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Dec 12, 2023 215 likes •358 views

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

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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, Renal impairment 70% (question reworded) 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 take oral opioids Not assessed 12 First-line treatment if oral opioids are not suitable – transdermal patches Not assessed

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COMMUNICATING
ADDICTION, TOLERANCE, SIDE EFFECTS, FEAR THAT TREATMENT IMPLIES THE FINAL STAGES OF LIFE
STARTING STRONG OPIOIDS – TITRATING DOSE
FIRST-LINE MAINTENANCE TREATMENT
FIRST-LINE TREATMENT IF ORAL OPIOIDS ARE NOT SUITABLE – TRANSDERMAL PATCHES
FIRST-LINE TREATMENT IF ORAL OPIOIDS ARE NOT SUITABLE – SUBCUTANEOUS DELIVERY
FIRST-LINE TREATMENT FOR BREAK THROUGH PAIN IN PATIENTS WHO CAN TAKE ORAL OPIOIDS
MANAGEMENT OF CONSTIPATION
MANAGEMENT OF NAUSEA
MANAGEMENT OF DROWSINESS

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0.00%

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

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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% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Base line percentage correct Percentage correct after teaching Key Bar Colour Area assessed A:Communication B: Starting strong opioids – titrating dose C: First-line maintenance treatment D: First-line treatment if oral

pioids are not suitable –

transdermal patches E: First-line treatment for break through pain in patients who can take oral

pioids

F: Management of constipation G: Management of nausea H: Management of drowsiness

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HTTP://WWW.WMPLLC.ORG/OJS-2.4.2/INDEX.PHP/JOM/ARTICLE/VIEW/257/232

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