APSA/SIA Pain Management Project Health Fair (Poster) Training Adrienne Tran & Kathlyn Lim

Objective Before Health Fair ◦ What to bring During Health Fair ◦ Attract audiences ◦ Educate patients and answer their questions ◦ Do’s and Don’ts After Health Fair ◦ Evaluate yourself

Before the Health Fair

Get a good nights rest and review your notes on pain management Remember to bring ◦ A copy of your intern license ◦ Your CPR card ◦ White coat with your USC name tag What to Bring to the Health Fair

During the Health Fair

Smile and be professional Ask simple questions to trigger their interest ◦ Have you ever use Motrin or Tylenol? ◦ Do you know the difference between Motrin and Tylenol? Offer our prize if they can answer your questions correctly Attract your audiences

You can answer specific questions they have Or Teach them something they don’t know ◦ Present our poster tailoring to their interest ◦ Let’s get familiar with what is on the poster Once they are at our booth

Left panel ◦ What are the common types of pain Middle panel ◦ How to prevent pain and manage pain ◦ Common OTC and Rx pain medication Right panel ◦ Non-pharmacological therapy ◦ Resources What’s on our Poster??

There are many types of pain, but we are going to focus the most common ones. They are: ◦ Headache ◦ Lower back pain ◦ Menstrual pain ◦ Osteoarthritis Common Types of Pain

There are different types of headaches. They are: ◦ Tension headache ◦ Migraine headache ◦ Sinus headache ◦ Cluster headache (Rx only) Most common type of headache is a tension headache. Pain#1 Headache

Common triggers of a tension headache are ◦ Stress ◦ Anxiety ◦ Depression ◦ Fatigue ◦ Emotional conflicts ◦ Repressed hostility Pain#1 Headache

OTC treatment options: ◦ Excedrin Tension Headache  (APAP 500 mg/caffeine 60 mg) ◦ Tylenol  (APAP 500 mg) ◦ Motrin or Advil  (Ibuprofen 200 mg), ◦ Aleve  (Naproxen 220 mg) ◦ Aspirin  (acetylsalicylic acid 325 mg) Pain#1 Headache

Soreness or tightness of the lower back Possible causes are ◦ sedentary lifestyle ◦ poor posture ◦ improper shoes ◦ excess body weight ◦ poor mattresses ◦ improper technique in lifting heavy objects ◦ osteoarthritis Pain#2 Lower Back Pain

Treatment options: ◦ Rest ◦ Ice or heat therapy ◦ Massage ◦ Motrin (Ibuprofen 200 mg) ◦ Aleve (Naproxen 220 mg) ◦ Topical Analgesics  IcyHot  Bengay  Salonpas  Capsaicin Pain#2 Lower Back Pain

Cramping and/or pain in the lower abdominal area Occurs in young women, teens, and early 20's Pain#3 Menstrual Pain

Treatment options: ◦ Midol Menstrual Complete  (APAP 500 mg/Caffeine 60mg/ Pyrilamine 15mg) ◦ Pamprin Multi-Symptom  (APAP 500 mg/Pamabrom 25 mg/Pyrilamine 15 mg) Pain#3 Menstrual Pain

Breakdown and eventual loss of joint cartilage Possible causes are family history and wear and tear Pain#4 Osteoarthritis

Treatment options: ◦ Tylenol Arthritis (first choice!)  APAP 650mg ◦ Glucosamine Chondroitin ◦ Topical Analgesics  IcyHot  Bengay  Capsaicin  Salonpas Pain#4 Osteoarthritis

Exercise Regularly and Healthy Diet! Have Proper Posture! Lift Loads Safe and Easy! Build Strong Bones! Ways to Prevent Pain

 Tylenol  Aspirin  Motrin, Advil, Aleve  Topical Analgesics Common Pain Medications Over-the Counter

Tylenol Also known as Acetaminophen or APAP Used for fever, headache, mild-moderate pain without inflammation, osteoarthritis, muscloskeletal pain ◦ Regular Strength mg ◦ Extra Strength mg ◦ Tylenol Arthritis Pain & Tylenol 8-Hour mg Max Dose – 4g/day, 2g/day in pts on warfarin therapy, have liver dysfunction, >3 EtOH drinks a day, or have poor nutritional intake Common Pain Medications Over-the Counter

Aspirin Also known as Acetylsalicylic Acid Used for fever, headache, mild-moderate pain, musculoskeletal pain ◦ 81 mg (used for heart protection) ◦ Regular Strength mg ◦ Extra Strength mg Max Dose mg/day No anti-inflammatory effects until 4-6g/day (more than max dose) Common Pain Medications Over-the Counter

Motrin, Advil, and Aleve Belongs to a class of medications known as NSAIDs (Non-steroidal anti-inflammatory drugs) Used for fever, headache, mild-moderate pain and inflammation, musculoskeletal pain, menstrual pain, toothache, back pain, arthritis ◦ Ibuprofen mg ◦ Max Ibuprofen Dose mg/day ◦ Naproxen Sodium mg Max Naproxen Dose mg/day Common Pain Medications Over-the Counter

Topical Analgesics ◦ IcyHot ◦ Thermacare Wraps ◦ Capzaicin ◦ Bengay ◦ Salonpas Common Pain Medications Over-the Counter

NSAID ◦ Ibuprofen (Motrin): 600 mg, 800 mg ◦ Naproxen Sodium (Naprosyn): 550 mg ◦ Meloxicam (Mobic): 7.5 mg, 15 mg Common Pain Medications Prescription Only

Opioid Analgesic ◦ Hydrocodone-APAP (Vicodin): 5 mg/500 mg ◦ Morphine Sulfate (Kadian, MS Contin): 15 mg, 30 mg, 60 mg, 100 mg ◦ Oxycodone-APAP (Percocet): 5mg/325 mg ◦ Oxycodone HCl Extended Release (OxyContin ER): 10 mg, 20 mg, 40 mg, 80 mg Common Pain Medications Prescription Only

Headache ◦ Regular sleeping & eating schedule ◦ Avoid triggers (stress and food) ◦ Cold packs and massage ◦ Lie in dark and quiet room ◦ Keep a headache journal Non-Pharmacological Therapy

Lower Back Pain ◦ Alternate heat/cold (cold for spasms, heat to loosen muscle) ◦ Massage, chiropractic manipulation ◦ Physical exercise ◦ RICE Therapy  Rest  Ice  Compression  elevation Non-Pharmacological Therapy

Menstrual Pain ◦ Heating pads ◦ Regular exercise ◦ Loose Clothing ◦ Massage ◦ Stop smoking Non-Pharmacological Therapy

Osteoarthritis ◦ Weight loss ◦ Wear shock-absorbing shoes ◦ Physical or occupational therapy ◦ Acupuncture ◦ Low-impact exercise Non-Pharmacological Therapy

Referral to Pain Specialists ◦ American Chronic Pain Association at ◦ USC/Norris Comprehensive Cancer Center at ◦ USC Pain Center at If you do not have a doctor or insurance, try: ◦ LA Social Serve info line at ◦ LAC/USC Referral Line at ◦ Patient Advocate Foundation at Poison Control for medication overdose at Pain Management Resources

Do ◦ Give advice and make suggestions ◦ Determine if OTC medications will help ◦ Provide resources ◦ Suggest options and let people know their pain can be managed ◦ Use common sense Don’t ◦ Say something you are not sure about ◦ Diagnose or suggest specific prescription therapy ◦ Recommend self-treatment when not appropriate ◦ Give false hope Do’s and Don’t’s at Health Fair

After the Health Fair

Write a few sentences on ◦ The experiences you learned from health fair ◦ Something to continue or improve Adrienne or Kathlyn within a week after the health fair Evaluate

Thank you for your attention us if you have any question ◦ Adrienne: ◦ Kathlyn: See you at HF!! That’s all, folks!!