Pain and Insomnia: Evaluating Treatment Options
Supported by an educational grant from Takeda North America, Inc.

Friday, September 7, 2007,
12:30-2:00 pm (approx) 
Red Rock Ballroom
Charleston Room
Las Vegas, NV

Purpose Statement

The purpose of this activity is to address the cyclical relationship between pain and insomnia, illustrate the impact of headache, low back pain, and fibromyalgia on sleep, and discuss the importance of stabilizing sleep to manage chronic pain. 

Audience

This activity has been designed for physicians, physician assistants, nurses, and
pharmacists treating pain and insomnia.

Learning Objectives

Following completion of this activity, participants will be able to:

• Evaluate the relationship between pain and insomnia
• Discuss common neurochemical pathways mediating the experience of pain and
  insomnia, and describe treatment options based upon them
• Identify key aspects in history taking to assess pain’s impact on sleep, and integrate insomnia management into the treatment of pain
  

Agenda

12:30 pm	Introduction
12:35 pm	The Cyclical Relationship Between Pain and Insomnia Dr. Manon Choinière will address the importance of treating both pain and insomnia by first demonstrating the overlap of the two conditions, then reviewing her research showing that pain intensity is influenced by poor sleep and vice versa.
1:00 pm	Neurochemical Pathways and Pharmacologic Approaches Mediating the Experience of Pain and Insomnia Dr. Greg Holmquist will address the neurochemical abnormalities associated with sleep disturbances and pain and review the pharmacologic treatments now available for sleep disturbances.
1:25 pm	Assessment: Key Aspects in the Patient History Dr. Michael Jackson will address key aspects of the patient history and physical examination regarding altered sleep patterns and abnormalities in sleep architecture. This will be an overview of insomnias and what can be done to make the best diagnosis from the perspective of a sleep specialist.
1:50 pm	Question and Answer Session  Faculty Panel
2:00 pm	Adjourn

Moderator

B. Eliot Cole, MD, MPA
Executive Director
American Society of Pain Educators
Montclair, NJ 

Faculty

Manon Choinière, PhD Department of Anesthesiology, Faculty of Medicine, University of Montreal Research Centre, Montreal Heart Institute, Montreal, Canada	Michael V. Jackson, MD, FCCP Associate Clinical Professor University of Nevada School of Medicine, Pulmonary Medicine Associates, Reno, Nevada
Gregory L. Holmquist, PharmD Palliative Care Strategies, Bothell, Washington

Accreditation and Credit Designation

ACCME
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation

Council for continuing Medical Education through the joint sponsorship of Medical Education Collaborative, Inc. (MEC) and Aventine HealthSciences. MEC is accredited by the ACCME to provide continuing medical education for physicians. Medical Education Collaborative designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.  

ACPE
1.5 contact hours (0.150 CEUs) of credit for pharmacists. Approval of this course for pharmacists is under a cosponsorship agreement between Medical Education Collaborative, Inc. (MEC) and Aventine HealthSciences. MEC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE #815-999-07-055-L01. The program is designed for all pharmacists. 

ANCC
Medical Education Collaborative (MEC) is the accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. RNs, LPNs, LVNs and NPs can receive up to 1.5 contact hours for participation in this program. This program is cosponsored with Medical Education Collaborative, Inc. (MEC) and Aventine HealthSciences. Provider approved by the California Board of Registered Nursing, Provider Number CEP 12990, for 1.8 contact hour(s). 

Instructions for Credit

In order to receive credit, participants must attend the full CME activity and submit a credit application and evaluation form before leaving. Statements of credit will be mailed within 6–8 weeks following the program. 

Detailed faculty disclosures will be made available in the educational

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