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• W2789668037 abstract "•Identify the potential impact of opioid use in Palliative Care on the opioid crisis.•Evaluate a palliative care patient's risk for opioid misuse, abuse, and diversion.•Develop an opioid stewardship proposal for ambulatory Palliative Care that incorporates four different components of opioid risk management. Given the ongoing public health crisis of the opioid epidemic, clinicians encounter increased scrutiny when prescribing controlled substances. Palliative Care clinicians are squarely faced with the challenges of balancing patients' comfort and the greater societal concerns from the misuse, abuse, and diversion of opioids. This preconference workshop harnesses the expertise of clinicians from diverse settings and disciplines in Ambulatory Palliative Care to share their experiences in opioid risk assessment and management for palliative care patients receiving chronic opioid therapy. This high-yield, interactive workshop will provide interdisciplinary members of outpatient palliative care teams with practical tools to initiate or improve opioid risk management at their practice site. Throughout this workshop, participants will learn about and apply opioid risk management tools to simulated patients, inspired by cases from the frontlines of daily outpatient palliative care practice. Risk factors for opioid misuse, abuse, and diversion will be discussed and participants will learn strategies to incorporate opioid risk tools into a busy clinical practice. Prescription drug monitoring programs and opioid treatment agreements will be reviewed as components of safe opioid prescribing. In addition, urine drug screening and naloxone coprescribing will be explored as elements of opioid stewardship. Participants will develop skills in choosing and interpreting urine drug screens as well as addressing unexpected results. A pragmatic protocol for coprescribing naloxone to appropriate patients will be introduced. A clinician from an experienced ambulatory Palliative Care team will discuss integration of these tools into a “Universal Precautions” approach for all patients prescribed opioids. Results of the first year of implementation will be shared, and challenges and opportunities of embedding this practice into a busy palliative care setting will be highlighted. The workshop will conclude with an interactive panel discussion of strategies to effectively manage pain in high-risk patients." @default.
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• W2789668037 date "2018-02-01" @default.
• W2789668037 modified "2023-10-18" @default.
• W2789668037 title "The Opioid Crisis and Palliative Care: Tools and Strategies to Help Turn the Tide (P12)" @default.
• W2789668037 doi "https://doi.org/10.1016/j.jpainsymman.2017.11.072" @default.
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