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Management of Opioid Use Disorder in the Hospitali ...
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The document provides guidance on managing opioid use disorder (OUD) in hospitalized adolescents, tailored for pediatric nurses. It emphasizes the importance of understanding the clinical presentation of OUD, addressing stigma, safeguarding confidentiality, and utilizing evidence-based medications such as buprenorphine, naltrexone, and methadone.<br /><br />The SAMHSA-funded Opioid Response Network (ORN) is highlighted as a significant resource, offering local assistance for prevention, treatment, recovery, and harm reduction strategies related to opioid and stimulant use. Each state and territory has a designated team led by a Technology Transfer Specialist to help implement evidence-based practices.<br /><br />Focusing on treatment, the document describes how medications can effectively manage withdrawal symptoms and cravings, emphasizing that these treatments can significantly improve retention in addiction care and overall quality of life. Buprenorphine and naltrexone formulations, including sublingual, injectable, and extended-release forms, are noted for their roles in treating OUD. The onset of induced withdrawal symptoms is addressed, with strategies for managing these effects, advising on precautionary measures such as avoiding CNS depressants.<br /><br />A significant emphasis is on reducing stigma in addiction care by using person-first language and understanding patients' backgrounds, such as Adverse Childhood Experiences (ACEs), which increase the likelihood of substance use issues. Trauma-informed care is advocated, focusing on preventing re-traumatization and fostering trust and safety for patients.<br /><br />Discharge planning includes recommendations for families and the administration of naloxone to prevent overdoses, with an acknowledgment that simply having naloxone can save lives. The document encourages integrating recovery support systems, emphasizing resources and peer support networks.<br /><br />Finally, the document closes with presentation logistics, evaluation instructions, and accreditation statements, underscoring the commitment to unbiased, evidence-based education for healthcare professionals managing opioid use in adolescents.
Keywords
Opioid Use Disorder
Pediatric Nurses
Buprenorphine
Naltrexone
Methadone
Opioid Response Network
Stigma Reduction
Trauma-Informed Care
Naloxone
Recovery Support
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 and grant no. 1H79TI085588 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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ORN
opioidresponsenetwork.org
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