2025 Science of Caring Grand Rounds | Adult & Pediatric Cancer Pain Management: Medical, Neuropsychological, and Socio-Spiritual Brigade Interdisciplinary Integration for Total Pain Management
Cancer pain is defined as and well-known to be constituted of multiple elements. For this reason, the need for the interdisciplinary care management is recommended by all levels of national and international expert guidelines. This includes authorities such as World Health Organization, International Association for the Study of Pain, National Institute of Health, National Comprehensive Cancer Network. They all emphasize a comprehensive approach that includes both pharmacological and non-pharmacological treatments tailored to the individual patient's needs. However, cancer pain is often managed only from medical/pharmacological standpoint in reality. As a result, adult/pediatric cancer patients are often left with undertreated or poorly controlled pain due to the lack of addressing the psychological, social, psychiatric, cultural and religious/spiritual factors contributing to the pain perception. The ideal practice would be to start integrative pain management early, by interdisciplinary collaboration, to deliver individually customized pain management and in a timely manner.
It is imperative to increase the awareness and knowledge level of the variety of involved providers in pain management and other medical professionals of different specialties treating cancer by using medication and/or procedures that elicit or contribute to cancer-related pain precipitation and exacerbation. Often times, the treating physicians' or other providers' lack of knowledge and time, due to the hesitance to involve certain specialties or the treating physician's misconstruing the severity of the adult/pediatric cancer pain. Furthermore, there are multiple associated and contributing factors to these common reasons for the gap. This activity is needed to provide education and promote awareness of the clinical and other providers about the aforementioned reasons for the gap.
Target Audience
This activity is oriented to address the educational needs of multidisciplinary clinicians in oncology, and all other health care providers interested in the subject matter.
Learning Objectives
- Demonstrate the skills to assess cancer pain using the appropriate definition and complex contributing factors that lead to cancer pain presentation.
- Discuss different domains of each patient's cancer pain to seek collaboration with other specialties in a timely fashion.
- Identify the non-medical and non-pharmacological elements of the biopsychosocial and ethnocultural realm of pain triggers and perception/beliefs that will prevent, reduce, and treat adult/pediatric cancer pain.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Virtual Meeting- Zoom
Mayuko Sakae, MD, FAAHPM Clinical Assistant Professor; Chair, Pediatric and Adolescent & Young Adult Pain and Supportive Care Committee, Division of Supportive Medicine, Department of Supportive Care Medicine; City of Hope
Presenter: Dr. Sakae has indicated that there are no relevant financial relationships with ineligible companies.
Planner: Eleana Liou, MPA has indicated that there are no relevant financial relationships with ineligible companies.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer no relevant financial relationships: Daneng Li, MD
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
Available Credit
- 1.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this 2025 Science of Caring Grand Rounds | Adult & Pediatric Cancer Pain Management: Medical, Neuropsychological, and Socio-Spiritual Brigade Interdisciplinary Integration for Total Pain Management for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity. - 1.00 Attendance