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Search results within Expert Opinion Videos for: primary care
Allison Schroder, PharmD, BCPS, a clinical pharmacy specialist at the Eastern Colorado Health Care System in Denver discussus what therapies a practitioner can turn to instead of opioids. And what if health insurance says "No" to these therapies? What are the true costs of patient care? ...
Tanya Uritsky, a clinical pharmacy specialist in pain management and palliative care at the University of Pennsylvania at the hospital of the University of Pennsylvania, discusses opioid treatment in the current climate. ...
Dr. Jennifer Hah on pain as the fifth vital sign, and the pluses of interdisciplinary care. ...
The clinical director of Mount Sinai Beth Israel Louis & Lucille Armstrong Music Therapy Program in New York, John Mondanaro talks about music therapy as a part of integrated, interdisciplinary patient care. ...
Chronic pelvic pain affects many women, some to the extent that they lose work days. What should practitioners know? The causes may be multifactorial, and the treatment must be individualized to give women the care they need. Dr. As-Sanie, from the University of Michigan, discusses. ...
Dr. Jeffrey Fudin discusses FDA and CDC guidelines for opioid prescribing. Capping may make obtaining opioids harder, which may be good for some and harmful for others. ...
At PAINWeek we look at topics from all sides. Here, Michael C. Barnes, an attorney who practices law with DCBA Law and Policy in Washington DC, gives his opinion on the opioid controversy, and what practitioners and patients should think about as Plan B. ...
Michael C. Barnes, an attorney who practices law with DCBA Law and Policy in Washington DC, discusses the nonadherent patient and recommends what a practitioner should do for the patient, and for themselves. ...
What does the patient desire: elimination of pain or restoration of function? What does the practitioner think the patient wants? Pharmacists Lynn McPherson and Alexandra McPherson discuss. ...
Are clinical treatment guidelines useful in actually treating patients? Dr. Argoff discusses the guideline development process, and why the individual patient sometimes gets "lost in translation". ...
In addition to other shortcomings, current prescribing guidelines are particularly ill-suited to the needs and challenges of patients already on opioid therapy. Drs. Heit and Gourlay discuss the roots of the problem and the role of primary care as talented amateurs in addiction medicine. ...
Successful treatment of chronic pain means going beyond the pharmacologic options to embrace self-care, psychological and psychosocial factors, functional restoration, and alternative medicine. Dr. Pohl provides an exploration, and outlines some ideas for primary practitioners to engage. ...
Dr. McPherson considers the question of enhancing the preparedness of practitioners to work effectively in an interprofessional setting. Interprofessional education takes clinicians outside the silos of their own specialties, and equips them to make the most of a team approach to patient care. ...
Women with chronic pelvic pain frequently endure long delays in referral to appropriate specialties for diagnosis and care. In this segment, a pain medicine psychologist and a pain medicine specialist outline what primary care should know about the epidemiology, risk factors and etiology of various pelvic pain conditions. ...
Dr. Joshi comments on what primary care practitioners should keep in mind with respect to the common comorbidities of pain, sleep disorders and psychological issues. Considering the whole patient will lead to more successful outcomes. ...
The pressures and challenges of managing patients with chronic pain are inciting some practitioners to opt out. Dr. Zacharoff considers some aspects of the professional landscape that are contributing to this condition, and why the "math" concerning pain patients and pain specialists makes it essential that primary care providers stay ...
A professor of physical medicine and rehabilitation discusses the treatment of neuropathic pain and what the primary care clinician should know and do. Addressing the whole patient via an interdisciplinary team is the key to better outcomes. Specific points on Fibromyalgia, CRPS, and Ketamine as therapy are also considered. ...
It is estimated that the incidence of Arachnoiditis has increased by some 400% in the last decade. Dr. Tennant outlines what primary care clinicians should know about the causes, symptoms, and MRI indications of the condition, and describes a clinical protocol for treatment. ...
Dr. LaPietra engages her expertise in acute pain management to outline some effective treatment modalities for use in the emergency room. She also comments on recently published CDC prescribing guidelines for opioid medications, and how they may refine the practice of pain management. Collaboration between the emergency department and the ...
POLST--Physician Orders for Life Sustaining Treatment--is a type of advanced directive that provides more detail and specificity than a DNR. Dr Gudin discusses the economic and societal issues of end of life care, and why the POLST program can be of value in promoting accurate communications between clinicians, patients and ...
A pain medicine nurse practitioner looks at the emergence of advanced practice providers as key members of the multidisciplinary team. She also discusses the pros and cons of HCAHPS as a measure of patient satisfaction in the acute care setting ...
Dr. Stanos reviews the development of evidence based medicine and offers some pointers to primary practitioners on how to intelligently assess guidelines and clinical trials. Critical evaluation can help clinicians become better users of clinical and research information. ...
Drs. Hah and Prasad review the current evidence on long-term opioid therapy for chronic non-cancer pain, and discuss some approaches to achieving a successful transition to pain management without opioids. ...
Dysmenorrhea, or chronic menstrual pain, is the most common gynecological pain condition, affecting from 45% to 95% of menstruating women. But because it is commonly considered a normal aspect of the menstrual cycle, it is often undertreated. Dr. Lamvu considers the consequences of this misperception, and offers guidance on better ...
Concern over opioid abuse is amplifying interest in opioid induced hyperalgesia among governing bodies and payor organizations. Dr. Harden discusses the current state of the science surrounding OIH, including terminology, technology/methodology, and existing evidence. Additionally, he offers some observations on the 2016 CDC prescribing guidelines for primary care practitioners. ...
In addition to other shortcomings, current prescribing guidelines are particularly ill-suited to the needs and challenges of patients already on opioid therapy. Drs. Heit and Gourlay discuss the roots of the problem and the role of primary care as talented amateurs in addiction medicine. ...
At PAINWeek 2016, a panel of medical, legal, and pharmacy specialists convened to offer their views on the recently introduced prescribing guidelines for chronic pain from the CDC. In this segment, Dr. Ziegler and Dr. Fudin summarize some of the concerns voiced over the guideline development process, and the utility ...
What does the data say about nonopioid analgesics? Which provide value to what condition? A palliative care services overseer discusses the pros and cons of these treatments, their potential role in pain management, and available data supporting their use. ...
Undiagnosed low pressure headache can lead to years of patient suffering as a result of misdiagnosis, inappropriate treatment, stigma, and even suspicion of psychogenic pain. Dr. Carroll introduces his patient, Kristen Garnell, in a discussion of what primary care clinicians should know about recognizing and treating the condition. ...
Dr. James Fricton, a professor and senior researcher, outlines transformative care and how it improves patient treatment. What should practitioners know about this strategy to help educate their patients? ...
Evidence based biobehavioral therapies, including cognitive behavioral therapy (CBT) and biobehavioral training are indicated for a variety of chronic pain conditions, including fibromyalgia and migraine headache. Dr. Buse, a psychologist, researcher and professor of medicine, outlines what primary care should know about the options, using migraine as a presentation example. ...
Common neuropathic conditions such as CRPS, postherpethic neuralgia, and diabetic neuropathy have established diagnostic and treatment paradigms. But what about neuropathic disorders that are less frequently encountered? Drs. Badiola and Yi introduce some of these, and what primary care practitioners should know. ...
We begin the week on The Daily Dose with a special report from the online journal STAT that reviews the dimensions of the crisis in opioid prescribing for patients with chronic pain. While not breaking new ground in the discussion, the report offers a... ...
UDT is the preferred tool in patient centered care, and is increasingly important in risk management. Heit and Gourlay discuss how it can offer clinicians insight into patient identification, treatment, and monitoring, and provide objective data for... ...
Fibromyalgia remains a challenge to diagnose and to treat. Dr. Stanos discusses some of the complexities of the condition, and some recent insights into etiology. Options for primary care intervention are also considered. ...
Chronic pain patients who fail standard treatments represent a growing problem, and a dilemma for health care providers. A pain specialist and senior PAINWeek faculty member discusses what we know about treatment failure, and outlines some elements... ...
The existence of opioid induced hyperalgesia as a side effect of chronic opioid therapy has been debated. A pain specialist offers his perspective on its reality and manifestations, and what the primary care clinician can do in response. ...
Dr. Reid reviews some of the age-related complications of geriatric pain management, and discusses the safety and efficacy of both pharmacologic and alternative treatment modalities. The value of collaborative models of care delivery for this patient... ...
Doctors Gourlay and Heit, specialists in the arena of pain and addition, explore some of the more common issues confronting the primary care clinician in the management of long-term opioid prescribing. The focus is on the challenges of the inherited... ...
Doctors Gourlay and Heit, specialists in the arena of pain and addition, explore some of the more common issues confronting the primary care clinician in the management of long-term opioid prescribing. The focus is on the challenges of the inherited... ...
Patients with pain often report feeling discounted by health care providers, family, coworkers and caregivers. Dr. Geraghty comments on the etiquette of successful patient communication so that patients feel validated and better treatment outcomes... ...
Most workers compensation claims involve pain treatment, and most of that therapy involves pharmaceuticals. Dr. Foster overviews the trends and treatment guidelines that primary care practitioners should be aware of, to achieve the best outcomes for... ...
Pain management practices are facing stiffer financial headwinds due to cuts in reimbursement for office visits and procedures, and escalating overhead expenses. Dr. Florente discusses the adoption of nontraditional ancillary services as a creative... ...
Dr. McPherson comments on recent consensus guidelines for methadone prescribing, with background on the properties of this analgesic that render it both an attractive and challenging opioid for pain clinicians. Special considerations for patients... ...
Clinicians involved in pain management face a practice environment that is in constant flux. In this segment, an attorney with deep experience in the medico-legal issues confronting pain practitioners outlines steps that they can take to stay current... ...
In patients with advanced illness, pain medication regimens may be inappropriately prolonged, due to clinical inertia or misperceptions over continued benefit. This segment considers the process for evaluating the medication decision in advanced... ...
A clinical professor of pharmacy offers some insights for primary care on best practice in opioid prescribing. Dr Atayee discusses the importance of risk assessment, competence in dosing and titration, and alternate routes of administration,... ...
Dr. Atayee overviews some recently approved medications for treatment of opioid-induced constipation, nausea from chemotherapy, and insomnia. Clinical evidence is scarce, but all bear further investigation. ...
By advancing from a problem/solution perspective to a holistic life coaching approach in the management of chronic pain, both clinician and patient can achieve better, more satisfying, longer lasting outcomes. ...
Dr. Robeck describes her clinical experience with group interaction in the provision of pain care and addiction management in the VA setting. ...
Some further observations on the role of opioids, including advice to the primary clinician as they approach the prescribing decision. ...
There's much that you can do to help your patients with postherpetic neuralgia--including how you manage referrals. In this segment, a professor of neurology offers insights for primary care clinicians on diagnosing and managing postherpetic... ...
A prominent psychiatrist and pain educator discusses the challenge of managing patients with chronic pain who also suffer with borderline personality disorder and depression, including the special difficulties associated with demanding, noncompliant,... ...
Some further observations on the role of opioids, including advice to the primary clinician as they approach the prescribing decision. ...
Observations on the challenges confronting both patients and practitioners in underserved rural areas. ...
Dr. Robeck is a physician with the Veterans Health Administration.  This segment examines some comordidites associated with chronic pain among returning veterans. ...
Dr. Walker is an assistant professor of pharmacy practice, and a practitioner in palliative care. This segment discusses topical and transdermal medications, indications for use, and their role in the therapeutic plan. ...
Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. Here, she discusses some of the issues surrounding medical marijuana. ...
Dr. McPherson discusses what the primary care clinician should know about initiating methadone therapy, including an outline of some of the precautions that should be considered with this opioid. ...
Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. This segment explores topical and transdermal pain relievers. ...
Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. This segment examines some adverse events that are associated with opioid analgesics. ...
Dr. Robeck is a physician with the Veterans Health Administration.  This discussion introduces the Primary Care Medical Home and its applicability to non-VA clinical settings. ...
Dr. Walker is an assistant professor of pharmacy practice, and a practitioner in palliative care. Here, she discusses the issue of drug interactions in the palliative care setting. ...
Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. In this segment are her observations on patient prescriber agreements for opioids. ...
Dr. McPherson is an acclaimed professor of pharmacy, primary care practitioner and consultant in hospice and palliative care. Here, she discusses medication management in advanced illness. ...
An in-depth, 4- part examination of opioid risk assessment in the primary care setting; the need, the tools; the clinician responsibilities. ...
An in-depth, 4- part examination of opioid risk assessment in the primary care setting; the need, the tools; the clinician responsibilities. ...
An in-depth, 4- part examination of opioid risk assessment in the primary care setting; the need, the tools; the clinician responsibilities. ...
An in-depth, 4- part examination of opioid risk assessment in the primary care setting; the need, the tools; the clinician responsibilities. ...
Dr. Herndon shares insights from the implementation of a chronic pain management program within a large family medicine program. ...
Studies indicate that various neuromuscular disorders are often accompanied by chronic pain. Dr Carter discusses this relationship and some options for treatment that are available. ...