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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...
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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...
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Orofascial pain and its associated disorders are complex and frequently overlooked. Dr. James Fricton discusses why.
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Patients can have control over various realms of their life, leading to less pain and improved quality of life. Dr. James Fricton explains the 7 realms and how they affect pain.
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The legal landscape for prescribers of controlled medications for pain and addiction is fraught with risk. Attorney Michael Barnes outlines best practices for prescribing clinicians to protect their patients from harm and themselves from criminal and civil liability.
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Morphine equivalent daily dose (MEDD) has been routinely used in clinical practice and as a research variable. Dr. Schatman discusses some of the ethical concerns attending the use of this flawed concept, for both clinical guidance and research validity.
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Dr. Christo outlines some common procedures used for pain reduction, including a basic description, and the supporting evidence base. Also considered are patient presentations that may be most suited to one or another of these modalities.
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Chronic pain can lead to inactivity, functional impairment, and reduced quality of life. Dr. Abaci discusses the complex central nervous system changes that can accompany chronic pain syndromes, and how exercise can mitigate these effects. While individual patient presentations differ, the core...
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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...
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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.