Differentiating Drug-Seeking Behavior From Poorly Controlled Pain

Slides:



Advertisements
Similar presentations
The purpose is not to imply everyone on controlled substances will become addicted!!! Everyone on controlled substances is, however, at increased risk.
Advertisements

QIPS All Section Call Opiate use in the ED. Objectives Identify the key components of opiate contracts and principles of how to use them effectively.
INTERACTIVE QUESTIONS. Discussion Question How long does it take most of your patients to recover from low back pain? Pathophysiology.
Implementation of Pain Programs within Coordinated Care Organizations
Prescription Drug Abuse Sharon Hertz, M.D. Medical Officer Division of Anesthetic, Critical Care and Addiction Drug Products Food and Drug Administration.
Pain and Addiction: Assessment Issues Russell K. Portenoy, MD Chairman, Dept of Pain Medicine and Palliative Care Beth Israel Medical Center New York,
Orientation of the district level health workers for TB and Tobacco integration and training on counselling for smoking cessation Kathmandu, April 7 –
Rx for Success Next Steps to Prevent Prescription Drug Abuse Rebecca Hebner, MPH Substance Abuse Prevention Systems Coordinator.
Opioid Use in Work-related Injuries Pacific Northwest Chapter - Association of Occupational Health Professionals (AOHP) January 4, 2011 Jaymie Mai, PharmD.
1 Alcohol and Substance Abuse Council of Jefferson County, Inc. 167 Polk Street, Suite 320 Watertown, New York Voice: ; Fax: ;
Maine Prescription Monitoring Program Using the PMP to Improve Patient Care John Lipovsky, MPPM, AREM, PMM Prescription Monitoring Program Coordinator.
Maine Prescription Monitoring Program Using the PMP to Improve Patient Care John Lipovsky, MPPM, AREM, PMM Prescription Monitoring Program Coordinator.
Congress.nsc.org Prescription Drug Initiative Update.
Origin and Process of Utah Guidelines Anna Fondario, MPH Utah Department of Health Violence and Injury Prevention Program.
Ph: Disclaimer: Information on this page is not a substitute for medical consultation.
1 December 8, 2015 Crista M. Taylor, LCSW-C Director, Information, Planning and Development Adrienne Breidenstine, MSW Director of Opioid Overdose Prevention.
Prescription Pain Med Program Utah Department of Health Presented by: Erin Johnson, MPH July 28, 2009 UDOH Public Health Informatics Brown Bag Seminar.
HEIT TEMPLATE.PPT 1 The Ten Steps of Universal Precautions in Pain Medicine 1. 1.Diagnosis with appropriate differential 2. 2.Psychological assessment.
Prevention, Identification and Treatment of Opioid Use Disorders: A Personal Perspective Leah Bauer, MD Medical Director, Addiction Resource Center, Mid.
Maine Prescription Monitoring Program Using the PMP to Improve Patient Care John Lipovsky, MPP, AREM, PMM PMP Coordinator Eriko Farnsworth PMP Project.
Maine Prescription Monitoring Program Using the PMP to Improve Patient Care John Lipovsky, MPPM, AREM, PMM Prescription Monitoring Program Coordinator.
SOONERCARE PAIN MANAGEMENT PROGRAM. SOONERCARE PAIN MANAGEMENT PROGRAM The SoonerCare Pain Management Program is designed to equip SoonerCare providers.
Safe Prescribing of Opioids for the Management of Chronic Nonterminal Pain La Tanya Austin, PGY3.
Primary Care Models for Chronic Pain Treatment Melissa Weimer, DO, MCR.
ASTHO Prescription Drug Misuse and Abuse Strategic Map:
Denis G. Patterson, DO ECHO Project April 20, 2016 CDC Guidelines for Prescribing Opioids for Chronic Pain.
Lindsey Browning Senior Policy Associate, NAMD Medicaid and Prescription Drug Abuse Medicaid National Meeting on Prescription Drug Abuse and Overdose February.
A System to Manage Long Term Opioid Prescribing in the Primary Care Setting Joy Nassar, MD University Medicine Foundation November 16, 2015.
Prepared by Dr. Ramin Safakish, MD, FRCPC – March 2016.
Prison Pain Formulary Background Denise Farmer April 2016.
Current Concepts in Pain Management
Cover slide.
New NC Medical Board Opioid Prescribing CME Requirements
10th Annual Susan Li Conference
Use of multimodal analgesia Peripheral and central neuraxial blocks
STOP! Safe Treatment of Pain
OPIOID SAFETY. Indiana Statistics In Summary… About 100 Hoosiers die from drug overdoses every month, many from opioids such as heroin and prescription.
Assessing COPD in Primary Care
Medication Effects That May Impair Driving Ability
Complete a legally valid prescription.
Optimizing Therapy for Osteoarthritis
Key Performance Indicators
The Patient Journey to Remission in MDD: A Collaborative Approach
The Cancer Pain Journey: Optimizing Identification and Management
Introduction. Risk Communication With Patients: Your Guide to Resources and Recommendations.
An Interprofessional Approach to the Patient With Chronic Airway Disease.
Assessment and Management of Acute Pain: A Focus on the Role of Opioids and Multimodal Treatment Approaches.
What Would You Do in This Case of MDD?
Lessons Learned In Opioid Treatment From the Pain Action Consulting Team.
Opioids in Butte County
Review why we’re doing this work Display survey results
Prescription Drug Monitoring Program
Managing Depression is a Team Effort:
Avoiding Opioid Overuse: Guideline-Based Management of Osteoarthritis
Partnering With Horizon Behavioral Health
Pseudobulbar Affect or Psychiatric Condition?
An Interprofessional Perspective on the Safe and Appropriate Use of Opioid Analgesics.
Opioid Use Disorders: Recognition and Pharmacotherapy Review
Prescription Drug Monitoring Program
The Rising Crisis of Prediabetes Diagnosis and Management of the Patient With Prediabetes.
Essentials of Good Pain Care: A Team-Based Approach
Perspective on the Multidisciplinary Management of PAH
Opioid prescribing workflow in the electronic medical record.
2018 Prescription Nation Report
Championing Evidence-Based Care in Patients With Acute Low Back Pain
Recognition of Opioid Overdose
The Transition from Prescription Opioid Drug Abuse to Heroin Use
Substance Use Prevention for Young Adults and Higher Education
Multimodal Approaches to Cracking the Code in Low Back Pain
Pain Management JEFFREY TAN HO, D.O.
Presentation transcript:

Differentiating Drug-Seeking Behavior From Poorly Controlled Pain

Pain Prevalence in the United States

Opioid Prescriptions

Overdose Deaths

Integrated Care

Patient Story

Mr Mitchell History

Nonpharmacological Pain Management

Patient History and Follow-Up

NSAIDs vs Opioids

Prescribing an Opioid

Establishing Expectations

Risk Factors

Monitoring Strategies

Screening Tools for Aberrant Behavior

Opioid Misuse and Abuse

Clinician Training

Opioid Efficacy

Goals of Treatment

Aberrant Drug-Taking Behaviors

Contracts

Managing Efficacy

Multidisciplinary Care

Depression and Quality of Life

Conclusions

Abbreviations