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* 1. After this session, please rate how your level of confidence changed.

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* 2. Patients with chronic pain are frequently also depressed. Medications from the group of SNRI’s; SSRI’s and TCA’s are equally effective in also helping with pain control?

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* 3. In order to limit the risks of developing patients who become chronic opiate users, when treating pain acutely, a prescriber should limit the prescription to the number of tablets reasonably needed to treat the pain for no more than seven [7] days.

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* 4. Chronic pain is defined as a problem itself as the pain is no longer showing signs of acute injury or an undiagnosed problem. Generally, this is defined as pain that extends beyond 3 months from the initial injury.

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* 5. A reasonable improvement of pain expected is more than 50% of the pain being relieved.  Patients are to be advised to expect this.

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* 6. When starting patients on opiates for chronic pain, try to use sustained action opiates as the patient has pain all day, every day. This should give maximal pain relief and help the patient become as functional as possible.

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