#16: Acute Inpatient Pain in Older Adults Part 2: Beyond Acetaminophen with GeriPal Dr. James Brehany

WAIT! This is part 2 of non-cancer inpatient pain management in older adults (Part 1 is episode #15 with Dr. Thomas Chen, who talks about the pharmacology/theory of pain medications in older adults - check it out first!). In this episode, we jump into it - GeriPal physician Dr. James Brehany will focus on APPLICATION of foundational concepts. Spoiler alert - we will delve into a case of gabapentin, tramadol, SNRI, buprenorphine, common opioids, and then end with lightning rounds. And before all you palliative care peeps get your pants in a bunch, this episode focuses on NON-CANCER ACUTE INPATIENT PAIN, so you'll have to put that specific thinking cap on first. We don't touch on outpatient pain management, but resources will be on our show notes. Guru Bio: Dr. James Brehany is Assistant Professor of Palliative Medicine at The Ohio State University, board certified in IM, palliative medicine, and geriatric medicine with clinical interests in overlap of addiction/pain, medical student education, and bioethics.  Guest Host Bio: Hannah O' Hagan is an Internal Medicine Resident at the University of Chicago. Show Notes Timestamps 00:00 Introduction and Disclaimers 00:11 Meet the Hosts and Guest 00:26 Journey into Geriatrics and Palliative Care 02:23 Case Introduction: Ms. Peach 04:03 Medication Review and Pain Management 07:24 Deprescribing and Delirium 11:20 Types of Pain and Management 14:14 Creating the Pain Management Plan 30:46 Lightning Round: Quick Fire Questions 34:33 Conclusion and Credits Guru: James Brehany, MD Guest Host: Hannah O'Hagan, MD  Show Notes Editor: Patty Lee, MD Hosts: Patty Lee, MD, Sam Ing, MD