Experiences with an addiction consultation service on care provided to hospitalized patients with opioid use disorder: a qualitative study of hospitalists, nurses, pharmacists, and social workers

Conclusions: An ACS reportedly supports hospitalists and medical staff to best care for hospitalized patients with OUD. Notably, care provided to patients with OUD may not be uniform depending on various physician-level factors. Future work to address the concerns reported by study participants may include education for OUD treatment, early involvement of the ACS, and incorporation of buprenorphine prescribing algorithms to standardize care.PMID:34666634 | DOI:10.1080/08897077.2021.1975873
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research

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Conclusion. Patients receiving the lowest dosage of opioid prescriptions with sufficient nonopiate analgesics did not report worse pain relief at POD 30 compared to those receiving higher opioid prescriptions. In light of the opioid epidemic, this study supports initial dosing recommendations by the American Society for Addiction Medicine. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: SURGERY Source Type: research
Digital media&downloads Compound Developed at UArizona Health Sciences Provides Innovative Pain Relief Researchers targeted a common sodium ion channel to reverse pain and saw positive results that could lead to a nonaddictive solution to treat pain. Today University of Arizona Health Sciencespain-relief-web.jpgHealthBIO5College of Medicine - TucsonExpertsResearch Media contact(s)Stacy Pigott University of Arizona Health Sciencesspigott@arizona.edu520-539-4152Researchers at the  University of Arizona Health Sciences are closer to developing a safe and effective non-opioid pain reliever after a study showed t...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
Opioid painkillers are highly addictive. After just five days of prescription opioid use, the likelihood that you'll develop long-term dependence on these drugs rises steeply — increasing your risk of eventual addiction and overdose.  Dr. Kelechi Okoroha, a Mayo Clinic orthopedic surgeon, says the opioid epidemic in the U.S. started in the 1990s, when patients were prescribed opioid pain relievers at an increased rate. This in turn led to widespread misuse and devastating consequences, including…
Source: News from Mayo Clinic - Category: Databases & Libraries Source Type: news
CONCLUSIONS: An interdisciplinary team approach to identifying and overcoming barriers to MOUD target clinics expands access. Key interventions include interdisciplinary leadership engagement, proactive education and incentivization of target prescribers, removal of procedural barriers, and development of tools to facilitate and support prescribing. These concrete interventions can help inform other institutions interested in expanding MOUD access.PMID:34733066 | PMC:PMC8560103 | DOI:10.12788/fp.0186
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
AbstractBackgroundTraining future clinicians in safe opioid prescribing (SOP) and treatment of opioid use disorder (OUD) is critical to address the opioid epidemic. The Accreditation Council on Graduate Medical Education requires all programs to provide instruction and experience in pain management and will mandate addiction medicine clinical experiences for internal medicine trainees.ObjectiveAssess residents ’ training in SOP and treatment of OUD and identify training barriers.DesignCross-sectional nationally representative survey was emailed in 2019.ParticipantsFour hundred twenty-two Association of Program Direct...
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
DISCUSSION: These data support an ongoing need for comprehensive clinician-based education as outlined in the FDA REMS educational blueprint, especially given recent data of escalating overdose deaths during the COVID-19 pandemic.PMID:34703298 | PMC:PMC8524258 | DOI:10.2147/JPR.S316637
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
On a morning Zoom call, a group of Canadian mothers give their full attention to a young man from the Drug User Liberation Front. At 26, Jeremy Kalicum is the age some of their kids would be if they had not died of accidental overdoses. “We’re just sick of it. We’re sick of our friends dying.”Kalicum’s tone is urgent as he walks the moms through a PowerPoint presentation explaining why the Liberation Front, known as DULF, wants to protest on International Overdose Awareness Day and hand out illicit drugs. These wouldn’t be the kind that killed their sons and daughters, he assures them; t...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized feature nationpod photography Source Type: news
Am J Phys Med Rehabil. 2021 Oct 20. doi: 10.1097/PHM.0000000000001914. Online ahead of print.ABSTRACTA considerable portion of the opioid epidemic has been driven by physician-prescribed opioids for pain management. Thus, policies to address the epidemic must consider not only the resources available to manage addiction, but those to manage acute and chronic pain as well. For the period 2017 - 2019, we sought to describe the distribution, by state, of indicators of the supply of resources to address pain and addiction (graduate medical education subspecialty training in pain and addiction; number of board-certified pain an...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
Conclusions: An ACS reportedly supports hospitalists and medical staff to best care for hospitalized patients with OUD. Notably, care provided to patients with OUD may not be uniform depending on various physician-level factors. Future work to address the concerns reported by study participants may include education for OUD treatment, early involvement of the ACS, and incorporation of buprenorphine prescribing algorithms to standardize care.PMID:34666634 | DOI:10.1080/08897077.2021.1975873
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
Pharmacol Rev. 2021 Oct;73(4):98-126. doi: 10.1124/pharmrev.120.000046.ABSTRACTPain prevalence among adults in the United States has increased 25% over the past two decades, resulting in high health-care costs and impacts to patient quality of life. In the last 30 years, our understanding of pain circuits and (intra)cellular mechanisms has grown exponentially, but this understanding has not yet resulted in improved therapies. Options for pain management are limited. Many analgesics have poor efficacy and are accompanied by severe side effects such as addiction, resulting in a devastating opioid abuse and overdose epidemic....
Source: Pharmacological Reviews - Category: Drugs & Pharmacology Authors: Source Type: research
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