Opioids for Pain: Understanding and Mitigating Risks-Presentation

Video Transcription

Video Summary

The video is a presentation by Roger Chou, a professor of medicine at Oregon Health and Science University, discussing the module on opioids for pain, understanding and mitigating risks, as part of the Providers Clinical Support System. The module aims to train healthcare professionals in evidence-based practice for the prevention and treatment of opioid use disorders, particularly in prescribing medications. Chou presents the educational objectives, which include recognizing risk factors for opioid misuse, screening and assessing for problematic opioid use, monitoring and evaluating patients prescribed opioids for chronic pain, non-opioid treatment approaches, and opioid taper strategies. He discusses the prevalence of chronic non-cancer pain and the high prescription rates of opioids in the United States compared to other countries. Chou highlights the potential harms of opioids, including opioid overdose deaths and substance use disorder, and shows data on the different waves of opioid overdose deaths in recent years. He emphasizes the connection between prescription opioid use and illicit opioid use, as well as the individual variability in tolerance and physical dependence. Chou then discusses the importance of universal precautions in pain management, including comprehensive pain assessment, medication agreements, and regular monitoring. He also addresses the risk factors for opioid overdose in patients prescribed opioids, such as aberrant behaviors, benzodiazepine use, and co-occurring medical conditions. Additional topics covered include risk stratification, screening for unhealthy substance use, the use of naloxone for overdose prevention, and strategies for mitigating risks associated with opioids. Chou recommends non-opioid therapies for pain management and discusses various treatment options, including cognitive behavioral therapy, exercise, interdisciplinary rehab, and medications. He concludes by highlighting the 2016 CDC guideline recommendations for chronic and acute pain, and provides information on the resources and programs offered by the Providers Clinical Support System. The video includes references and credits the PCSS Mentoring Program, the PCSS Discussion Forum, and the collaborative efforts of the American Academy of Addiction Psychiatry and other organizations.

Asset Subtitle

View the recorded presentation to attest that you have viewed the presentation in its entirety.

Keywords

Roger Chou

opioids for pain

evidence-based practice

opioid use disorders

prescribing medications

chronic pain

opioid overdose deaths

non-opioid treatment approaches

risk factors for opioid overdose

non-opioid therapies for pain management