Safely prescribing opioids for chronic pain in primary care using risk mitigation strategies
- Howard, Mindy
Mindy Howard, MSN, CNP, Lourdes University DNP candidate
- Sigma Affiliation
- Contributor Affiliation(s)
- Lourdes University, Sylvania, Ohio, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Howard, Mindy by View
Popular Works for Howard, Mindy by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Background: Safely prescribing opioids in primary care for adults with chronic non-cancer related pain has become a cornerstone of fighting the current opioid epidemic. The statistics are alarming, with the Centers for Disease Control (CDC) reporting in 2018 that more than 40 people died daily from an overdose involving prescription opioids (Centers for Disease Control and Prevention [CDC], 2018). Health care providers wrote 249 million opioid prescriptions in 2013, making enough prescriptions for every adult American to have a bottle of pills (CDC, 2018). Risk mitigation strategies (RMS) provide lower risk prescribing practices, but providers need more significant education and engagement because of these strategies' low self-reported use. Goal: Prescribers in primary care will use RMS when prescribing opioids to patients with chronic non-cancerous pain to reduce the risk associated with opioids and improve patient outcomes. Methods: After performing a provider self-reported assessment, education provides RMS information with the most robust evidence backing. Once education on each RMS was performed, a provider follow-up assessment was completed to determine if the education was efficacious. Prospective and retrospective data was compiled to look for a statistically significant increase in RMS self-reported use. Outcomes: Providing education for providers will improve the self-reported use of risk reduction strategies, will lower the overall morphine equivalent dose (MED) prescribed daily, and will reduce the overall number of opioid prescriptions written (Hudspeth, 2016).