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Prescribing opioids in primary care: avoiding perils and pitfalls
Kathleen Broglio1, B Eliot Cole
1Kathleen Broglio is a palliative care nurse practitioner at Columbia University Medical Center, an independent consultant, pain palliative care, and adjunct faculty at Pace University, New York, N.Y. B. Eliot Cole is a director of education at Nevada Psychiatric Association, Las Vegas, Nev. and a psychiatric locum tenems.
Millions of Americans suffer from chronic pain, necessitating careful consideration of opioid therapy. Clinicians can safely prescribe opioids by assessing patient risk and adopting uniform prescribing guidelines.
Area of Science:
- Pain Management
- Pharmacology
- Public Health
Background:
- Chronic pain affects millions of Americans, often requiring long-term opioid therapy.
- Recent increases in opioid abuse highlight the need for cautious prescribing practices.
Purpose of the Study:
- To emphasize the importance of uniform approaches to opioid prescribing for chronic pain.
- To demonstrate the feasibility of assessing and managing opioid risk in clinical practice.
Main Methods:
- Review of current clinical guidelines and risk assessment tools for opioid therapy.
- Discussion of strategies for safe opioid prescribing in chronic pain management.
Main Results:
- Opioid risk assessment is a viable strategy for safe prescribing.
- Uniform prescribing approaches can mitigate risks associated with chronic opioid therapy.
Conclusions:
- Clinicians can safely prescribe opioids for chronic pain by implementing risk assessment and standardized protocols.
- Effective management of chronic pain with opioids is achievable while addressing concerns of abuse.
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