Step by Step

INTRODUCTION

SURVEY

PRE-TEST

An Older Adult with Persistent Knee Pain and Dementia

POST-TEST

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 0.75

Target Audience:

This e-learning case-based interactive module was developed to teach students about the importance of stepped care treatment. The module also highlights the potential impact of dementia on pain processing as well as on aspects of pain assessment. The module was developed by a team of eight experts in education, information technology, pain management, geriatrics, physical therapy, and palliative medicine.
Primary care physicians.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Explain alterations of nociceptive pathways that may accompany dementia and how these changes may impact treatment planning.
  • Recognize pain in persons with dementia incorporating several assessment techniques.
  • Describe factors that may cause older adults with dementia to report pain but that do not require pain treatment.

Suggested Additional Reading:

Loeser JD, Schatman ME. Chronic pain management in medical education: A disastrous omission. Postgrad Med 2017; 129(3):332-335.

Authors:
Debra Weiner, MD, CoEPE Co-Director — Associate Professor of Medicine, Psychiatry and Anesthesiology in the Division of Geriatrics at the University of Pittsburgh School of Medicine, Physician in the University of Pittsburgh Institute on Aging. Center of Excellence in Pain Education (CoEPE), Co-Director.
No relationships with industry relevant to the content of this educational activity have been disclosed.
G. Kelley Fitzgerald PhD, PT, FAPTA — Associate Dean of Graduate Studies, SHRS and Professor, Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA
No relationships with industry relevant to the content of this educational activity have been disclosed.
Heiko Spallek, DMD, PhD, MSBA (CIS): CoEPE Co-Director — Associate Dean for Faculty Affairs at the School of Dental Medicine, University of Pittsburgh where he is also appointed as Associate Professor at the Center for Dental Informatics with secondary appointments in the Department of Biomedical Informatics and the School of Information Sciences. Center of Excellence in Pain Education (CoEPE) Co-Director.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Joseph Shega, MD — Senior Vice President and Chief Medical Officer for VITAS Healthcare, Associate Professor of Medicine Section of Geriatrics and Palliative Medicine University of Chicago.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Monica Malec, MD — Associate Professor of Medicine, Geriatric and Palliative Medicine, Primary Care, The University of Chicago Medicine.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Rollin Wright, MD, MA — Assistant Professor, Chair of Education Committee, University of Pittsburgh, School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Zsuzsa Horváth, PhD, CoEPE Director — Assistant Professor in Department of Dental Public Health and Director of Faculty Development in the Office Faculty Affairs at the School of Dental Medicine. Dr. Horváth is also Director of the Academic Career Track Area of Concentration (ACT ARCO) and serves on the editorial board of the Journal of Dental Education. Center of Excellence in Pain Education (CoEPE), Director.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Authors disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits. Each physician should only claim credit commensurate with the extent of their participation in the activity.

The University of Pittsburgh is an affirmative action, equal opportunity institution.