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    Opioid Risk Management: Tools and Tips

    Opioid Risk Management by Smith, Howard S.; Fine, Perry G.;

    Tools and Tips

    Series: Oxford American Pocket Notes;

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      • Publisher's listprice GBP 16.99
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    Product details:

    • Edition number 2
    • Publisher OUP USA
    • Date of Publication 27 February 2014

    • ISBN 9780199862054
    • Binding Paperback
    • No. of pages64 pages
    • Size 94x171x5 mm
    • Weight 54 g
    • Language English
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    Short description:

    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.

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    Long description:

    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.

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    Table of Contents:

    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

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