#To eliminate the opiate vol 2 pdf how to#

There are clinical, psychological, and social consequences associated with chronic pain including limitations in complex activities, lost work productivity, reduced quality of life, and stigma, emphasizing the importance of appropriate and compassionate patient care ( 4). Patients can experience persistent pain that is not well controlled. Pain might go unrecognized, and patients, particularly members of racial and ethnic minority groups, women, the elderly, persons with cognitive impairment, and those with cancer and at the end of life, can be at risk for inadequate pain treatment ( 4). Prevention, assessment, and treatment of chronic pain are challenges for health providers and systems.

#To eliminate the opiate vol 2 pdf how to#

Rates of opioid prescribing vary greatly across states in ways that cannot be explained by the underlying health status of the population, highlighting the lack of consensus among clinicians on how to use opioid pain medication ( 2). Opioid prescriptions per capita increased 7.3% from 2007 to 2012, with opioid prescribing rates increasing more for family practice, general practice, and internal medicine compared with other specialties ( 3). In 2012, health care providers wrote 259 million prescriptions for opioid pain medication, enough for every adult in the United States to have a bottle of pills ( 2). An estimated 20% of patients presenting to physician offices with noncancer pain symptoms or pain-related diagnoses (including acute and chronic pain) receive an opioid prescription ( 1). Opioids are commonly prescribed for pain. CDC has provided a checklist for prescribing opioids for chronic pain ( ) as well as a website ( ) with additional tools to guide clinicians in implementing the recommendations. This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death. It is important that patients receive appropriate pain treatment with careful consideration of the benefits and risks of treatment options. CDC obtained input from experts, stakeholders, the public, peer reviewers, and a federally chartered advisory committee. CDC developed the guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework, and recommendations are made on the basis of a systematic review of the scientific evidence while considering benefits and harms, values and preferences, and resource allocation. The guideline addresses 1) when to initiate or continue opioids for chronic pain 2) opioid selection, dosage, duration, follow-up, and discontinuation and 3) assessing risk and addressing harms of opioid use. This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.