Pain Management in Older Adults

Program Evaluation

We appreciate your participation in our continuing education activity. Your responses will allow us to improve our program offerings and services. Thank you for your time.

SECTION 1
Please use the scale below to rate the questions:
1= Not at all confident
2= Somewhat confident
3= Mostly confident
4= Fully confident

Question Title

* 1. Evaluation of Training
Using the rating key, how confident were you BEFORE in your ability to:

	1	2	3	4
Understand the pain syndromes seen in older adults and their presentations	Understand the pain syndromes seen in older adults and their presentations 1	Understand the pain syndromes seen in older adults and their presentations 2	Understand the pain syndromes seen in older adults and their presentations 3	Understand the pain syndromes seen in older adults and their presentations 4
Perform a thorough pain assessment	Perform a thorough pain assessment 1	Perform a thorough pain assessment 2	Perform a thorough pain assessment 3	Perform a thorough pain assessment 4
Describe comprehensive pain management including both nonpharmacological and pharmacologic tools	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 1	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 2	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 3	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 4
Appreciate management of the adverse reactions of opioids	Appreciate management of the adverse reactions of opioids 1	Appreciate management of the adverse reactions of opioids 2	Appreciate management of the adverse reactions of opioids 3	Appreciate management of the adverse reactions of opioids 4

Question Title

* 2. Evaluation of Training
Using the rating key, how confident are you AFTER in your ability to:

	1	2	3	4
Understand the pain syndromes seen in older adults and their presentations	Understand the pain syndromes seen in older adults and their presentations 1	Understand the pain syndromes seen in older adults and their presentations 2	Understand the pain syndromes seen in older adults and their presentations 3	Understand the pain syndromes seen in older adults and their presentations 4
Perform a thorough pain assessment	Perform a thorough pain assessment 1	Perform a thorough pain assessment 2	Perform a thorough pain assessment 3	Perform a thorough pain assessment 4
Describe comprehensive pain management including both nonpharmacological and pharmacologic tools	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 1	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 2	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 3	Describe comprehensive pain management including both nonpharmacological and pharmacologic tools 4
Appreciate management of the adverse reactions of opioids	Appreciate management of the adverse reactions of opioids 1	Appreciate management of the adverse reactions of opioids 2	Appreciate management of the adverse reactions of opioids 3	Appreciate management of the adverse reactions of opioids 4

Question Title

* 3. Evaluation of Presenter
To what extent did Ana Tuya Fulton, MD, FACP, AGSF accomplish the following:

	1	2	3	4
a. Presented information clearly	a. Presented information clearly 1	a. Presented information clearly 2	a. Presented information clearly 3	a. Presented information clearly 4
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4

Question Title

* 4. Evaluation of Presenter
To what extent did Kate Lally, MD, FACP, FAAHPM accomplish the following:

	1	2	3	4
a. Presented information clearly	a. Presented information clearly 1	a. Presented information clearly 2	a. Presented information clearly 3	a. Presented information clearly 4
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4

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* 5. What was the most significant thing(s) you learned today?

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* 6. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Yes

N/A

If yes, please describe:

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* 7. What could we do to improve this training session? Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

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* 8. Would you like to receive a certificate of attendance?

Yes

Question Title

* 9. Please enter your information (below) so we may send you a certificate

Full Name and Credentials

Preferred Email address

Organization

State

Question Title

* 1. Evaluation of TrainingUsing the rating key, how confident were you BEFORE in your ability to:

Question Title

* 2. Evaluation of TrainingUsing the rating key, how confident are you AFTER in your ability to:

Question Title

* 3. Evaluation of PresenterTo what extent did Ana Tuya Fulton, MD, FACP, AGSF accomplish the following:

Question Title

* 4. Evaluation of PresenterTo what extent did Kate Lally, MD, FACP, FAAHPM accomplish the following:

Question Title

* 5. What was the most significant thing(s) you learned today?

Question Title

* 6. Do you intend to implement at least one practice improvement learned as a result of this learning activity?

Question Title

* 7. What could we do to improve this training session? Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

Question Title

* 8. Would you like to receive a certificate of attendance?

Question Title

* 9. Please enter your information (below) so we may send you a certificate

* 1. Evaluation of Training
Using the rating key, how confident were you BEFORE in your ability to:

* 2. Evaluation of Training
Using the rating key, how confident are you AFTER in your ability to:

* 3. Evaluation of Presenter
To what extent did Ana Tuya Fulton, MD, FACP, AGSF accomplish the following:

* 4. Evaluation of Presenter
To what extent did Kate Lally, MD, FACP, FAAHPM accomplish the following: