Adapting the Social-Ecological Framework for Chronic Pain Management and Successful Opioid Tapering.

Conclusion: Safer prescribing policies may take multiple years to fully implement and need to be employed across the jurisdiction to minimize doctor-shopping and adverse effects on patients with chronic pain. Approaching pain management through the social-ecological model can address potential root causes of addiction and establish a framework for doctors to provide compassionate care, community leadership, and advocacy for these patients. PMID: 31790125 [PubMed - in process]
Source: Journal of the American Osteopathic Association - Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

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I was recently hired as a consultant to review claims for services provided by about 2 dozen DPMs. The fraud and the abuse are staggering. Most of those involved are young associates in private practices. The practice owners impressed these associates with how much money they can make if they bill as instructed. I have reviewed cases for an initial visit with unilateral heel pain. The patient ended up with BILATERAL xrays, ultrasound and fluoroscopy all for “comparison”. Patients... Fraud
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Podiatric Residents & Physicians Source Type: forums
Today, The Department of Justice issued an announcement that was “the first ever criminal action against an EHR vendor.” Criminal action The core of the criminal action was something inevitable:  the tension between better health and better profit.  Here’s what I saw … all of which caused me to be not-so-surprised today when the news broke. In 2008 I was the CMIO at Allscripts.  Much of my work was focused on how our customers could use our products to improve the health of our patients.  We implemented clinical practice guidelines in the software as a way to help clinical teams...
Source: Docnotes - Category: Primary Care Authors: Tags: Uncategorized Source Type: blogs
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Source: Nursing - Category: Nursing Tags: Feature: Sharing Source Type: research
This article discusses the assessment and treatment of patients with LBP, including nonpharmacologic and pharmacologic approaches.
Source: Nursing - Category: Nursing Tags: Feature Source Type: research
With public fury rising, the government acted on several fronts to show resolve in the face of the gravest political crisis in years.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Coronavirus (2019-nCoV) Epidemics Lunar New Year Social Media China Central Television Communist Party of China Li Keqiang Xi Jinping Source Type: news
A study evaluating the effectiveness of the widely used ‘ Daily Mile ’ intervention in schools to tackle childhood obesity has found that the benefits are small, and may be greater in girls than boys.
Source: University of Bristol news - Category: Universities & Medical Training Tags: Health, International, Research; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences; Press Release Source Type: news
Publication date: Available online 26 January 2020Source: Neuroscience LettersAuthor(s): Nishant Rao, Yen-Ting Chen, Regan Ramirez, John Tran, Sheng Li, Pranav J. ParikhAbstractPrimary somatosensory cortex (S1) is involved in pain processing and thus its suppression using neuromodulatory techniques such as continuous theta burst stimulation (cTBS) might be a potential pain management strategy in patients with neuropathic pain. cTBS over S1 is known to elevate pain threshold in young adults. However, the time course of this after-effect is unknown. Furthermore, the effect of cTBS over S1 on pain threshold might be confounde...
Source: Neuroscience Letters - Category: Neuroscience Source Type: research
The original version of this article unfortunately contained a mistake. Oliver Hanemann name was incorrect in the in the acknowledgements section of this paper.
Source: Journal of Neurology - Category: Neurology Source Type: research
Dallas Fire-Rescue Medical Director Marshal Isaacs, MD, calls them "prime numbers." He’s referring not only to drug-seekers—although many of them belong to the population of patients who "fall off the grid" in between encounters with the healthcare system, and therefore pose a major challenge to being tracked over time. These patients can be transients or migrant workers; they can be living in short-stay accommodations like motels, and therefore moving frequently around a region; they can be suffering from mental illness or addiction and moving among rehabilitation centers; or they...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: Exclusive Articles Documentation & Patient Care Reporting Columns Source Type: news
Prescription opioid use has increased significantly over the past 25 years due to a number of factors including efforts to help patients struggling to cope with pain, overprescribing by providers and marketing by pharmaceutical companies. However, opioids provide euphoria as well as analgesia [1]. This euphoria coupled with iatrogenic physical dependence and addictive qualities has contributed to an epidemic of opioid abuse, addiction and overdose [2]. The increased use of opioids for treating non-cancer chronic pain and the increased use of higher-dose and higher bioavailability formulations has added to what the Centers ...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
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