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Benzodiazepines and ‘Z’ drugs are frequently coprescribed to pain patients. They were developed for legitimate medical needs, but unbridled success and application has led to serious problems, some of which are known. The potential extreme duration of the withdrawal syndrome, however, is virtually...

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Despite the current opioid crisis, opioids remain the mainstay of analgesic therapy. They are associated with a multitude of side effects, including respiratory depression, pruritus, nausea, vomiting, urinary retention, ileus, and constipation. Beyond certain doses and duration of intake that vary...

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The content of this presentation will encourage audience participation. The “rights” section—drug, patient, time—will enable participants to reflect on medical malpractice cases where these rights were initiated in less than adequate outcomes and fell below the standard of care. Additionally...

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The current opioid epidemic has resulted in numerous professional and society guidelines focused on safe opioid prescribing. In addition, policymakers have focused on state legislation to limit the duration of opioid prescribing for acute pain. As a result of the increased scrutiny, prescribers have...

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Counterfeit medicine and counterfeit medical services pose a clear and present danger to our society. While we have all heard of the opioid epidemic, many of us are not aware that a great deal of the morbidity and mortality within the opioid epidemic is caused by legal and illegal counterfeit...

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There are studies that must be performed in order to determine their clinical relevance. The process extends from bench top to bedside and incudes various special populations like pediatrics and geriatrics. This course addresses various elements related to the study of analgesics. Novel improved...

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Surveys of healthcare providers indicate that one of the most distressing features of clinical practice is that of patient nonadherence. Its incidence in pain medicine is concerning: over 50% of patients with chronic noncancer pain are nonadherent with their prescribed exercise treatment and up to...

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Pain remains one of the most common reasons that people seek medical attention in the United States. When pain was designated as the fifth vital sign, people were given the right to have their pain assessed and effectively treated by their healthcare professionals. A number of ethical dilemmas have...

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The CDC guidelines have caused controversy and spurred heated discussion. Produced with a paucity of evidence based medicine, they were never evaluated and iterated in the manner of more appropriate guidelines. In this course, we will examine the guidelines and their effect on practitioners—primary...

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The reality of chronic pain can be sobering and depressing. The term “empathy” in the context of medical care may sometimes be confusing and misunderstood. This often results in the conveyance of sympathy—the “I’m sorry approach”—to patients suffering from chronic pain, which does not achieve the...

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