Explore a comprehensive lecture on managing chronic pain in acute care settings, delivered by Dr. Rahul Rastogi, Clinical Professor and Director of Pain Management at the University of Iowa Hospitals & Clinics. Delve into the complexities of pain, its duration, and societal impact. Learn about pain assessment techniques, multimodal treatment algorithms, and analgesic pharmacotherapy. Examine the challenges of opioid pain management, including side effects, hyperalgesia, and evidence-based practices. Discover strategies for screening drug abuse risk, tapering opioids, and addressing substance use disorders in chronic pain patients. Gain insights into alternative treatments such as lidocaine, vertebral augmentation, physical therapy, and psychological approaches. Understand the importance of patient education and the definition of opioid tolerance in this 53-minute Grand Rounds presentation from Mary Greeley Medical Center.