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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 injured workers.
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A professor and department chair of adult and gerontology nursing offers an overview of best practice recommendations for obtaining assessment information from older patients with pain. Different strategies to engage in patients with cognitive impairment vs the cognitively intact are considered...
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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 response to these challenges, and outlines some...
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In response to the escalating crisis of opioid abuse and overdose fatalities, states are adopting dosage thresholds as part of their prescribing guidelines. A clinical pharmacist and public policy professor summarize the public health landscape that has spawned this response, and evaluate the impact...
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Prescription Drug Monitoring Programs (PDMPs) are widely available, but not yet uniformly used. A clinical pharmacist and associate professor evaluates the current landscape, and what can be improved to enhance their utility in curbing substance misuse and abuse.
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Beyond its role in treating opioid dependence, methadone has unique benefits that make it a viable option for chronic pain management. But with these come multiple pitfalls, for which the risks of methadone therapy may outweigh its benefits for some patients. Levorphanol shares all of the benefits...
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Who is at risk for transition from acute to chronic pain, and why is this progression difficult to predict? Dr. Zacharoff considers these questions, and outlines some strategies for the clinician to engage to reduce the risk of transition.
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High-quality research on the safety and efficacy of medical cannabinoids as pain therapy has long been impeded by an adverse regulatory environment. Even as the prominence of medical marijuana continues to grow--in part due to the public health crisis of opioid abuse--confusion about marijuana for...
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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 with advanced illness are also discussed.
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A clinical health psychologist discusses the diverse effects of chronic pain on adolescent patients, with consideration for how this phase of life differs from both childhood and adult stages. These differences have implications for the experience of pain, across biological, psychological, social...