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

2. 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

3. Before the Health Fair

4. 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

5. During the Health Fair

6. 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

7. 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

8. 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??

9. 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

10. 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

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

12. 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

13. 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

14. 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

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

16. 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

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

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

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

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

21. Tylenol Also known as Acetaminophen or APAP Used for fever, headache, mild-moderate pain without inflammation, osteoarthritis, muscloskeletal pain ◦ Regular Strength - 325 mg ◦ Extra Strength - 500 mg ◦ Tylenol Arthritis Pain & Tylenol 8-Hour - 650 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

22. Aspirin Also known as Acetylsalicylic Acid Used for fever, headache, mild-moderate pain, musculoskeletal pain ◦ 81 mg (used for heart protection) ◦ Regular Strength - 325 mg ◦ Extra Strength - 500 mg Max Dose - 4000 mg/day No anti-inflammatory effects until 4-6g/day (more than max dose) Common Pain Medications Over-the Counter

23. 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 - 200 mg ◦ Max Ibuprofen Dose - 1200 mg/day ◦ Naproxen Sodium - 220 mg Max Naproxen Dose - 660 mg/day Common Pain Medications Over-the Counter

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

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

26. 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

27. 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

28. 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

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

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

31. Referral to Pain Specialists ◦ American Chronic Pain Association at 800-533-3231 ◦ USC/Norris Comprehensive Cancer Center at 323- 865-3000 ◦ USC Pain Center at 323-442-6202 If you do not have a doctor or insurance, try: ◦ LA Social Serve info line at 800-339-6993 ◦ LAC/USC Referral Line at 323-226-4970 ◦ Patient Advocate Foundation at 800-532-5274 Poison Control for medication overdose at 800- 222-1222 Pain Management Resources

32. 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

33. After the Health Fair

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

35. Thank you for your attention Email us if you have any question ◦ Adrienne: adriennt@usc.edu ◦ Kathlyn: kathlynl@usc.edu See you at HF!! That’s all, folks!!