Opiate Use in Our World

  • 24 Jan 2020
  • 12:00 PM - 1:30 PM
  • The Menninger Clinic 12301 Main Street Houston, TX 77035
  • 30

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Pain is formally defined as an unpleasant sensory and emotional experience with actual or potential tissue damage or described in terms of such damage. Two important consequences of this definition are that pain (a) is an emotional experience and is therefore influenced by other emotional states and (b) can occur without tissue damage.  According to the CDC, 11% of adults experience pain daily.  There has been a dramatic increase in prescriptions from primary care physicians to manage varied types of pain.  According to the National Institute on Drug Abuse, 48 million people have used prescription drugs for non-medical reasons in their lifetime.  The CDC reports that 11.5 million American’s, age 12 and older, misuse prescription opioids in 2016.  Additionally, drug overdose deaths have continued to rise leading to more than half a million people from 2000 to 2015 and 91 Americans die every day from an opioid overdose.  There are more trips to the ER as well as admissions to treatment programs.  At the Menninger Clinic, we see more patients admit with substance use disorders, often coming from prescription drugs.  Treatment becomes complicated if a patient has a co-morbid condition.  For psychiatric patients, the reality of these co-morbid conditions and risk for abusing medication remain high.  For those patients who experience either acute pain or chronic pain effective management of their symptoms is critical yet there is a fine line of effective prescribing.

Recently, the Quality Resources department at Menninger investigated a “close call” situation related to interdisciplinary opiate management. This situation involved several disciplines, including Physicians, Pharmacy, and Nursing.   As a result of our focused review, we are recommending that Menninger host an internal educational event focused on opiate education, including prescribing education among several learning objectives.

At the conclusion of this live presentation, participants should be able to:

  • Consider the challenge of opiate prescribing to manage pain versus potential for being manipulated to continue Opiate Use Disorder.
  • Discuss Opioid REMS or any new regulations on opioids that pertain to prescribing via inpatient and/or outpatient.
  • Review the signs and symptoms of opioid overdose.
  • Identify areas in the EHR to clarify written effective orders.
  • Reinforce the use of TeamSTEPPS to communicate patient safety concerns.


1.5 contact/credit/clock hours have been designated by The Menninger Clinic for the following disciplines:

Physicians

Psychologists

Registered Nurses

Social Workers

Licensed Professional Counselors

Addictions Professionals

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