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Informationen zum Autor HSS: Professor of Anesthesiology and Director of Pain Management, Department of Anesthesiology, Albany Medical College, Albany, New York. PGF: Professor of Anesthesthesiology, University of Utah Health Sciences Center, Salt Lake City, Utah. Klappentext Opioid Management Tools and Tips provides health professionals with basic guidance, tools, and resources for identifying patients who may be at risk for opioid misuse and effective managing the risk of abuse, addiction, and diversion. Zusammenfassung Chronic pain is one of the most common and debilitating health care conditions, and among the most notoriously challenging to treat. Chronic non-cancer pain presents a significant burden to society in terms of lost workforce productivity and significant healthcare resource utilization and cost. Although controversies persist surrounding the use of opioid analgesics, consensus now exists among medical experts that they can be useful for carefully selected patients. Safe opioid prescribing, however, hinges on effective risk management. All clinicians who treat pain with opioids are obliged to implement therapy according to accepted principles of prescribing and to minimize the risk of misuse, abuse, addiction, and diversion through risk assessment and management strategies. Proper risk assessment allows for a care plan that is structured to optimize therapeutic outcomes while minimizing risks of potential opioid-related morbidities or problematic drug-related behaviors as effectively as possible. Opioid Management Tools and Tips provides health professionals with basic guidance, tools, and resources for identifying patients who may be at risk for opioid misuse and effective managing the risk of abuse, addiction, and diversion. This second edition contains updated guidelines on opioid selection as well as legal and regulatory resources. Inhaltsverzeichnis 1. Introduction 2. The Four A's: Domains for Pain Management Outcomes 3. Principles of Responsible Opioid Prescribing 4. Documentation 5. Defining Addiction, Physical Dependence, Tolerance, and Diversion 6. Prior to Initiating Chronic Opioid Therapy 7. Selection of Opioid Analgesic 8. Tools to Guide Decision Making, Stratify Risk, and Structure Therapy 9. Opioid-specific Screening Tools 10. Revised Screener and Opioid Assessment for Patients with Pain 11. D.I.R.E Score 12. Managing the Risk of Abuse, Addiction, and Diversion 13. Urine Drug Testing 14. Assessing Outcomes of Opioid Therapy 15. Documentation Tools in Long-Term Opioid Therapy 16. Managing Aberrant Drug-related Behavior 17. Quick Scan of Selected Opioid Pharmacokinetic Data 18. Legal/Regulatory Materials and Resources on the Use of Controlled Substances to Treat Pain 19. Recommended Reading to Increase Skills, Knowledge and to Guide Practice 20. Internet Resources to Increase Skills and Knowledge, and to Guide Practice 21. References ...
