Safe Opioid Prescribing for Nurse Practitioners

Paperback | August 31, 2011

byYvonne DArcyEditorPatricia Bruckenthal

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Opioid prescribing presents many challenges to all clinicians, including nurse practitioners, who often feel ill-equipped to deal with the myriad of complex issues involved. Fear of regulatory oversight and fear of potential addiction in patients often prevents nurse practitioners fromprescribing opioids to those patients who could benefit from them. Although addiction is a legitimate concern for practitioners prescribing opioids, practitioner fear can disproportionally influence patient care in the pain management setting. When faced with treating a patient suffering from achronic condition, understanding safe prescribing guidelines can provide the practitioner with the accurate information - and confidence - necessary to treat pain patients safely and effectively.Part of the Oxford American Pocket Notes series, this ultra concise pocket guide provides helpful information for prescribers in an easy-to-tab format. The introduction addresses practitioners' specific considerations while subsequent sections provide information on selecting and screening patientsfor opioid therapy. Moreover, the volume includes a special section on opioid prescription for patients who have a history of substance abuse. The author provides examples of patient opioid agreements, an algorithm for treating chronic pain with long-term opioids and information on interpretationof urine screening results. Authored by two highly experienced nurse practitioners on the frontlines of patient care, this volume uses the most up-to-date information available in order to function as a clinically focused tool for safe opioid prescribing.

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From the Publisher

Opioid prescribing presents many challenges to all clinicians, including nurse practitioners, who often feel ill-equipped to deal with the myriad of complex issues involved. Fear of regulatory oversight and fear of potential addiction in patients often prevents nurse practitioners fromprescribing opioids to those patients who could ben...

Yvonne D'Arcy, MS, CRNP, CNS, is Pain Medicine and Palliative Care Nurse Practitioner, at Suburban Hospital-Johns Hopkins in Bethesda, Maryland. Patricia Bruckenthal, PhD, RN, ANP, is Clinical Associate Professor at Stony Brook University School of Nursing.

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Format:PaperbackDimensions:80 pages, 3.7 × 6.61 × 0.31 inPublished:August 31, 2011Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199737703

ISBN - 13:9780199737703

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Table of Contents

1. Issues surrounding safe prescribing (Introduction)A. Treating chronic pain with opioidsB. Legal considerationsC. The need for an adequate knowledge base2. Assessment: How to determine if the pain complaint needs opioid therapyA. Using the brief Pain Impact Questionnaire (BPIQ)B. Criteria for implementing opioid therapy3. Screening for opioid riskA. CAGEB. Opioid Risk Tool (ORT)C. COMMD. SOAPP-R4. Prescribing opioids for chronic painA. Using universal precautionsB. Addiction, dependency, toleranceC. Commonly prescribed opioids and equivalent dosesD. How to rotate opioidsE. Prescribing opioids for patients with a history of addiction or substance abuse5. Developing a comprehensive treatment planA. Using an opioid treatment agreementB Elements of the treatment agreementC. Algorithm for treating chronic pain with opioidsD. Interpreting results of a urine screenE. Enforcing the opioid treatment agreement and developing an exit strategyF. Adding complementary methods to a treatment plan6. DocumentationA. Using the PADTB. Using the four A"s for reassessment7. Recommended readings and websites