| Article
Patient screening and risk management in opioid therapy is really quite a challenge and requires significant knowledge of the medications particularly with high-dose opioids. First of all, you have to make a decision of whether or not, as the dose escalates, the patient should even be on opioids...
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The Chronic Migraine Education Program (CMEP) gives frontline practitioners a bird’s eye view of chronic migraine. It introduces concepts about diagnosis, on risk factors, of what to watch out for patients who may have frequent episodic migraine and the risk factors for conversion to chronic...
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A specialist in orthopedic regenerative medicine overviews a therapeutic option for musculoskeletal pain that carries a low risk profile while delivering high success rates. In use for many years, newer advanced forms of prolotherapy are now part of the pain management arsenal. Watch the segment to...
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Medical recordkeeping has the potential to be reduced to checkboxes: I’ve done this, I’ve done that, I’m good with the people who will review my records, so I’m done. But I think integrating the information in a meaningful fashion is the next level that we’re trying to get clinicians to go to. So in...
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It turns out that psychological factors strongly correlate with prescription for opioids and also for opioid dose. Some of those factors are depression, anxiety, post-traumatic stress disorder, and history of substance use disorder. So a person’s history and also their current psychological make-up...
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Avoiding Risks while Preserving Benefits
The current approach to managing pain in a postoperative environment has continued to progress even over the last decade in terms of multimodal analgesia. So after a patient leaves the hospital, after they finish their surgery and had this intensive...
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An attorney discusses the role and importance of laboratory test reports in a medical legal proceeding, and gives examples of how they are used to indicate compliance/noncompliance.
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The conclusion of a 2-part discussion. Some specific limitations of UTD as a clinical tool are examined. Drs. Gourlay and Heit also consider the role of opioids in chronic pain management, with balanced regard for the risks of pain and addiction.
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Part one of a 2-part discussion. The concept of patient-centered UDT as a clinical tool for monitoring adherence is considered. Drs. Gourlay and Heit also offer some guidelines for practitioners on who and when to test.
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Postoperative pain in older adults is probably underappreciated, in the sense that many clinicians are hesitant to treat with opioids due to the risk of respiratory depression. However, what we’ve learned is that the inadequate use of opioids actually can lead to greater pain postoperatively in...