Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

967
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
967
Opioid Receptors: Overview01:22

Opioid Receptors: Overview

4.2K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
4.2K
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

900
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
900
Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents01:17

Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents

644
Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
644
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

2.0K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
2.0K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

2.4K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.4K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Perinatal Workforce Pipeline and Strategies for Meeting Community Need.

North Carolina medical journal·2026
Same author

Geographic Disparities in Glucagon Prescriptions Across North Carolina.

American journal of preventive medicine·2025
Same author

Extended-Release Buprenorphine Could Overcome Barriers to Medical Treatment of Opioid Use Disorder in At-Risk Populations.

HCA healthcare journal of medicine·2025
Same author

Accessing perinatal substance use disorder care in your local community: A case study of an innovative hub and spoke network in western North Carolina.

Journal of substance use and addiction treatment·2023
Same author

Psychological safety and accountability in longitudinal integrated clerkships: a dual institution qualitative study.

BMC medical education·2023
Same author

Prescribing psychologists: Forgotten providers in the battle against opioid use disorder.

Addiction (Abingdon, England)·2023
Same journal

A Practical Framework for Teaching Women's Health Procedures.

Family medicine·2026
Same journal

Quantifying the Disrupted Pathway: The Representation Gap for Hispanics/Latinos in Academic Family Medicine Leadership.

Family medicine·2026
Same journal

Comment on "Redefining Value in Family Medicine Obstetrics: A Pathway to Sustainable Rural Maternity Care".

Family medicine·2026
Same journal

The Power of Presence.

Family medicine·2026
Same journal

Advancing Hybrid Interviewing: From Bias Concerns to Assessment Quality.

Family medicine·2026
Same journal

Seeing Beneath the Surface.

Family medicine·2026
See all related articles

Related Experiment Video

Updated: Jan 25, 2026

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
10:26

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities

Published on: September 11, 2021

4.4K

Teaching Opioid Tapering Through Guided Instruction.

Rebecca Claire Austin1, Carriedelle Wilson Fusco2, E Blake Fagan2

  • 1University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC.

Family Medicine
|May 14, 2019
PubMed
Summary
This summary is machine-generated.

Family medicine residents learned opioid tapering through guided instruction, increasing adherence to national guidelines for chronic pain management. This initiative reduced high-dose opioid use and concurrent benzodiazepine prescriptions.

More Related Videos

In-situ Tapering of Chalcogenide Fiber for Mid-infrared Supercontinuum Generation
09:39

In-situ Tapering of Chalcogenide Fiber for Mid-infrared Supercontinuum Generation

Published on: May 27, 2013

12.8K
Orienteering as a Tool for Cognitive Research: An Implementation Guide
07:13

Orienteering as a Tool for Cognitive Research: An Implementation Guide

Published on: November 29, 2024

1.4K

Related Experiment Videos

Last Updated: Jan 25, 2026

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
10:26

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities

Published on: September 11, 2021

4.4K
In-situ Tapering of Chalcogenide Fiber for Mid-infrared Supercontinuum Generation
09:39

In-situ Tapering of Chalcogenide Fiber for Mid-infrared Supercontinuum Generation

Published on: May 27, 2013

12.8K
Orienteering as a Tool for Cognitive Research: An Implementation Guide
07:13

Orienteering as a Tool for Cognitive Research: An Implementation Guide

Published on: November 29, 2024

1.4K

Area of Science:

  • Medical Education
  • Pain Management
  • Public Health

Background:

  • The opioid epidemic necessitates updated clinical practices for chronic non-cancer pain.
  • National guidelines and laws increasingly favor judicious opioid use.
  • Family medicine residency programs require effective opioid tapering education.

Purpose of the Study:

  • To integrate opioid tapering education into a family medicine residency curriculum.
  • To assess the impact of guided instruction on guideline-concordant opioid prescribing.
  • To evaluate changes in patient opioid dosage and co-prescribing patterns.

Main Methods:

  • Retrospective chart review of 707 patients on chronic opioid therapy (COT).
  • Analysis of data before and after curriculum intervention.
  • Primary outcomes: number of patients on COT, average MED, percentage of patients on >50 or >90 MED, and concomitant benzodiazepine use.

Main Results:

  • 188 patients successfully tapered off COT.
  • Average morphine equivalent daily (MED) per patient remained stable.
  • Significant reductions observed in patients on >50 MED (30.6% to 25.0%) and >90 MED (19.4% to 14.0%).
  • Concomitant benzodiazepine use decreased from 212 to 131 patients.

Conclusions:

  • Guided instruction in opioid tapering enhanced family medicine residents' adherence to national guidelines.
  • The curriculum intervention contributed to safer opioid prescribing practices.
  • Educational initiatives are effective in managing chronic pain patients on opioids.