Pain Core Curriculum Module 13: Pain Medication and Adolescents: Special Considerations-Presentation

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Video Summary

The presentation, "Pain Medication and Adolescence, Special Considerations," led by Elliot Crane and sponsored by PCSS MOUD, focuses on opioid use disorder (OUD) risks and management specific to adolescents. Central to this event is the emphasis on increasing healthcare professionals' capacity to effectively address OUD through evidence-based practices. Key areas of focus include understanding OUD development during adolescence, learning safe opioid prescribing principles, and recognizing the impact of opioid misuse versus OUD.<br /><br />Definitions are vital, particularly regarding physical dependence and tolerance. Dependence involves withdrawal symptoms when drug use stops, while tolerance requires larger doses to achieve original effects. Differentiating between opiates (derived from the opium poppy) and opioids (synthetic or natural, acting like opiates) is also essential. Misuse, distinct from OUD, often involves improper usage like taking larger doses or using non-prescribed opioids.<br /><br />The genetic predisposition to OUD, coupled with exposure to opioids and psychological factors such as adverse childhood experiences or psychiatric disorders, increases risks. Warning signs of OUD include frequent ER visits for pain, medication loss of control, and combining opioids with other substances.<br /><br />Despite the concerning rise in opioid-related deaths predominantly from fentanyl, the death rate among adolescents is declining. Most adolescent opioid prescriptions come from dentists, highlighting a need for prescription safety guidelines. Naloxone distribution and multi-modal pain management strategies can mitigate opioid misuse risks, emphasizing non-pharmacologic interventions and mental health disorder considerations. Regular monitoring, parental control of medications, and coordinated care among healthcare providers are recommended strategies.

Keywords

opioid use disorder

adolescents

opioid prescribing

opiate vs opioid

genetic predisposition

opioid misuse

naloxone distribution

pain management

non-pharmacologic interventions

mental health