Nurse-Pain Management (PMCN)

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Upper Limb Amputation

Upper extremity amputations are a procedure commonly done in a variety of circumstances including infection, trauma, can ...
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Postoperative Pain Control

Postoperative pain is experienced by the vast majority of patients who undergo surgical procedures. Control of postopera ...
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Trigger Point Injection

Myofascial trigger points are focal "knots" located in a taut band of skeletal muscle first described by Dr. Janet Trave ...
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Palliative Sedation

Palliative sedation is indicated when there is intractable distress in patients who are terminally ill or dying. It is a ...
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Opioid Addiction

Opioid use disorder and opioid addiction remain at epidemic levels in the US and worldwide. Three million US citizens an ...
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Acupuncture

Acupuncture is a system of medical treatment and ideology that is based on the principle of applying small needles or pr ...
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Nurse-Pain Management (PMCN) Activities

Title Description Hours Questions
Ablative Nerve Block Ablation procedures have been used to treat chronic back pain and sciatica of unknown etiology as an alternative to surgical severing the dorsal rami. ... Read the Article 1.25 11 Activity Info
Activities of Daily Living Activities of daily living (ADLs) are essential and routine tasks that most young healthy individuals can perform without assistance. The inability to ... Read the Article 1 5 Activity Info
Acupuncture Acupuncture is a system of medical treatment and ideology that is based on the principle of applying small needles or pressure to specific points in t ... Read the Article 1 4 Activity Info
Acute Cholecystitis Acute cholecystitis is inflammation of the gallbladder that occurs due to occlusion of the cystic duct or impaired emptying of the gallbladder. Often ... Read the Article 1.75 20 Activity Info
Addiction The laymen's definition of addiction is a "fact or condition of being addicted to a particular substance, thing, or activity." Medically it is a "chro ... Read the Article 1.25 9 Activity Info
Allodynia Allodynia is defined as "pain due to a stimulus that does not normally provoke pain." An example would be a light feather touch (that should only prod ... Read the Article 1.25 8 Activity Info
Almotriptan Almotriptan is a medication used in the management and treatment of acute migraines. It is in the triptan 5-HT class of drugs. This activity reviews t ... Read the Article 1 5 Activity Info
Art Therapy Creative art therapy is a complementary therapy used to assist patients with serious illness to ameliorate symptom burden and adapt to the stressful l ... Read the Article 1 6 Activity Info
Back Pain Back pain is one of the most common causes for patients to seek emergency care. It has a broad range of potential etiologies for both adult and pediat ... Read the Article 1.5 12 Activity Info
Benzocaine Benzocaine is a local anesthetic used in the management of pain control. It is in the ester local anesthetic class of medications. This activity descr ... Read the Article 1 5 Activity Info
Benzodiazepines Benzodiazepines are especially important in the cessation of seizure activity, as 1% to 2% of emergency department visits annually in the United State ... Read the Article 1 6 Activity Info
Buprenorphine Buprenorphine, a synthetic opioid, treats pain and opioid use syndrome. It was developed in the late 1960s. It is a synthetic analog of thebaine, whic ... Read the Article 1 4 Activity Info
Capsaicin Capsaicin is a chili pepper extract, genus Capsicum, with analgesic properties. Since its discovery, it is used as a homeopathic remedy to treat burni ... Read the Article 1 5 Activity Info
Celecoxib The FDA recommends celecoxib and other NSAIDs (non-steroidal anti-inflammatory drugs), along with acetaminophen, as first-line analgesics for patients ... Read the Article 1 5 Activity Info
Celiac Plexus Block First described as a method of providing surgical anesthesia to the upper abdomen, the celiac plexus block (CPB) has been utilized in practice for nea ... Read the Article 1 5 Activity Info
Cervical Disc Herniation Cervical disc herniation is a common cause of neck pain in adults. The severity of the disease can range from mild to severe, and even life-threatenin ... Read the Article 1.25 9 Activity Info
Chest Trauma Chest trauma has quickly risen the second most common traumatic injury in non-intentional trauma. Trauma to the chest comes with the highest mortality ... Read the Article 1 7 Activity Info
Chronic Headaches Chronic headaches are headaches that occur for at least 15 days of a month for at least three months. There are a variety of causes and ways to manage ... Read the Article 1.25 9 Activity Info
Chronic Pain Over one-quarter of United States citizens suffer from chronic pain. It is among the most common complaints seen in an outpatient clinic. The failure ... Read the Article 2.5 41 Activity Info
Chronic Pain Syndrome Chronic pain is a leading chief complaint in an adult ambulatory care setting. Unfortunately, chronic non-cancer pain is often poorly understood by ... Read the Article 1.25 8 Activity Info
Chronic Pelvic Pain Chronic pelvic pain can be a disabling, chronic, persistent pain, within the pelvis in women. Relatively common, chronic pelvic pain is associated wit ... Read the Article 1.25 7 Activity Info
Chronic Testicular Pain Chronic orchialgia is defined as 3 months of intermittent or constant testicular pain that is significantly bothersome to the patient. It is the cause ... Read the Article 1 6 Activity Info
Cluster Headache Cluster headaches are the most common of the primary headache type known as trigeminal autonomic cephalgia. They are fairly rare, plaguing 0.1% of the ... Read the Article 1.25 11 Activity Info
Complex Regional Pain Syndrome Complex regional pain syndrome (CRPS) is a neuropathic pain disorder defined by the presence of distinct clinical features including allodynia, hypera ... Read the Article 1.25 10 Activity Info
Cordotomy Cordotomy is the name of a surgical procedure aimed at destroying the pain-conducting tracts of the spinal cord. The cordotomy to be effective at decr ... Read the Article 1 8 Activity Info
Drug Interactions In Palliative Care Drug-drug interactions (DDI) are a significant cause of adverse drug events (ADE) in palliative care. This activity will highlight the mechanism of ac ... Read the Article 1.5 14 Activity Info
End of Life Care Unlike other conditions and life experiences, which only affect a certain percentage of the world’s population, the end-of-life is a stage in the proc ... Read the Article 2.5 36 Activity Info
Epidural This activity reviews epidural analgesia and anesthesia and highlights used medications, indications, contraindications, uses, and techniques. It ment ... Read the Article 1 6 Activity Info
Epidural Catheter Epidural catheters are widely used in the surgical, obstetric, and chronic pain settings as they serve as an excellent adjunct or alternative to gener ... Read the Article 1 7 Activity Info
Epidural Morphine Epidural morphine is a medication used for analgesia, as an adjunct to general anesthesia, or as a sole technique for surgical anesthesia. Morphine wa ... Read the Article 1 5 Activity Info
Epidural Steroids Epidural steroids injections (ESI) have been utilized for the treatment of pain due to lumbar disc injuries since the 1950s. They are frequently used ... Read the Article 1.25 7 Activity Info
Fentanyl Fentanyl is a potent synthetic opioid, which, similar to morphine, produces analgesia but to a greater extent. This robust pharmacologic agent is typi ... Read the Article 1 6 Activity Info
Fentanyl Transdermal Transdermal Fentanyl is a medication used in the management and treatment of chronic pain and cancer pain. It is part of the opioid class of drugs. Th ... Read the Article 1.25 9 Activity Info
Fibromyalgia Fibromyalgia is a condition characterized by chronic widespread musculoskeletal pain. This activity illustrates the evaluation and management of fibro ... Read the Article 1.5 16 Activity Info
Glucosamine Sulfate Glucosamine sulfate is an oral supplement used in the management and treatment of osteoarthritis. This activity outlines the indications, hypothesized ... Read the Article 1 4 Activity Info
Gout Gout is one of the most common causes of chronic inflammatory arthritis in the United States, which is characterized by monosodium urate (MSU) monohyd ... Read the Article 1.5 15 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 3 Activity Info
Hydrocodone Hydrocodone is a schedule II semi-synthetic opioid medication used to treat pain. Hydrocodone is also an antitussive indicated for cough in adults. In ... Read the Article 1 7 Activity Info
Hydromorphone Hydromorphone is a medication used in the management and treatment of moderate to severe acute pain as well as severe chronic pain. It is in the opioi ... Read the Article 1 6 Activity Info
Ilioinguinal Neuralgia Ilioinguinal neuralgia is a frequent cause of pain in the lower abdomen and the upper thigh and is commonly caused by entrapment or injury of the nerv ... Read the Article 1 4 Activity Info
Intrathecal Catheter The placement of an intrathecal catheter is a minimally invasive procedure aimed at releasing drugs directly into the subarachnoid space for the contr ... Read the Article 1.25 7 Activity Info
Intrathecal Delivery System Intrathecal drug delivery systems are typically used for three main purposes, which are the treatment of chronic non-malignant pain, muscle spasticity ... Read the Article 1.25 7 Activity Info
Intrathecal Morphine Morphine is an opioid administered for acute and chronic pain conditions. The advantage of intrathecal (IT) morphine over intravenous (IV), oral (PO), ... Read the Article 1 7 Activity Info
Iontophoresis Analgesic Medications Analgesic iontophoresis is the administration of analgesic medications via iontophoresis used in the management and treatment of pain. The technique m ... Read the Article 1 5 Activity Info
Ischial Bursitis Ischial bursitis (ischio-gluteal bursitis) is a condition of inflammation of the bursa, which lies between the ischial tuberosity and the gluteus maxi ... Read the Article 1 5 Activity Info
Ketorolac Ketorolac is a medication used in the management and treatment of acute moderate to severe pain. It is in the nonsteroidal anti-inflammatory drug clas ... Read the Article 1.25 8 Activity Info
Lidocaine Lidocaine is a local anesthetic agent that is commonly used for local and topic anesthesia, but which also has antiarrhythmic and analgesic uses and c ... Read the Article 1.25 12 Activity Info
Lower Extremity Blocks The lumbosacral plexus (L1 to S4 nerve roots) innervates the lower extremity. Unlike the brachial plexus in the upper extremity, the lumbosacral plexu ... Read the Article 1 5 Activity Info
Lumbar Disc Herniation Low back pain is a prevalent symptom, as approximately 80 % of the population sustains an episode once in their lifetime. Within the many differential ... Read the Article 1.25 9 Activity Info
Lumbar Facet Arthropathy The lumbar zygapophysial joint, otherwise known as facet joint, is a common generator of lower back pain. The facet joint is formed via the posterolat ... Read the Article 1 5 Activity Info
Lumbar Spinal Stenosis Lumbar spinal stenosis is a common source of leg and back pain. It refers to a narrowing in the vertebra, in the areas of the central canal, lateral ... Read the Article 1 5 Activity Info
Lumbar Sympathetic Block The autonomic nervous system consists of the sympathetic and parasympathetic divisions. As the name implies, the lumbar sympathetic block can be utili ... Read the Article 1 5 Activity Info
Lumbosacral Facet Syndrome Low back pain is one of the most common musculoskeletal complaints encountered in clinical practice. It is the leading cause of disability in the deve ... Read the Article 1 4 Activity Info
Marijuana Cannabis, also known as marijuana, is commonly sought out by patients for various conditions. Conversely, many providers are uncomfortable prescribing ... Read the Article 1.25 9 Activity Info
Mechanical Back Strain Mechanical back strain is a prevalent disease in the medical field. Most patients who develop a mechanical back strain have a benign course; however, ... Read the Article 1.25 8 Activity Info
Medial Epicondyle Injection Medial epicondylitis, commonly known as golfer’s elbow, is an overuse injury that occurs from tendinosis of the medial elbow at the origin of the flex ... Read the Article 1 6 Activity Info
Metastatic Melanoma Melanoma is the third most common cutaneous malignancy after basal cell carcinoma and squamous cell carcinoma. Melanoma is the fifth most common malig ... Read the Article 1 4 Activity Info
Migraine Medications This activity will review treatments for acute migraines and migraine prophylaxis. It will highlight various classes of medications and their mechanis ... Read the Article 1.25 10 Activity Info
Morphine FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine ... Read the Article 1.25 14 Activity Info
Muscle Contraction Tension Headache Tension-type headache (TTH) is the most common type of primary headaches. It is also sometimes referred to as muscle contraction headache, stress head ... Read the Article 1.25 10 Activity Info
Myofascial Pain The fascia is made up of a solid (muscles) and liquid (blood, lymph) elements and components. The myofascial system comprises contractile muscle tissu ... Read the Article 1.25 7 Activity Info
Myofascial Pain Syndrome Myofascial pain syndrome (MPS) is common among patients with musculoskeletal pain problems. MPS is a pain condition originating from muscle and surrou ... Read the Article 1.25 10 Activity Info
Nalbuphine Nalbuphine is FDA indicated for moderate to severe pain in which an opioid agent is required when other alternative treatments have been insufficient. ... Read the Article 1 7 Activity Info
Neurolytic Blocks A neurolytic block is the targeted destruction of a nerve or nerve plexus. Frequently, the term neuroablation is used to also describe the physical in ... Read the Article 1 6 Activity Info
Neuropathy About 2.4 percent of the population is affected by peripheral neuropathy. The prevalence increases to 8 percent in older populations. Peripheral neuro ... Read the Article 1.25 11 Activity Info
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) NSAIDs are a class of medications used to treat pain, fever, and other inflammatory processes. This activity describes the indications, mechanism of a ... Read the Article 1.25 8 Activity Info
Occipital Neuralgia Occipital neuralgia (ON) is a painful condition affecting the posterior head in the distributions of the greater occipital nerve (GON), lesser occipit ... Read the Article 1 5 Activity Info
Opioid Opioids are medications used in the management and treatment of pain, cough, or diarrhea. This activity outlines the indications, actions, and contrai ... Read the Article 1.25 9 Activity Info
Opioid Addiction Opioid use disorder and opioid addiction remain at epidemic levels in the US and worldwide. Three million US citizens and 16 million individuals world ... Read the Article 1.25 8 Activity Info
Opioid Analgesics Opioids are a class of medication used in the management and treatment of pain. This activity outlines the indications, action, and contraindications ... Read the Article 1 8 Activity Info
Opioid Anesthesia Opioids have had a wide range of uses in medicine throughout history. However, they have fallen under scrutiny in recent history due to the opioid cri ... Read the Article 1 5 Activity Info
Opioid Equivalency Opioids are often prescribed for cancer-related pain and moderate-to-severe chronic pain, especially pain that is inadequately controlled with non-opi ... Read the Article 1 4 Activity Info
Opioid Induced Constipation Opioid-induced constipation (OIC) accounts for between 40 and sixty percent of patients without cancer receiving opioids. Laxatives must be started at ... Read the Article 1 6 Activity Info
Opioid Use Disorder Opioid use disorder has a significant impact on the quality of life. It is an epidemic in the United States. The persistent use of opioids should be d ... Read the Article 1.25 8 Activity Info
Opioid Withdrawal Opioid withdrawal syndrome is a life-threatening condition resulting from opioid dependence. Opioids are a group of drugs used to manage severe pain a ... Read the Article 1 4 Activity Info
Opioid-induced Endocrinopathy Hormone replacement therapy is a mainstay of treatment for those suffering from opioid-induced endocrinopathy (OIE), which can have a significant impa ... Read the Article 1 7 Activity Info
Oral Transmucosal Fentanyl Oral transmucosal fentanyl is a medication used in the management and treatment of breakthrough pain. It is in the class of short-acting synthetic opi ... Read the Article 1 5 Activity Info
Oxycodone Oxycodone is a potent opioid which can be useful when used judiciously for pain. However, it can cause physical dependence and addiction. The immediat ... Read the Article 1 5 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.25 10 Activity Info
Pain Management Medications Analgesics are medications used in the management and treatment of pain. They include several classes of medications (acetaminophen, nonsteroidal anti ... Read the Article 1.25 8 Activity Info
Palliative Sedation Palliative sedation is indicated when there is intractable distress in patients who are terminally ill or dying. It is a palliative practice geared to ... Read the Article 1 7 Activity Info
Patient Controlled Analgesia Patient-controlled analgesia is used to treat acute, chronic, postoperative, and labor pain. A variety of medications can be used for patient-controll ... Read the Article 1.25 11 Activity Info
Peripheral Diabetic Neuropathy Peripheral neuropathy (PN) encompasses a broad range of clinical pathologies potentially presenting with peripheral nervous system dysfunction. Patien ... Read the Article 1 6 Activity Info
Peripheral Nerve Blocks Recent advances in surgical techniques and the development of a greater number of minimally invasive procedures have led to an increase in outpatient ... Read the Article 1.25 9 Activity Info
Peripheral Nerve Stimulator Peripheral nerve stimulation is an emerging field in adjunctive analgesic therapies. This activity reviews the indications, contraindications, and tec ... Read the Article 1 6 Activity Info
Peripheral Neurolytic Blocks Peripheral nerve neuralgia or peripheral neuropathic pain may result from damage of a nerve due to various etiologies including medical conditions suc ... Read the Article 1 5 Activity Info
Phantom Limb Pain Phantom limb pain is the perception of pain or discomfort in a limb that is no longer there. PLP most commonly presents as a sequela of amputation. Th ... Read the Article 1.5 16 Activity Info
Phenol Nerve Block It was not until 1926 that the use of phenol as a neurolytic agent was described by Doppler et al., followed by a description of intrathecal injection ... Read the Article 1 6 Activity Info
Postdural Puncture Headache Postdural puncture headache is a potential complication of a lumbar puncture, with symptoms caused by traction on pain-sensitive structures from low c ... Read the Article 1 7 Activity Info
Postherpetic Neuralgia Post-herpetic neuralgia (PHN) is the most common long-term complication of varicella-zoster virus (VZV) reactivation. This reactivation of the dormant ... Read the Article 1.25 11 Activity Info
Postoperative Pain Control Postoperative pain is experienced by the vast majority of patients who undergo surgical procedures. Control of postoperative pain plays an essential r ... Read the Article 1.25 8 Activity Info
Prostaglandins Prostaglandins are a group of endogenously produced compounds that play essential roles in regulating human physiology. Synthetically derived prostagl ... Read the Article 1 5 Activity Info
Radiofrequency Ablation The use of radiofrequency ablation for intractable pain is based on the premise that the transmission of radiofrequency currents near nociceptive path ... Read the Article 1 4 Activity Info
Regional Anesthetic Blocks A regional block is a specific anesthetic technique that inhibits nerve transmission to avoid or relieve pain. This activity reviews the indications, ... Read the Article 1 7 Activity Info
Relaxation Techniques Relaxation techniques are therapeutic exercises designed to assist individuals by decreasing tension and anxiety. Relaxation therapy has been a part o ... Read the Article 0.75 1 Activity Info
Rotator Cuff Tendonitis Rotator cuff tendonitis is an inflammation of the tendons that make up the rotator cuff, i.e., supraspinatus, infraspinatus, teres minor, and subscapu ... Read the Article 1 5 Activity Info
Sacroiliac Joint Injection Sacroiliac (SI) joint pain is a common etiology of low back pain. Studies have shown that 10 to 27 percent of mechanical low back pain is secondary to ... Read the Article 1 6 Activity Info
Sacroiliitis Sacroiliitis is inflammation of the sacroiliac joint (SI), the joint that connects the ilium to the sacrum. The SI joint is one of the largest joints ... Read the Article 1 5 Activity Info
Sciatic Nerve Block The sciatic nerve supplies the vast majority of motor and sensory function to the lower limb. Regional anesthetic blockade of the sciatic nerve can be ... Read the Article 1 6 Activity Info
Serotonin Syndrome Serotonin syndrome is a potentially life-threatening condition precipitated by the use of serotonergic drugs. It may be a consequence of therapeutic m ... Read the Article 1.5 15 Activity Info
Somatic Syndrome Disorders According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), somatic symptom disorder (SSD) involves one or mo ... Read the Article 1.25 8 Activity Info
Somatosensory Evoked Potentials Somatosensory evoked potentials (SEPs) have been in use for decades as an integral method of intraoperative neurophysiological monitoring for spinal, ... Read the Article 1.25 12 Activity Info
Spinal Cord Stimulation In the middle of the spectrum of increasingly invasive pain treatment modalities, lies spinal cord stimulation (SCS), also referred to as dorsal colum ... Read the Article 1.25 7 Activity Info
Spinal Cord Stimulator Implant Spinal cord stimulator implantation is an essential procedure for the treatment of chronic neuropathic pain. In select patient's spinal stimulators ca ... Read the Article 1.25 9 Activity Info
Spondylolisthesis Spondylolisthesis is a condition that occurs when one vertebral body slips with respect to the adjacent vertebral body causing radicular or mechanical ... Read the Article 1.5 16 Activity Info
Stellate Ganglion Blocks Stellate ganglion block (SGB) is used for the treatment of many medical conditions including complex regional pain syndrome and peripheral vascular di ... Read the Article 1.25 10 Activity Info
Sumatriptan Sumatriptan is FDA approved as an abortive treatment for migraine attacks with or without aura in adults. Acute treatment of cluster headache episodes ... Read the Article 1 8 Activity Info
Supraclavicular Block The supraclavicular block is a regional anesthetic technique used as an alternative or adjunct to general anesthesia or used for postoperative pain co ... Read the Article 1 4 Activity Info
Temporomandibular Joint Syndrome Temporomandibular joint syndrome is also known as temporomandibular disorder (TMD) is a common type of musculoskeletal disorder in the orofacial regio ... Read the Article 1.25 9 Activity Info
Tetracaine Tetracaine is an amino-ester class local anesthetic. It has been in use for a variety of purposes since the early 1930s, but its most common use today ... Read the Article 1 5 Activity Info
The Importance Of Cultural Competence in Pain and Palliative Care Managing pain is often a challenge for health professionals. This challenge is compounded when the patient in pain is dying. Living in an ethnically a ... Read the Article 1.25 10 Activity Info
Topical, Local, and Regional Anesthesia and Anesthetics Nerve impulse transmission occurs when voltage-gated sodium channels on the neuronal membrane open, allowing a massive influx of sodium. This causes m ... Read the Article 1.25 11 Activity Info
Topiramate Topiramate is a medication used in the management and treatment of epilepsy and migraine. It is in the second-generation anti-epileptic drugs class of ... Read the Article 1.25 13 Activity Info
Tramadol Tramadol is an FDA approved medication for pain relief. It has specific indications for moderate to severe pain. It is considered a class IV drug by t ... Read the Article 1 4 Activity Info
Transcutaneous Electrical Nerve Stimulation Transcutaneous electrical nerve stimulation, known by its acronym TENS, is a modality that uses electric current to activate nerves in order to decrea ... Read the Article 1 5 Activity Info
Trigeminal Neuralgia Trigeminal neuralgia is one of the most painful neurological condition and is often described as 'lightning bolt' stuck on the face or a stabbing sens ... Read the Article 1.25 11 Activity Info
Trigeminal Neuropathy Trigeminal neuralgia (TN), also known as tic douloureux, is the most common neuropathic pain involving the craniofacial region. It is characterized by ... Read the Article 1 5 Activity Info
Trigger Point Injection Myofascial trigger points are focal "knots" located in a taut band of skeletal muscle first described by Dr. Janet Travell in 1942. Trigger points may ... Read the Article 1 5 Activity Info
Ultrasound-Guided Intercostal Nerve Block The blockage of anterior branches of the intercostal nerves is a selective superficial block, with a very low incidence of complications and effective ... Read the Article 1.25 10 Activity Info
Upper Limb Amputation Upper extremity amputations are a procedure commonly done in a variety of circumstances including infection, trauma, cancer, disease progression or co ... Read the Article 1.25 6 Activity Info
Ziconotide Ziconotide is a newer, intrathecal analgesic medication used for the treatment of chronic pain. Its FDA indication is for the treatment of chronic sev ... Read the Article 1.25 9 Activity Info

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Nurse-Pain Management (PMCN)

Stay up to date on the latest medical knowledge with this Nurse-Pain Management (PMCN) activity. In this online self-assessment activity, read our reference articles and test your knowledge with 121 activities in Nurse-Pain Management (PMCN) for 139.75 total CE hours.


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