Patient-Centered Approaches to Pain and End-of-Life Care with Concurrent Opioid Use Disorder

Only available as part of a package

Session Summary: This session will review the diagnosis and treatment of opioid use disorder (OUD), the use of medications for OUD (MOUD) like buprenorphine and methadone, how to treat pain in patients on MOUD, and medication management at the end-of-life for patients on MOUD residing in nursing homes. Specific clinical scenarios like post-operative management of MOUD and transition to hospice care will be addressed. This session will address patient-centered approaches (e.g. co-production cycle and Patient Priorities Care) that include the patient-clinician-caregiver triad to facilitate decision making and value-based goals of care in these cases. This session will also review policy changes expanding MOUD prescribing and can count towards the 8-hour training requirement for DEA licensure (MATE Act).


Learning Objectives:

  • Review special considerations for a patient-centered and culturally competent approach to the diagnosis and management of OUD in medically-complex populations residing in skilled nursing facilities.
  • Integrate the management of acute and chronic pain with treatment of opioid use disorder using medications for opioid use disorder (MOUD), including considerations for safe opioid prescribing.
  • Discuss the care of patients receiving MOUD at the end of life, including considerations for common hospice medications in conjunction with MOUD.

Kimberly Beiting, MD

Assistant Professor of Medicine

Vanderbilt University Medical Center, Division of Geriatrics

Kimberly J. Beiting, MD, is an Assistant Professor in the Division of Geriatric Medicine in the Department of Medicine at Vanderbilt University Medical Center. She is medical director of the geriatric medicine consult service. Her primary clinical and research interests center around the care of older adults with substance use disorders. She is a current recipient of a HRSA Geriatric Academic Career Award, a four-year career development award through which she is developing interprofessional education in the principles of age-friendly care for those caring for older adults with substance use disorders in a variety of care settings.

Justine Landi, MD

Justine Landi, MD, is an Assistant Professor of Medicine and faculty at the MacLean Center for Clinical Medical Ethics at University of Chicago. Her scholarly interests are focused on care of older adults with Opioid Use Disorder, specifically focused on the clinical and ethical challenges of managing OUD with co-occurring dementia in the outpatient, inpatient, and PALTC settings. She is a medical educator, specifically teaching medical students, residents, and fellows the principles of geriatric and palliative medicine, clinical medical ethics, and serious illness communication.

Rossana Lau-Ng, MD, MBA, CMD

Assistant Professor

Boston University Chobanian and Avedisian School of Medicine

Rossana Lau-Ng, MD, MBA, CMD is an Assistant Professor of Medicine at Boston Medical Center. She is a geriatrician and clinician educator who practices in post-acute and long-term care. She was awarded the HRSA Geriatric Academic Career Award in 2019 and has successfully promoted, taught, and published on the care of patients with substance use disorder in skilled nursing facilities. She is one of founding members of the Decanter Program at Boston Medical Center, addressing social determinants of health by identifying uninsured or underinsured patients in the hospital with skilled needs and transitioning them to post-acute care facilities.

Stacie Levine, MD, CMD, FAAHPM

Medical Director

Section of Geriatrics & Palliative Care, University of Chicago

Dr. Stacie Levine, MD, CMD, FAAHPM is Professor of Medicine and Section Chief of Geriatrics at University of Chicago. She is a clinician educator who teaches students, residents, and fellows in the hospital, clinic, and long-term care settings. She is engaged in research evaluating care transitions to nursing facilities, particularly for persons with a history of opioid and substance use disorders.
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