Question Area assessed Experts - PowerPoint PPT Presentation

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Question Area assessed Experts agreeing 1 First line maintenance treatment 100% 2 Management of constipation 95% 3 Starting strong opioids – titrating dose 90% 4 Starting strong opioids – titrating the dose, 70% (question reworded) Renal impairment 5 Management of nausea, Communication 100% 6 Management of nausea, antiemetics 100% 7 Management of drowsiness, Communication 85% 8 Management of drowsiness, reducing dose 100% 9 Management of constipation, titrating laxatives 95% 10 Communication: addiction and tolerance 90% 11 First-line treatment for break through pain in patients who can Not assessed take oral opioids 12 First-line treatment if oral opioids are not suitable – transdermal Not assessed patches

C OMMUNICATING • A DDICTION , TOLERANCE , SIDE EFFECTS , FEAR THAT TREATMENT IMPLIES THE FINAL STAGES OF LIFE • S TARTING STRONG OPIOIDS – TITRATING DOSE • F IRST - LINE MAINTENANCE TREATMENT • F IRST - LINE TREATMENT IF ORAL OPIOIDS ARE NOT SUITABLE – TRANSDERMAL PATCHES • F IRST - LINE TREATMENT IF ORAL OPIOIDS ARE NOT SUITABLE – SUBCUTANEOUS DELIVERY • F IRST - LINE TREATMENT FOR BREAK THROUGH PAIN IN PATIENTS WHO CAN TAKE ORAL OPIOIDS • M ANAGEMENT OF CONSTIPATION • M ANAGEMENT OF NAUSEA • M ANAGEMENT OF DROWSINESS •

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100.00% 90.00% 80.00% • 70.00% • 60.00% 50.00% • 40.00% • 30.00% 20.00% • 10.00% 0.00% • Before After Experts

100% Key Bar Colour 90% Base line percentage correct Percentage correct after 80% teaching Area assessed 70% A:Communication B: Starting strong opioids – 60% titrating dose C: First-line maintenance 50% treatment D: First-line treatment if oral opioids are not suitable – 40% transdermal patches E: First-line treatment for 30% break through pain in patients who can take oral opioids 20% F: Management of constipation 10% G: Management of nausea H: Management of 0% drowsiness 5 7 10 3 4 8 1 12 11 2 9 5 6 7 8 A B C D E F G H Base line percentage correct 63% 36% 37% 56% 50% 79% 74% 25% 40% 95% 77% 63% 88% 36% 79% Percentage correct after teaching 82% 61% 69% 80% 63% 91% 96% 22% 85% 96% 82% 82% 97% 61% 91%

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