If you do not pass the post test after two attempts, you will not be eligible to try again. Once you complete the evaluation form and score 70% or higher on your post test, you will automatically be given your certificate.  To print or save your certificate, you will need to click on the “download” button and either print or save.

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Audience: This activity is intended for healthcare professionals practicing in managed care environments.

This presentation is supported by an educational grant from Teva Pharmaceuticals




Chronic pain is defined as pain that has lasted for over three months, is persistent and causes a loss of quality of life, often due to depression, loss of job productivity, and loss of socialization. It may have started out as acute pain, caused by some injury or other problem and the most common types of chronic pain are associated with back pain, headaches, arthritis, nerves, muscles, and pain caused by cancer. Close to half of patients with chronic pain are left untreated and even with those untreated the economic cost is staggering with an estimated $100 billion in lost income, lost productivity, and increased healthcare expenses. It’s important the chronic pain treatment include several types such as pharmaceutical, physical, and lifestyle changes. This multi-dimensional approach has a higher probability for pain relief or management, and the potential to avoid addiction and dependence to pain relievers. Options include over the counter (OTC) pain relievers, prescription NSAIDs, or opioids, physical therapy, diet, exercise, massage, and possibly meditation and acupuncture. Currently, the FDA has put out the REMS program for ER/LA opioids because these types of pain medicines have clearly emerged as those with the highest potential for harm from misuse, abuse, and unintentional overdose. When all other forms of pain medication and treatment have been ineffective at controlling the pain, opioid analgesics may be required, if so therapy management will need to be strictly implemented in order to prevent addiction, abuse or other adverse effects.

Upon Completion of this activity, participants will be able to:

  • Assess the unmet clinical needs and safety concerns regarding the current analgesic therapies

  • Discuss which patients with chronic pain would benefit from opioid therapy

  • Identify individualized chronic pain treatment plans with a close look at appropriate medication choices and dosing to improve outcomes and minimize risk

  • Analyze the clinical profiles of current and emerging prescription opioid analgesics, including abuse-deterrent formulations

  • Explore effective patient communication strategies which include actively participating in a chronic pain care plan, adhering to the treatment regimen, and safely using prescription opioid analgesics

Faculty: Melissa Cheng, MD, MOH, MSPH
Family and Preventive Medicine - Assistant Professor (Clinical)
University of Utah
Redwood Health Center


Dr. Cheng has no real or perceived financial relationships to disclose.
  Planning Committee:
Bill Williams, MD has no real or perceived financial relationships to disclose.
Jacquelyn Smith, RN, BSN, MA, CMCN has no real or perceived financial relationships to disclose.
Katie Eads has no real or perceived financial relationships to disclose.
Will Williams has no real or perceived financial relationships to disclose.

NAMCP and/or the presenter has copyright or has received permissions for use of materials provided in this activity.

Accreditation & Designation
The National Association of Managed Care Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians.

The National Association of Managed Care Physicians designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American Association of Managed Care Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses who complete this activity and turn in a validation form will receive up to 1 credit in continuing nursing education.

The American Board of Managed Care Nurses has approved this activity for a maximum of 1 contact hour towards CMCN recertification.

This presentation is supported by an educational grant from Teva Pharmaceuticals

NAMCP and/or this website does not provide medical advice, diagnosis or treatment. NAMCP does not endorse or imply endorsement of the content on any linked website. This website is to be used as an informational resource. With any health related concern, consult with your physician or healthcare professional.