Patients are aware of risks of opioid dependence, yet note poor communication from providers about pain and pain management

Commentary on: Smith RJ, Rhodes K, Paciotti B, et al.. Patient perspectives of acute pain management in the era of the opioid epidemic. Ann Emerg Med 2015;66:246–52.e1. Implications for practice and research Nurses are in a position to educate patients about the safe use of opioids as well as improve coordination and communication among the healthcare team regarding pain management strategies. Future research should focus on the role of nurses in delivering patient-centered interventions to improve communication about pain in acute care settings. Context Emergency department (ED) providers are frequently faced with the dilemma of providing adequate pain relief while preventing the potential harms of opioids. In light of the increasing number of deaths related to opioid overdose, many different strategies are being promoted to curb opioid abuse and dependence. However, little is known about the patient's perspective on pain management strategies and...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Pain management, Pain (neurology), Hospice, Pain (palliative care), Drugs misuse (including addiction), Adult intensive care, Drugs: musculoskeletal and joint diseases, Poisoning, Trauma, Occupational and environmental medicine, Health education, Injury Source Type: research

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Zach (left) and Bob (right) According to the National Institute on Drug Abuse, more than 70,000 Americans died from drug overdoses in 2017, including illicit drugs and prescription opioids, a two-fold increase in a decade. Opioids include prescription opioids and methadone, heroin, and other synthetic narcotics like fentanyl. Bob Paff has directly suffered the casualties of this epidemic. On January 21 of this year he lost his son Zach to an accidental overdose of fentanyl. A highly sought-after communications expert, business leader, and internationally recognized author, Bob now uses his communications platform to bring ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction General Recovery Stigma Opioid Epidemic Opioids Suicide synthetic fentanyl Source Type: blogs
‚ÄčThe atomizer is a handy tool to instill life-saving medication into the nose, and you should consider stocking them if you don't already. An atomizer can be used to administer naloxone and countless other drugs as well as for moderate sedation and pain control. Pediatric and adult patients alike can benefit from intranasal fentanyl or Versed. Studies on intranasal epinephrine for anaphylaxis also look promising, but it does require a higher dose—5 mg instead of 0.3 mg. (Asian Pac J Allergy Immunol 2016;34[1]:38; http://bit.ly/2Prpjhb.)The atomizer is easy to use and can be attached to any syringe. Each spray creat...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Alexander Gettler Once again, last year’s outstanding examples of long-form journalism dealing with topics related to medical toxicology were dominated by coverage of the opioid crisis, its origins and the resulting carnage. The must-read article of the year was “The Family That Built a Empire of Pain,” Patrick Radden Keefe’s massive history of the Sacklers, one of America’s richest clans, much of whose wealth comes from their ownership of Purdue Pharma and the marketing and distribution of Oxycontin. The article, which appeared in the New Yorker, notes that the clan’s patriarch, Ar...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical 2017 Alexander awards opioids Purdue Pharma Sackler Source Type: news
A coalition of 41 states' attorneys general have served five major opioid manufacturers with subpoenas seeking information about how these companies marketed and sold prescription opioids. The coalition is also demanding documents and information related to distribution practices from three drug distributors. The investigative subpoenas and document requests were sent to pharmaceutical manufacturers Endo International, Janssen Pharmaceuticals, Teva Pharmaceutical Industries Ltd./Cephalon Inc. and Allergan. The group also served a supplemental investigative subpoena to Purdue Pharma. Documents were also requested of three ...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
Conclusion and Recommendations More intervention-based clinical trials are needed to provide a strong alternative candidate therapy for management of opiate use disorder. Buprenorphine, although a promising candidate, should be researched more regarding treatment retention and patient satisfaction before any conclusions can be made regarding its standard use for opiate substitution maintenance treatment of pregnant patients with opiate use disorder. Heroin-assisted treatment still cannot be considered in opiate addicts refractory to MMT; more data should be collected regarding efficacy in larger participant populations un...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue General Review buphernorphin heroin methadone opiate opiate addiction treatment withdrawal Source Type: research
Drug and Addiction Information and Tools for Patrons and Healthcare Providers Opioid Abuse and Addiction – Contains links to the following Current News, Diagnosis and Tests, Prevention and Risk Factors, Treatments and Therapies, Clinical Trials, Journal Articles, Find an Expert, Statistics, and Research, NIH MedlinePlus Magazines MedlinePlus links to health information from the National Institutes of Health and other federal government agencies. MedlinePlus also links to health information from non-government Web sites. See MedlinePlus.gov disclaimer and quality guidelines National Library of Medicine Drug Informatio...
Source: The Cornflower - Category: Databases & Libraries Authors: Tags: Resource Sharing opioid epidemic opioid resources Source Type: news
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Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
The United States is struggling to deal with an opioid epidemic that is damaging lives, resulting in overdoses, and yet not reducing chronic pain. National initiatives are underway to dramatically reduce access to prescription opioids, but these efforts lack a systematic approach to provide alternative treatments for these patients. Policy changes are urgently needed to provide better care for patients with chronic pain, and in this post, we outline three feasible policy initiatives. Innovative reimbursement initiatives by the Centers for Medicare and Medicaid Services (CMS) could frame and stimulate use of evidence-based ...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Drugs and Medical Technology Health Professionals Public Health Quality chronic pain Opioid Addiction opioids Source Type: blogs
Commentary on: Miech R, Johnson L, O'Malley PM, et al.. Prescription opioids in adolescence and future opioid misuse. Pediatrics 2015;136:1169–77. Implications for practice and research Clinicians should consider the risk for future opioid misuse when prescribing opioids to adolescents. Nurses should educate adolescents and parents about the risk of opioid prescriptions. Future research should focus on understanding the risk of opioid prescriptions in adolescents without a history of substance use, a group that to date has been received little attention. Context Opioids are extremely efficacious for management of pai...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Child health, Pain (neurology), Child abuse, Child health, Hospice, Drugs misuse (including addiction), Poisoning, Occupational and environmental medicine, Health education, Smoking, Tobacco use, Tobacco use (youth) Source Type: research
Conclusion While some stakeholders may be participating in some of, none of, or other, ideas, it is beneficial to know what ideas are out there. It is always helpful to be ahead of the curve when it comes to having an idea of the solutions that are being discussed, so we have an idea of possible further regulations we may be bound by.       Related StoriesShatterproof Report on Critical Elements of Effective State Opioid LegislationSenator Durbin Asks Medical Associations to Endorse Mandatory Opioid CME – AMA Shows InterestCNN Special Report on Prescription Addiction 
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
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