Articles

Difficult Conversations about Opioid Medications: Final Thoughts

Undertaking opioid therapy for pain in the primary care setting is not an easy task. For this reason I wrote a series of articles for the PainEDU website covering eight different opioid-related conversations that may arise during an office visit. Without forethought and preparation a clinician may find that these conversations are ‘difficult’ ones to… Read more »

A Urine Screen Comes Back Positive for a Substance You Have Not Prescribed: Difficult Conversations, Part VIII

This is the eighth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #8: A patient’s urine test comes back… Read more »

When a Patient Appears Intoxicated or Somnolent: Difficult Conversations, Part VII

This is the seventh article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #7: A patient appears to be intoxicated… Read more »

Pediatric Palliative and Hospice Care

I am currently the medical director of a community-based pediatric palliative and hospice care program, Community PedsCare that is the pediatric program of Community Hospice of NE Florida. Due to the success of the Community PedsCare partnership with the Wolfson Children’s Hospital, the inpatient pain and palliative care consult service was developed last year (2010)… Read more »

Early Requests for Medication Refill: Difficult Conversations, Part VI

This is the sixth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #6: A patient requests a medication refill… Read more »

Thoughts about Pain from a Palliative Care Coordinator

This essay was submitted in 2011 in application for a PainEDU/PAINWeek scholarship. Though not a winner, this essay was found to have special merit. I am the Palliative Care Coordinator of a newly developing palliative care unit. My job description includes assisting with the development of new policies and procedures. I am responsible for developing… Read more »

Urgent Calls and Unscheduled Visits: Difficult Conversations, Part V

This is the fifth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #5: A patient encounters an urgent problem… Read more »

Reports of Lost or Stolen Medications: Difficult Conversations, Part IV

This is the fourth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #4: A patient reports their pain medication… Read more »

Reducing Reliance on Pharmacologic Treatment: Difficult Conversations, Part III

This is the first article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #3: Finding a better way to communicate… Read more »

Definitions related to aberrant drug-related behavior: Is there correct terminology?

Reviewed February 2014 Man is the only critter who feels the need to label things as flowers or weeds. ~Author Unknown Words can be powerful, and sometimes their meaning may be misinterpreted based on how they are used. One person may think that words are being used inaccurately and as a form of ‘labeling’, while… Read more »