Implementation & evaluation of safe opioid prescribing guidelines for chronic non-cancer pain in primary care
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Nicole Parsons DNP, MS AGPCNP-BC; Patricia Bruckenthal PhD, APRN-BC, FAAN
- Sigma Affiliation
- Theta Tau
- Contributor Affiliation(s)
- The State University of New York at Stony Brook, Stony Brook, New York, USA
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Uptake of evidence-based guidelines varies among primary care providers when treating chronic non-cancer pain patients in managed primary care settings. This project aimed to determine the feasibility and compliance of the Centers for Disease Control and Prevention’s (CDC) opioid guidelines by implementing and evaluating safe opioid prescribing practices for adults with chronic non-cancer pain in primary care. Post educational intervention analysis revealed an increase in offering an alternative to opioids, an increase in establishing measurable goals for pain and function, an increase in discussing risks and benefits of opioid therapy, and an increase in checking a patient’s prescription monitoring drug programming. Initiating a patient agreement and opioid risk tool demonstrated to be effective with over 70% compliance among the providers. There was no difference post intervention with use of urine drug screens or avoiding concurrent benzodiazepine and opioid prescribing. Findings suggest that a brief educational intervention increased compliance with most of the recommendations of the CDC guidelines.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | N/A |
Keywords | Guidelines; Opioid Analgesics; Chronic Non-cancer Pain; CDC |
CINAHL Subject(s) | Practice Guidelines; Analgesics, Opioid--Administration and Dosage; Primary Health Care--Administration; Guideline Adherence; Chronic Pain--Drug Therapy; Centers for Disease Control and Prevention (U.S.); Primary Health Care; Chronic Pain |
Grantor | The State University of New York at Stony Brook |
Advisor | Bruckenthal, Patricia |
Level | DNP |
Year | 2019 |
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