APSA/SIA Pain Management Project

Health Fair (Poster) Training

Adrienne Tran & Kathlyn Lim

ObjectiveBefore Health Fair

◦What to bringDuring 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 professionalAsk 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

TylenolAspirinMotrin, Advil, AleveTopical Analgesics

Common Pain MedicationsOver-the Counter

TylenolAlso known as Acetaminophen or APAPUsed 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 MedicationsOver-the Counter

AspirinAlso known as Acetylsalicylic AcidUsed 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/dayNo anti-inflammatory effects until 4-

6g/day (more than max dose)

Common Pain MedicationsOver-the Counter

Motrin, Advil, and AleveBelongs 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 MedicationsOver-the Counter

Topical Analgesics◦IcyHot◦Thermacare Wraps◦Capzaicin◦Bengay◦Salonpas

Common Pain MedicationsOver-the Counter

NSAID◦Ibuprofen (Motrin): 600 mg, 800 mg◦Naproxen Sodium (Naprosyn): 550

mg◦Meloxicam (Mobic): 7.5 mg, 15 mg

Common Pain MedicationsPrescription 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 MedicationsPrescription 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 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

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

Email Adrienne or Kathlyn within a week after the health fair

Evaluate

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!!