Managing Pain in Postoperative Patients: What the Hospitalist Needs to Know (2019-2022) CME Temporarily Unavailable
Pain is probably the most common presenting or associated symptom in patients in the hospital, and patients are often more concerned about being in pain than they are about the primary reason for admission. Pain is a completely subjective experience that is the consequence of the filtering, modulating, and distorting of the afferent nerve activity (i.e., nociceptive input) through the affective (i.e., limbic system) and cognitive processes unique to each individual. The following educational module discusses why postoperative pain requires treatment, outlines methods for performing a proper assessment of pain, provides strategies for utilizing patient-controlled analgesia safely and effectively, and summarizes the use of opioid and non-opioid analgesics in the postoperative setting to help hospitalists improve patients’ quality of recovery and life.
Venous thromboembolism (VTE) prophylaxis in the surgical patient remains an important medical issue. Research has shown that VTE, which includes deep vein thrombosis and pulmonary embolism, occurs frequently in hospitalized patients who have undergone general, major gynecologic, major urologic, major orthopedic, or neurosurgery if preventive measures are not taken. Although it is impossible to predict with certainty which surgical patients will develop VTE, it is important for medical consultants to have a working knowledge of the different risk factors for VTE as well as current prophylaxis recommendations in order to employ appropriate strategies to reduce the risk of VTE. The following module discusses the clinical impact of VTE in surgical patients, reviews the various risk factors for VTE in surgical patients, and discusses prophylaxis options.
Preoperative Diagnostic Testing And Utilization Of Basic Statistics (2021 - 2024) CME Temporarily Unavailable
- 2.00 ABIM MOC Self Evaluation Points
- 2.00 AMA PRA Category 1 Credit™
Preoperative testing can provide valuable information to identify patients who are at high risk for perioperative complications and reduce perioperative morbidity and mortality; however, there is little benefit from routinely testing patients who are known to be at low risk. The objectives of preoperative testing are to identify patients who are at high risk for perioperative complications, assess the severity or stability of existing medical problems, and evaluate abnormal symptoms or signs detected during the preoperative assessment. This module discusses the common challenges and pitfalls of preoperative testing, describes how pretest probability influences the decision to order preoperative tests, and identifies appropriate indications for laboratory, radiologic, and other forms of preoperative test screening. The selection of appropriate screening tools to identify patients at high risk for specific perioperative complications and the use of post-test probability to select and interpret preoperative diagnostic testing is also examined.
- 0.25 ABIM MOC Self Evaluation Points
- 0.25 AMA PRA Category 1 Credit™
- 0.25 Non-physician
SummaryLGBTQ+ patients face unique challenges that results in worse health outcomes, many of these are amplified when patients require hospitalization. To provide the highest value of care, Hospitalists must be aware of these challenges. This session is part of a series meant to prepare hospitalists to provide patient-centric care for LGBTQ+ patients.
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Non-physician
SummaryWork stress in hospital medicine has risen substantially due to the pandemic, with recent data suggesting two thirds or more of hospitalists in most practices are burned out. The Society of Hospital Medicine has devoted substantial effort in the last two years to create tools addressing hospitalists’ current needs, including the Well-being Toolkit, a practical guide built by hospitalists, for hospitalists.