PCSS-MOUD Half and Half and Half Self-Study Training-Opioids for Pain: Understanding and Mitigating Risks

Video Transcription

Video Summary

This video provides an overview of the Provider's Clinical Support System on Opioids for Pain and discusses the understanding and mitigation of risks associated with opioid use. The module is led by Roger Chow, a professor of medicine at Oregon Health and Science University, and focuses on evidence-based practices for the prevention and treatment of opioid use disorders.<br /><br />Chronic non-cancer pain affects a significant portion of the population, and opioids are commonly prescribed for its management. However, the United States consumes a disproportionate amount of opioids compared to the rest of the world. The opioid epidemic has led to a rise in opioid overdose deaths, often due to prescription opioids. Opioids have the potential for harm, both to the patient and society.<br /><br />To mitigate risks associated with opioids, practitioners should follow universal precautions, which include risk assessment, comprehensive pain assessment, medication agreements, regular monitoring, and urine drug testing. Non-opioid treatment approaches for chronic pain should also be considered, such as cognitive behavioral therapy, exercise, and interdisciplinary rehab. The video emphasizes that opioids should not be the sole treatment for chronic pain, and other modalities should be utilized to address functional goals.<br /><br />The risks and benefits of opioids should be carefully weighed, and patients should be selected and assessed based on their risk factors. Screening for unhealthy substance use is also recommended, along with the use of opioid misuse screening tools. Prescribing opioids at the lowest effective dose for acute pain is crucial, given the potential for long-term use.<br /><br />The video concludes by highlighting the importance of recognizing and treating opioid use disorder. Effective treatments, such as buprenorphine and methadone, can be life-saving for those with opioid use disorder. The module also provides information on various non-opioid medications and therapies that can be utilized for pain management.<br /><br />Overall, the video stresses the need for a cautious approach to opioid use, along with the implementation of evidence-based strategies and alternative therapies to mitigate risks associated with opioids.

Keywords

Provider's Clinical Support System on Opioids for Pain

opioid use risks

Roger Chow

evidence-based practices

opioid use disorders

chronic non-cancer pain

universal precautions

non-opioid treatment approaches

risks and benefits of opioids

recognizing and treating opioid use disorder