Tuesday, December 12, 2017

Opioid Dosage & Morphine Equivalency: CDC Recommendations vs. State Policies

opioid_morphineToday’s healthcare practitioners are grappling with how to properly assess, care for, communicate with, and monitor patients with persistent pain, and who may be at risk for substance use disorders, while being mindful of public safety efforts related to inappropriate or excessive prescribing. To help educate clinicians, the State Pain Policy Advocacy Network is proud to announce a new series of educational resources! Our first installment explores the implications for meeting the standard of care when comparing CDC guidelines to state policies.

This resource is just the first in a series that examines the U.S. Centers for Disease Control and Prevention (CDC) Guideline for Prescribing Opioids for Chronic Pain — and its effect on a variety of important clinical practice issues — to help practitioners better understand how the CDC guideline recommendations compare or conflict with state policies.

Download the PDF here, and look for more educational resources from SPPAN soon.

2 responses

  1. Mrs Reid
    September 15, 2016 at 3:19 pm

    I was asked by texts if I wanted to receive Laser Pain Therapy. I suffer daily 24/7-365 days of pain and more pain and more Chronic Pain. I had a workplace injury that lead to ChronicPain/Fibromyalgia. I’m also diabetic and have hypertension. So all treatments are kinda scary, but after reading your article I’m seriously considering this treatment. So thanks for covering this new treatment that I found to be very informational to say the least. I have been suffering since 2009 and welcome any new developments that can help me be less pain free. I love how you also along with my pain docs understand the pain and discomforts of Fibromyalgia, and continue to study and work hard for us sufferers. Keep up the good work and I’ll continue to keep up the good fight.

    • Barbara Miracle
      October 27, 2016 at 10:58 am

      I Have fought until I cannot fight any longer. I travel 2 1/2 hours each way to see a pain management doctor and the trip is terrible. Last month I vomitted all the way home with head and neck pain so bad my son kept saying lets stop at the emergency room. I have Parkinsons and neck dystonia that pulls my head to the right and down. I’ve had several bad falls and a head injury this year and the movement and stimulation is just too much. I was hospitalized once this year and I asked for hospice care because I am just so miserable with not being able to do the things I need or want to do. They said I don’t meet hospice criteria yet.
      I’m a retired RN and in the early 2000’s joint commission came out with new standards on pain management. Patients have a right to effective pain Management. It was tied to our patient satisfaction survey and quality indicators and I saw a rise in the use of narcan to reverse the effects of nurses trying to satisfy patients needs. Now I am on the other side but there is a difference in that opioids have been over prescribed and I am suffering in that I cannot get effective pain management. Primary Care will not write prescriptions due to opioid abuse and they refer their chronic pain patients to a Pain Management Doctor. I live in rural Ky where the opioid abuse problem was bad. Now patients with chronic pain are affected in so much that their quality of life suffers and nothing is being done about it. I was a good Nurse. I made my patients comfortable but never had to give them Narcan. With enough Patient/Family education I was able to overcome some of the problems the other nurses encountered with oversedation. I am on opioids now and muscle relaxants. I’ve had epidural steroid injections for ruptured cervical discs and botox injections for the dystonia.
      The Pain Management Doctors have told me they are afraid that they will “loose their License” for prescribing opioids. I’ve been advised to write my congressman and senator by Doctors. I spend the most part of my day in the bed because I am in so much pain. This is not the answer to opioid abuse. Because of these new laws affecting prescribing practices of doctors, I will spend my last days in pain and miserable with a chronic illness that will only get worse. My outlook is poor. Instead of focusing so much on prescription drug abuse, Doctors are going to need a class in basic pain management.

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About Amy Goldstein, Director of State Pain Policy Advocacy Network