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Pain Core Curriculum Module 12: Keys to Communicat ...
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Dr. Erin Krebs, a General Internal Medicine Physician, discusses effective communication strategies in opioid management, focusing on patient-centered care. Her objectives are to recognize patient perspectives on opioid tapering, identify approaches to managing opioid use while maintaining a positive patient-clinician relationship, and highlight the role of shared decision-making. She presents a case study of a 50-year-old woman with chronic pain, emphasizing patient cooperation in tapering decisions. Dr. Krebs advises assessing both benefits and risks of opioid therapy, considering factors like ineffective pain relief and potential harms such as overdose risks. She highlights patient priorities, noting that while clinicians focus on overdose prevention, patients often prioritize life quality improvements, like emotional well-being and physical activity. Dr. Krebs explains that tapering should be patient-involved, emphasizing empathetic listening and individualized care. Her practical tips include thoroughly assessing pain and function, fostering open communication, and implementing gradual tapering plans. The ultimate goal is to improve patients’ quality of life by reducing opioid dependency, not merely through discontinuation but through holistic care plans.
Keywords
substance use screening
primary care
screening tools
Dr. Jennifer McNeely
American Psychiatric Association
TAPS tool
US Preventive Services Task Force
implementation barriers
referral and treatment
opioid treatment
patient-centered approach
opioid tapering
shared decision-making
chronic pain management
opioid dependence
empathy in healthcare
collaborative process
opioid management
patient-centered care
chronic pain
patient-clinician relationship
quality of life
holistic care
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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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