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The opioid crisis in America has resulted in many changes and challenges for clinicians who undertake the difficult field of pain management. Specifically, guidelines have been proposed and effectively adopted by regulators and insurers as quasi standards of care. This has created very real barriers...

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The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act was recently introduced into the House of Representatives, after working its way through the senate. Its goal? To make it easier to access non-opioid pain management treatments. The Act hopes to “address payment disincentives for...

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Challenges. That’s what prescribers are facing when prescribing buprenorphine. They face barriers, hurdles, difficulties helping their patients overcome opioid use disorder. Even though things are changing—the federal government has removed some barriers, such as requiring special training for...

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The Journal of Pain Research published an article in which researchers conducted phone interviews with chronic pain patients, clinicians, and clinic staff. In an effort to understand barriers to long-term opioid therapy, the researchers questioned 15 patients, 7 primary care clinicians, and 3 office...

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The Journal of Emergency Nursing published an article reviewing data from emergency departments regarding ankle sprains and medications. What was administered and prescribed to those going to the ED for treatment? Researchers reviewed electronic medical records for information pertaining to opioids...

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The European Journal of Pain published a 2-part clinical practice guideline: part 1 covers the role of opioids in the management of chronic noncancer pain (CNCP) and part 2, special situations. The position paper was commissioned by the European Pain Federation (EFIC). Eight scientific societies and...

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A new study reported in JAMA states that the combination of older age, dementia, and polypharmacy is equaling a potential rise in overdose risk and is not helping mental status. Study researchers examined the records of over 1.1 million dementia patients, median age 83, and determined that almost 14...

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An article in the Journal of the American College of Surgeons validated guidelines for patient-centered prescriptions to increase disposal of leftover opioids, per FDA-compliance, which are currently 20% to 30%. Patients were given prescriptions for pain killers based on what they were taking before...

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In an article in the Canadian Journal of Anaesthesia, researchers investigated patients attempting to get medical cannabis for their chronic pain. Researchers looked at the long-term effect of cannabis on these patients through patterns of cannabis use and primary outcomes—pain intensity and...

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Threats. Harassment. Attacks. There have been reports recently about practitioners saying “No” to patients requesting opioids, and either being threatened or actually harmed. In Minnesota, five people were shot, and one killed, by a man who had been denied painkillers. A report in the Baltimore Sun...

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