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http://onlinelibrary.wiley.com/doi/10.1111/j.1745-7599.2011.00666.x/full
Oct 03, 2011 · Primary care NPs treat increasing numbers of patients who suffer from chronic pain and use opioids. Pain complaints remain the primary reason people initially seek care and the American Chronic Pain Association states that 50 million Americans suffer from chronic pain (American Chronic Pain Association, 2006). In the last decade attention on treating pain has increased both from the media and the “fifth vital sign” initiative aimed at increasing pain awareness …
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1745-7599.2011.00666.x
Purpose: To provide nurse practitioners (NPs) in primary care settings who treat chronic pain with opioids information on nationally accepted standards, assessment tools, pain management contracts, and effective documentation strategies to evidence safe practice to protect patients, the public, and to defend the NP against complaints that lead to regulatory investigations.Cited by: 3
https://www.researchgate.net/publication/263614678_Avoiding_regulatory_complaints_when_treating_chronic_pain_patients_with_opioids
Avoiding regulatory complaints when treating chronic pain patients with opioids Article in Journal of the American Academy of Nurse Practitioners 23(10) · October 2011 with 36 Reads
https://www.usatoday.com/story/news/health/2019/07/12/opioid-rules-reassessed-amid-outcry-patients-needing-painkillers/1705026001/
Jul 12, 2019 · In April, the Food and Drug Administration warned about reports of serious harm from slashing or discontinuing medication for opioid-dependent patients, including withdrawal, pain, …
https://www.npjournal.org/article/S1555-4155(15)01042-9/fulltext
Awareness of state-based regulatory requirements and endorsements can help a CNP avoid investigative issues. 29 x 29 Hudspeth, R. Avoiding regulatory complaints when treating chronic pain patients with opioids.Cited by: 4
https://www.healthline.com/health-news/chronic-pain-patients-angry-over-opioid-contracts
May 02, 2018 · Many doctors around the country are now asking patients with chronic pain to sign a document agreeing to certain conditions before they’ll prescribe an opioid pain medication. As part of these “opioid contracts” or “pain contracts,” patients agree to random urine drug screens, opioid pill counts, and other conditions.Author: Shawn Radcliffe
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129223/
We have found buprenorphine dosed multiple times a day (aka, split dosing, e.g.: 8 MG two to four times a day) to be effective for many patients with chronic pain and CPD. Patients have to discontinue other opioids at least 8–12 hours before initiating buprenorphine to avoid induced withdrawals.Cited by: 12
https://www.cdc.gov/drugoverdose/prescribing/guideline.html
Aug 28, 2019 · CDC developed and published the CDC Guideline for Prescribing Opioids for Chronic Pain to provide recommendations for the prescribing of opioid pain medication for patients 18 and older in primary care settings. Recommendations focus on the use of opioids in treating chronic pain (pain lasting longer than 3 months or past the time of normal ...
https://www.modernhealthcare.com/article/20180730/NEWS/180739995/opioid-laws-hit-physicians-patients-in-unintended-ways
Jul 30, 2018 · "How did the pharmacist know it was for acute pain and not chronic pain?" the physician-patient said. ... and hospice treatment. Pain control is the primary purpose." ... of other complaints …
https://www.cdc.gov/drugoverdose/training/nonopioid/index.html
Treating Chronic Pain without Opioids: Course Details and Accreditation Statements pdf icon [PDF – 523 KB]. Physicians, nurses and other health professionals can receive free continuing education for this training by registering on CDC Training and Continuing Education (TCE) Online, searching for course number WB2859, and completing the evaluation.
https://reason.com/video/pain-patients-cant-get-meds-opioid/
Jul 07, 2017 · Dr. Forest Tennant, 76, says this regulatory backlash is preventing chronic pain sufferers from getting the drugs they need to alleviate their conditions, and he refuses to go along.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2711509/
Opioids have been regarded for millennia as among the most effective drugs for the treatment of pain. Their use in the management of acute severe pain and chronic pain related to advanced medical illness is considered the standard of care in most of the world.Cited by: 441
https://prevention.nih.gov/research-priorities/research-needs-and-gaps/pathways-prevention/role-opioids-treatment-chronic-pain
Alternatively, some health care providers avoid prescribing opioids altogether for fear of side effects and potential addiction, causing some patients to suffer needlessly. Workshop Goals. The workshop sought to clarify: Long-term effectiveness of opioids for treating chronic pain; Potential risks of opioid treatment in various patient populations
https://www.painedu.org/systematic-approach/
A Systematic Approach to the Use of Opioids in the Treatment of Chronic Pain. Posted February 19, 2014 by Kevin L. Zacharoff, M.D.. Many clinicians may have reluctance to prescribe opioids for patients in pain outside of the most controlled of situations (i.e., when the patient is a hospital inpatient).
https://www.npjournal.org/article/S1555-4155(15)01186-1/fulltext
Feb 23, 2016 · Documenting these and PDMP reviews, updating informed consents, PPA reviews, and interval UDTs can serve as sources of evidence if something adverse happens and an investigation ensues. 15 x 15 Hudspeth, R. Avoiding regulatory complaints when treating chronic pain patients with opioids.Cited by: 2
https://news.delaware.gov/files/2018/01/2018.01.19_Final-Opioid-Complaint.pdf
2. When used properly, prescription opioids can help manage pain for certain patients. Despite their potential uses, these drugs can cause addiction, overdose, and death, even when used properly. When used to treat chronic pain— or when used for non-medical purposes—those risks are amplified.
https://www.bumc.bu.edu/care/files/2014/07/09.-ALFORD-Opioids-Chronic-Pain-CRIT-2014.pdf
Believing a patient’s pain complaint does not mean opioids are indicated Clinician Issues Validate that you believe pain is real Show empathy for patient experience Educate patient about need for accurate pain scores to monitor therapy Discuss factors which worsen pain and limit treatment (i.e. substance abuse, mental health) Building Trust
https://theoncologist.onlinelibrary.wiley.com/doi/full/10.1634/theoncologist.8-6-567
Thus, cancer patients start opioid treatment during their curative treatment, and if they develop chronic pain, the opioid treatment is continued. There may not be an obvious point at which it would seem necessary to question whether long‐term opioid treatment is the right choice of treatment for the chronic pain.Cited by: 63
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