The new guidelines urge doctors to take it easy in prescribing the potentially killer drugs, making it clear that over prescribing is driving an epidemic of opioid addiction. The guidelines encourage doctors to try something besides an opioid when first treating pain, even suggesting ice and talk therapy. And if opioids are the best choice, start with the lowest possible dose. The guidelines also suggest that patients question whether they need such strong drugs to control their chronic pain.
Don’t use opioids first. Try other methods such as Tylenol, ibuprofen or ice.
When using opioids for the treatment of acute pain 3 days of medication will usually suffice.
Talk to the patient about what they can expect. 100% pain-free may not be realistic or desirable.
Make sure the patient knows the risks.
Never start with the long-acting opiates and use the lowest possible dose.
5th Annual Thoughtful Approach to Chronic Pain: May 20-21, 2016
The appropriate treatment of chronic pain is an evolving, and sometimes controversial, practice. This conference presents information on the use of opioids in Oregon, community effects of opioid prescribing, current best practices for the treatment of chronic pain, and how medicine and community justice interface around prescription opioids use. Where:Smullin Education Center, Medford, Oregon Who: All Health Care Professionals Registration: CME registration Details: Conference Brochure
Who we are
The Oregon Pain Guidance group (OPG) is a diverse group of healthcare professionals from Jackson and Josephine Counties. The group was formed to engage healthcare professionals and community partners on the current opioid problem, to learn best practices for managing complex, chronic non-cancer pain (CCNP) and to bring them into standardized, general use in Southern Oregon. MORE >>
CDC Releases Draft Opioid Guidelines
The CDC urged primary-care physicians who prescribe opioids for pain relief to rein in their use of the drugs, proposing new guidelines that call for a more conservative approach than the one that has led to a crippling epidemic of addiction to the powerful narcotics.
White, middle-aged Americans are dying at a rising rate, a new study shows, a startling reversal that suggests addiction and mental-health issues are setting back decades of gains in longevity. Suicide, alcohol abuse, drug overdoses and chronic liver diseases largely drove the rise, which occurred between 1999 and 2013, according to the report published Monday in the Proceedings of the National Academy of Sciences.
New steps to combat heroin, prescription drug abuse
Faced with a nationwide epidemic of heroin and prescription drug abuse, Obama announced that his office will take steps to increase access to drug treatment and expand training of doctors who prescribe opiate painkillers.
NPR reporter Liam Moriarty has a series of interviews with Dr. Jim Shames and other healthcare professionals about the alarming rise in heroin use and related overdose deaths. The addicts are not the stereotypes you might think. They are the professional next door. And many of them started by becoming dependent on opioids.
California Medical Board issued Guidelines for Prescribing Controlled Substances for Pain, November 2014. Washington Agency Medical Directors’ group released a major update to their Guideline on Prescribing Opioids for Pain, June 2015.
Naloxone (Narcan) is now available for bystander use in Oregon. Currently all Medford Police officers are carrying naloxone in their patrol cars and we expect within a few months all law enforcement in Jackson County will be naloxone capable. Learn about Naloxone and Local Community Plans >>
12 years ago, Michelle fell off a balcony and broke her neck. As part of her initial treatment, she was given opioids for pain. She was dependent on opioids for the next 10 years. Two years ago she was tapered off opioids completely and “got her life back.” Listen to her story.
Chronic Pain Explained in 2.5 minutes
The team from Hunter Integrated Pain Service (HIPS), University of South Australia, University of Washington and Hunter Medicare Local (Hunter ML) have released a follow-up shorter video after their popular “Pain Explained in 5 Minutes” video. SEE MORE VIDEOS >>
CENTRAL OREGON SUMMIT TO REDUCE RX ABUSE
Central Oregon Conference sponsored by OrCRM. Over 130 representatives from health systems, law enforcement, local government, substance abuse treatment agencies, and other local and state organizations heard speakers present the problems of prescription drug abuse. Attendees formed breakout groups to develop possible solutions.
We encourage other organizations to make use of these guidelines, including modifying them with local information and resources.
Our process for assisting other organizations to create their own version:
Please send us some background on your organization and your intended use of the guidelines.
We will send you a Microsoft Word document for you to modify, using track changes. Also include any additional pages and attachments – e.g. local resources and contacts.
We take your changes and create a new, professionally formatted PDF, customized for your organization, that you can print, distribute electronically, or post on your website. We charge for the time involved. Typically this is a nominal fee if your changes are not extensive.