Associate Professor
University of California Los Angeles
School of Nursing
Los Angeles, California
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- Nursing Staff, Patient, and Environmental Factors Associated with Accurate Pain Assessment - 2010-09-07
- Do Sex Differences Exist in Opioid Analgesia? A systematic review and Meta-Analysis of Human Experimental and Clinical Studies - 2010-09-07
- The Psychometric Qualities of Four Observational Pain Tools (OPTs) for the Assessment of Pain in Elderly People with Osteoarthritic Pain - 2010-09-06
- Modifiable Risk Factors for Incident Pain in Older Adults - 2010-09-06
What is the relationship between medication misuse behaviors and the treatment of addictive disease?
Associate Professor
University of California Los Angeles
School of Nursing
Los Angeles, California
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Ask the Expert Archives
Assess & Monitor
- Random Access of PMPs
- How do you assess functional activity or assessment of functional activity on a patient on opioid therapy? How do you know what is their function, what do you chart?
- Prescription Monitoring Plan
- Are there guidelines for the use of urine toxicology in chronic pain management?
- Which assessment tool would you use?
- Are there any opioids or opioid delivery systems which are appropriate for treating acute pain in addicted patients?
- Are opioid tolerance and opioid-induced hyperalgesia really the same thing? If not, how do they differ?
- Patient is recuperating in an extended care facility after a traumatic incident and whose pain is not effectively managed
- Comprehensive assessment of risk of chronic pain management addicted to nicotine and Rx opioids
- Aberrant behaviors - refer or triage
- Aberrant behaviors
- Nicotine Use and Opioid Therapy
Interdisciplinary
Legal/Regulatory
- I understand documentation is one of the biggest issues in any action against a doctor. What are the key things a practitioner can do to improve his/her medical record documentation?
- What should a physician do if he or she finds out that a prescription has been stolen?
- Are there combinations of pain medications that are being prescribed by physicians that are red flagged to regulatory agencies, such as Schedule III controlled substances and benzodiazepines?
- What dose of prescribed opioid medication would be considered too high in a Court of Law?
- DEA "red flags"
Misuse
Pharmacologic
- Does a high dose of methadone (> 100 mg/day) put you at higher risk?
- I read that short-acting opioids are more likely to cause a decrease in the opiate receptor than a long-acting opioid. What does this mean to me as a practicing clinician and the patients to whom I prescribe opioids?
- Is it appropriate for a family doctor to continue giving oxycodone or opiates to a patient for chronic back pain?
- Restarting a patient on an opioid
- Transitioning from methadone to buprenorphine
- Naltrexone and Alcohol
- How do we suggest making a transition from methadone to buprenorphine treatment in chemically dependent pain patients?
Practice
- Tolerance vs. Undertreatment vs. Addiction
- How do I know which patients need to have a treatment agreement when opioid pain medications are prescribed?
- Do I need ultrasound for my regional anesthesia practice?
- How do you approach long-term pain management for adolescents suffering with chronic pain? Is your approach different from the one you use for managing adults with chronic pain?
- Long term Opioid Rx for Chronic Pain & Travelling outside of USA
- Opioid Ceiling Effect
- How can I establish a rapport with pharmacists when they are all chain pharmacies with high pharmacist turnover?