Opioid Risk Management: Tools and Tips by Howard S. SmithOpioid Risk Management: Tools and Tips by Howard S. Smith

Opioid Risk Management: Tools and Tips

byHoward S. Smith, Perry G. Fine

Paperback | December 5, 2013

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Chronic pain is one of the most common and debilitating health care conditions, and among the most notoriously challenging to treat. Chronic non-cancer pain presents a significant burden to society in terms of lost workforce productivity and significant healthcare resource utilization andcost. Although controversies persist surrounding the use of opioid analgesics, consensus now exists among medical experts that they can be useful for carefully selected patients. Safe opioid prescribing, however, hinges on effective risk management. All clinicians who treat pain with opioids areobliged to implement therapy according to accepted principles of prescribing and to minimize the risk of misuse, abuse, addiction, and diversion through risk assessment and management strategies. Proper risk assessment allows for a care plan that is structured to optimize therapeutic outcomes whileminimizing risks of potential opioid-related morbidities or problematic drug-related behaviors as effectively as possible. Opioid Risk Management Tools and Tips Second edition provides health professionals with basic guidance, tools, and resources for identifying patients who may be at risk for opioid misuse and effective managing the risk of abuse, addiction, and diversion. This second edition contains updatedguidelines on opioid selection as well as legal and regulatory resources.
Howard S. Smith is Professor of Anesthesiology and Director of Pain Management in the Department of Anesthesiology at Albany Medical College in Albany, New York. Perry G. Fine is Professor of Anesthesthesiology at the University of Utah Health Sciences Center in Salt Lake City, Utah.
Title:Opioid Risk Management: Tools and TipsFormat:PaperbackDimensions:68 pages, 6.75 × 3.75 × 0.68 inPublished:December 5, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199862052

ISBN - 13:9780199862054


Table of Contents

1. Introduction2. The Four A's: Domains for Pain Management Outcomes3. Principles of Responsible Opioid Prescribing4. Documentation5. Defining Addiction, Physical Dependence, Tolerance, and Diversion6. Prior to Initiating Chronic Opioid Therapy7. Selection of Opioid Analgesic8. Tools to Guide Decision Making, Stratify Risk, and Structure Therapy9. Opioid-specific Screening Tools10. Revised Screener and Opioid Assessment for Patients with Pain11. D.I.R.E Score12. Managing the Risk of Abuse, Addiction, and Diversion13. Urine Drug Testing14. Assessing Outcomes of Opioid Therapy15. Documentation Tools in Long-Term Opioid Therapy16. Managing Aberrant Drug-related Behavior17. Quick Scan of Selected Opioid Pharmacokinetic Data18. Legal/Regulatory Materials and Resources on the Use of Controlled Substances to Treat Pain19. Recommended Reading to Increase Skills, Knowledge and to Guide Practice20. Internet Resources to Increase Skills and Knowledge, and to Guide Practice21. References