Calculating Morphine Equivalent Dose (MEQ) for Non-Prescribers: Medication Review Standard

Medication Review Standard in Pain Management: Calculating MEQ

While all providers must calculate MEQ for their patients taking opioid-based medications, this mini-course is written with particular focus on Non-Prescribing Practitioners, particularly East Asian Medicine Practitioners (Acupuncturists). However, other non-prescribing practitioners such as massage therapists and other non-pharm pain management professionals may also find this review and resource collection helpful.

Review how to recognize opioid-based medications

How to calculate morphine equivalent dose (MEQ)

What are the red flags and cautions when your patient is taking opioid-based medications? What MED levels should you be concerned about? Why?

Review of the current published standards.

What other metrics should you pair with your MEQ?


Your Instructor


Megan Kingsley Gale, MSAOM
Megan Kingsley Gale, MSAOM

Megan is an integrative medicine practitioner, traditional Asian medicine specialty. She graduated from Bastyr University in 2006 with a Master of Science in Acupuncture and Oriental Medicine (MSAOM) and is a national board-certified Diplomate of Oriental Medicine (NCCAOM).

She volunteers as director of The Hospital-based Practice Handbook Project (HHP) for Acupuncturists and their Hospital Sponsors. The HHP is a nonprofit community resource project.

Her website is: https://www.thehospitalhandbook.com/


Course Curriculum


  Outline and Introduction
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  Basics of Calculating Morphine Equivalent Dose (MED)
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  Medication Review: Discerning Side Effects of Opioid Medications and Red Flags
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  Documenting the Medication Review
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  Opioid-Induced Constipation
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  Patient Education Resources
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  More Practitioner Resources
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Frequently Asked Questions


When does the course start and finish?
It is a completely self-paced online course - you decide when you start and when you finish.
How long do I have access to the course?
After enrolling, you have unlimited access to this course - across any and all devices you own.
What if I am unhappy with the course?
We want this to be a useful resource. If you are unsatisfied with your purchase, contact us in the first 25 days and we will give you a full refund.

Thank you for signing up for this course and supporting the Hospital Practice Handbook Project. Please take the survey at the end to tell me about aspects of the short course are most helpful to you. Your feedback helps me continue to improve this course content. Thank you!

This course pairs well with the Pain Scale, Using a Validated Tool in Your Clinical Practice short course.

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