CE: Implementing Guidelines for Treating Chronic Pain with Prescription Opioids

Patricia E. Maloy, Megan O. Iacocca, Benjamin J. Morasco

Research output: Contribution to journalArticle

Abstract

Chronic pain, stemming primarily from musculoskeletal conditions and severe headaches, is a growing problem in the United States, affecting as many as 43% of adults. Opioids are frequently prescribed to manage chronic pain despite limited data on their long-term efficacy and the potential risks of long-term use. In 2017, more than 47,000 people died as a result of an opioid overdose involving illicit opioids (such as heroin), illicitly manufactured opioids, diverted opioids, prescription opioids, or some combination thereof. Although it's been more than three years since the nationwide opioid crisis prompted the Centers for Disease Control and Prevention (CDC) to release a guideline outlining safe practices for prescribing opioids to patients with chronic pain (unrelated to active cancer or palliative and end-of-life care), opioid misuse remains a significant concern. Historically, physicians have been tasked with the primary responsibility for implementing opioid safety measures, but nurses in the primary care setting are being increasingly relied on to incorporate these measures as part of their practice. In this article, we discuss the use of five tools outlined in the CDC guideline: prescription opioid treatment agreements, urine drug screening, prescription drug monitoring program databases, calculation of morphine milligram equivalents, and naloxone kits. Primary care nurses can use these tools to promote opioid safety among patients receiving opioid therapy for chronic pain.

Original languageEnglish (US)
Pages (from-to)22-29
Number of pages8
JournalThe American journal of nursing
Volume119
Issue number11
DOIs
StatePublished - Nov 1 2019

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Chronic Pain
Opioid Analgesics
Prescriptions
Guidelines
Centers for Disease Control and Prevention (U.S.)
Primary Health Care
Nurses
Drug Prescriptions
Preclinical Drug Evaluations
Terminal Care
Prescription Drugs
Drug Monitoring
Heroin
Patient Safety
Naloxone
Morphine
Headache
Urine
Databases
Physicians

ASJC Scopus subject areas

  • Nursing(all)

Cite this

CE : Implementing Guidelines for Treating Chronic Pain with Prescription Opioids. / Maloy, Patricia E.; Iacocca, Megan O.; Morasco, Benjamin J.

In: The American journal of nursing, Vol. 119, No. 11, 01.11.2019, p. 22-29.

Research output: Contribution to journalArticle

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