Tag: pain patient

Opioids: Prescribe with Care

In the past several years, opioid misuse and abuse has become an increasing problem in our society. Recently, the death of music icon, Prince, was attributed to an accidental overdose of Fentanyl, a powerful synthetic opiate used to treat chronic pain. This problem is not limited to high-profile celebrities –– according to the Centers for… Read more »

Exercise and Acetaminophen: Tools for Your Patients’ Pain Treatment Toolbox

Despite all our good intentions to alleviate our patients’ chronic pain symptoms and improve their quality of life, there are many challenges in the way. We have limited time to interact with each individual, and frequently, insurance does not cover the ideal multidisciplinary approach. Adding to these obstacles is the significant increase in prescriptions medications… Read more »

Pain Medications: How Long is Too Long?

Revised by Kevin L. Zacharoff, MD December 2015 There are many different types of pain medications available to help healthcare providers treat patients with chronic pain. Depending on the specific medication, they can be obtained by prescription or are available over-the-counter (OTC). Pain medications provide an important component of most treatment plans intended to relieve… Read more »

Same Opioid, Same Patient Type, Same Response?

Empirical is typically defined1 as “originating in or based on observation or experience” (e.g., empirical data), “relying on experience or observation alone often without due regard for system and theory” (e.g., an empirical basis for a theory), or “capable of being verified or disproved by observation or experiment” (e.g., empirical laws). It is quite common for… Read more »

APS/AAPM Clinical Guidelines for Chronic Opioid Therapy in Patients with Noncancer Pain

The basis for the long-term use of opioids in the treatment of cancer pain has been fairly well established. Alternatively, a variety of controversies and differences of opinion have surrounded the use of opioid therapy when treating chronic noncancer pain. Issues range from the scientific basis for efficacy, safe and appropriate use, to health care… Read more »

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 »

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 »