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This book offers expert, balanced, concise guidance on how clinicians can navigate a number of complex considerations to formulate a treatment plan for chronic pain that either includes or advisedly excludes opioids.
Book Synopsis Expert Decision Making on Opioid Treatment by : Jane Ballantyne
Download or read book Expert Decision Making on Opioid Treatment written by Jane Ballantyne and published by Oxford University Press. This book was released on 2013-03-21 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers expert, balanced, concise guidance on how clinicians can navigate a number of complex considerations to formulate a treatment plan for chronic pain that either includes or advisedly excludes opioids.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Healthcare providers often deviate from clinical guidelines in ways that lead to worse patient outcomes. How do we encourage safer practices and what are its impacts on patient outcomes? I study a setting where 3,397 primary care teams received educational outreach (known as academic detailing) on appropriate pain management, use of risk evaluation tools, harm reduction interventions, and treatment of opioid use disorders. Leveraging a staggered adoption design and rich electronic health records for over 5 million primary care patients, I find that academic detailing had large and persistent impacts on provider behavior. Detailed providers increased prescribing of take-home naloxone (medication used to reverse overdoses), reduced opioid prescribing, and increased prescription drug monitoring program queries by for at least three years. Patients treated by detailed providers experienced small subsequent declines in emergency department visits and hospitalizations for overdose, suicides, and accidents, with the effects largely concentrated in heavy prior users of opioids. These findings suggest that targeted physician education can be an effective way to improve practice behavior and curtail the impacts of the opioid crisis.
Book Synopsis Can Educational Outreach Improve Experts' Decision Making? Evidence from a National Opioid Academic Detailing Program by : Jonathan Zhang
Download or read book Can Educational Outreach Improve Experts' Decision Making? Evidence from a National Opioid Academic Detailing Program written by Jonathan Zhang and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare providers often deviate from clinical guidelines in ways that lead to worse patient outcomes. How do we encourage safer practices and what are its impacts on patient outcomes? I study a setting where 3,397 primary care teams received educational outreach (known as academic detailing) on appropriate pain management, use of risk evaluation tools, harm reduction interventions, and treatment of opioid use disorders. Leveraging a staggered adoption design and rich electronic health records for over 5 million primary care patients, I find that academic detailing had large and persistent impacts on provider behavior. Detailed providers increased prescribing of take-home naloxone (medication used to reverse overdoses), reduced opioid prescribing, and increased prescription drug monitoring program queries by for at least three years. Patients treated by detailed providers experienced small subsequent declines in emergency department visits and hospitalizations for overdose, suicides, and accidents, with the effects largely concentrated in heavy prior users of opioids. These findings suggest that targeted physician education can be an effective way to improve practice behavior and curtail the impacts of the opioid crisis.
"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
Book Synopsis Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence by : World Health Organization. Department of Mental Health and Substance Abuse
Download or read book Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence written by World Health Organization. Department of Mental Health and Substance Abuse and published by World Health Organization. This book was released on 2009 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: "These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
Part 1 comprises a systematic review of the exploration of psychological variables in surveys on beliefs of physicians on opioids for chronic non-cancer pain. Fifteen papers met the study criteria and were reviewed. Psychological variables were studied in nine studies and are categorized into two themes - 'confidence and comfort' and 'trust and ambivalence'. Evidence for the influence of psychological variables on decision-making on opioid prescribing is poor. // Part 2 describes an empirical paper investigating the factors, including patients' and physicians' emotions, influencing the decision-making processes of pain specialists (N = 14) treating patients with chronic non-cancer pain using opioids. Thematic analysis yielded six themes: 1. Adhering to best practice; 2. Thorough understanding and application of expertise on opioids; 3. Paying attention to patient factors; 4. Maintaining doctor-patient relationship; 5. Clinicians' emotions have little bearing on decisions; and 6. Recognising limitations of current prescribing climate. The findings suggest that both patients' and clinicians' emotions have some influence on clinicians' decisions in the management of chronic pain. // Part 3 is a critical appraisal that discusses the challenges encountered during the research process, examines the underlying assumptions and concludes with reflections on conducting qualitative research.
Book Synopsis Understanding Pain Specialists' Decision-making on Prescription of Opioids for Chronic Non-cancer Pain by : Bernice Lee Li Qing
Download or read book Understanding Pain Specialists' Decision-making on Prescription of Opioids for Chronic Non-cancer Pain written by Bernice Lee Li Qing and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part 1 comprises a systematic review of the exploration of psychological variables in surveys on beliefs of physicians on opioids for chronic non-cancer pain. Fifteen papers met the study criteria and were reviewed. Psychological variables were studied in nine studies and are categorized into two themes - 'confidence and comfort' and 'trust and ambivalence'. Evidence for the influence of psychological variables on decision-making on opioid prescribing is poor. // Part 2 describes an empirical paper investigating the factors, including patients' and physicians' emotions, influencing the decision-making processes of pain specialists (N = 14) treating patients with chronic non-cancer pain using opioids. Thematic analysis yielded six themes: 1. Adhering to best practice; 2. Thorough understanding and application of expertise on opioids; 3. Paying attention to patient factors; 4. Maintaining doctor-patient relationship; 5. Clinicians' emotions have little bearing on decisions; and 6. Recognising limitations of current prescribing climate. The findings suggest that both patients' and clinicians' emotions have some influence on clinicians' decisions in the management of chronic pain. // Part 3 is a critical appraisal that discusses the challenges encountered during the research process, examines the underlying assumptions and concludes with reflections on conducting qualitative research.
The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Book Synopsis Framing Opioid Prescribing Guidelines for Acute Pain by : National Academies of Sciences, Engineering, and Medicine
Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-03-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Book Synopsis Helping people share decision making by : Debra de Silva
Download or read book Helping people share decision making written by Debra de Silva and published by The Health Foundation. This book was released on 2012 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Book Synopsis Relieving Pain in America by : Institute of Medicine
Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Handle the vital issue of pain management safely and effectively, with the proven range of treatments offered in Pain Management for Advanced Practice. Offering compassionate, holistic pain management strategies — pharmacological and nonpharmacological — this expert guide supports evidence-based decision making, with multimodal care options that include cognitive behavioral therapy, yoga, acupuncture, analgesics and supplementary pharmaceuticals. Essential for clinicians in all practice areas, this is the real-world support all advanced practice clinicians need for managing patients in pain.
Book Synopsis Pain Management for Advanced Practice by : Angela Starkweather
Download or read book Pain Management for Advanced Practice written by Angela Starkweather and published by Lippincott Williams & Wilkins. This book was released on 2019-09-09 with total page 11201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handle the vital issue of pain management safely and effectively, with the proven range of treatments offered in Pain Management for Advanced Practice. Offering compassionate, holistic pain management strategies — pharmacological and nonpharmacological — this expert guide supports evidence-based decision making, with multimodal care options that include cognitive behavioral therapy, yoga, acupuncture, analgesics and supplementary pharmaceuticals. Essential for clinicians in all practice areas, this is the real-world support all advanced practice clinicians need for managing patients in pain.
