Agenda
Announcements
+ Roll Call
5 Minutes
Talk
+ Q&A
30 Minutes
Case Presentation
+ Discussion
45 Minutes
Wrap Up
+ Final Announcements
5 Minutes
Between Talk & Case there will be a Movement/Stretch Break
Note that speaker, case presenter, and/or hub member availability are factors determining if a session begins with the talk or the case. The case and talk shown above are in no particular order.
Talk
Sara Kelly, MD, MPH, FRCPC
Case Discussion
Patricia Poulin, C.Psych + Daniel James, MD, MA, FRCPC
Feedback
Session Resources
•GeriRx Files – online resource for prescribing practices (Canadian!) www.rxfiles.ca
•GeriMed Risk – non-profit virutal clinical service to optimize medications, physical & mental health conditions in older adults www.gerimedrisk.com
Jen’s Corner
https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Allodynia
Goebel A, Bisla J, Carganillo R, et al. A randomised placebo-controlled Phase III multicentre trial: low-dose intravenous immunoglobulin treatment for long-standing complex regional pain syndrome (LIPS trial). Southampton (UK): NIHR Journals Library; 2017 Nov. (Efficacy and Mechanism Evaluation, No. 4.5.) Appendix 3, Research diagnostic criteria (the ‘Budapest Criteria’) for complex regional pain syndrome. Available from: https://www-ncbi-nlm-nih-gov.proxy.lib.nosm.ca/books/NBK464482/
Colvin, L. A., Bull, F., & Hales, T. G. (2019). Perioperative opioid analgesia-when is enough too much? A review of opioid-induced tolerance and hyperalgesia. Lancet (London, England), 393(10180), 1558–1568. https://doi.org/10.1016/S0140-6736(19)30430-1
Lee, M., Silverman, S. M., Hansen, H., Patel, V. B., & Manchikanti, L. (2011). A comprehensive review of opioid-induced hyperalgesia. Pain physician, 14(2), 145–161.
Rome IV criteria for diagnosis of IBS: https://www.mdcalc.com/rome-iv-diagnostic-criteria-irritable-bowel-syndrome-ibs
http://www.criugm.qc.ca/fichier/pdf/BENZOeng.pdf
https://fpnotebook.com/surgery/exam/CrntsSgn.htm
Forgot: positive Carnett’s sign = pain is worse when abdo palpated through flexed abs. Negative = pain is better.
I think,
https://www.mindtools.com/pages/article/smart-goals.htm
mysleepwell.ca
Sink into sleep
Nerve blocks: ilioinguinal/iliohypogastric (these are blocked as a pair due to their close proximity to each other in the plane between the internal oblique and transversus abdominis muscles, and genitofemoral nerve