PCSS AOAAM Half and Half Training-6058-Opioids for Pain: Understanding and Mitigating Risks

Video Transcription

Video Summary

In this video module, Dr. Roger Chow discusses the use of opioids for pain management and strategies for understanding and mitigating the risks associated with their use. He begins by highlighting the goal of the Provider's Clinical Support System (PCSS) on Opioids, which is to train healthcare professionals in evidence-based practices for the prevention and treatment of opioid use disorders and substance use disorders. <br /><br />Dr. Chow then delves into the background of chronic pain and the prevalence of opioid prescribing in the United States. He emphasizes that opioids are different from other drugs in terms of their potential for harm and discusses the rise in opioid overdose deaths over the years. <br /><br />The video covers various strategies to mitigate risks associated with opioid use, including patient selection and risk assessment, medication agreements, regular monitoring, urine drug testing, and prescription drug monitoring programs. Dr. Chow also highlights the importance of recognizing the connection between prescription opioid use and illicit opioid use. <br /><br />Additionally, the module touches on opioid pharmacology, including the dose-response relationship and the risks associated with high opioid doses. It also discusses the use of non-opioid treatments for chronic pain, such as cognitive-behavioral therapy, meditation and relaxation techniques, exercise, and interdisciplinary rehabilitation.<br /><br />Dr. Chow emphasizes the need for a multidisciplinary approach to pain management and the importance of setting functional goals for patients. He discusses the use of non-opioid medications for pain relief and provides an overview of various non-pharmacological treatments.<br /><br />The video concludes with a discussion on the tapering and discontinuation of opioid therapy, the treatment of opioid use disorder, and the need for providers to obtain a buprenorphine waiver to offer medication-assisted treatment. Dr. Chow also highlights the resources and mentorship available through the PCSS program.<br /><br />Overall, the module provides a comprehensive overview of the risks and benefits associated with opioid use for pain management and emphasizes the importance of evidence-based practices and a multidisciplinary approach to pain treatment.

Keywords

opioids

pain management

risks

chronic pain

opioid prescribing

overdose deaths

mitigate risks

non-opioid treatments

multidisciplinary approach

evidence-based practices