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This document provides treatment guidelines for prescribing opioid medications to manage acute and chronic pain, particularly in the context of workplace injuries, ensuring safe use and monitoring
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How to fill out guidelines for prescription of

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How to fill out Guidelines for Prescription of Opioid Medications for Acute and Chronic Pain

01
Identify the patient's pain condition and assess its severity.
02
Review the patient's medical history and any previous opioid use.
03
Consider non-opioid alternatives for pain management first.
04
If opioids are deemed necessary, select the appropriate type and dosage based on the patient's needs.
05
Discuss the risks and benefits of opioid therapy with the patient.
06
Educate the patient on proper use, storage, and disposal of opioids.
07
Establish a follow-up plan to monitor the patient's response to treatment and adjust the prescription as needed.
08
Document all assessments, discussions, and prescriptions in the patient's medical record.

Who needs Guidelines for Prescription of Opioid Medications for Acute and Chronic Pain?

01
Healthcare providers involved in pain management, including physicians, nurse practitioners, and physician assistants.
02
Patients suffering from acute or chronic pain who may be prescribed opioids.
03
Policy makers and regulatory agencies seeking to establish prescribing standards.
04
Healthcare institutions aiming to improve pain management protocols.
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The total number of days of opioids prescribed by primary care physicians fell from 1.03 billion in 2013 to 620 million in 2020, compared with a smaller decline in days of opioids prescribed by all other specialties, from 511 million in 2013 to 464 million in 2020.
Recommendations: 1. Slow release opioids are not routinely recommended for most patients with acute non- cancer pain, post-operative pain and post-procedure pain. 2. Immediate release opioids should be prescribed for a maximum of 4 days for acute pain management and only if clinically indicated.
The 2022 Centers for Disease Control and Prevention guideline reiterates that clinicians should prescribe opioids at the lowest effective dose for the expected duration of pain warranting opioid use. The guideline also endorses patient-centered approaches to the initiation or taper of opioids.
For acute pain, prescribe the lowest effective dose of the least potent immediate-release opioid. A duration of 3 days or less is often sufficient; more than 7 days is rarely indicated.
The general approach is to “start low and go slow.” Calculating the total daily dose of opioids helps identify patients who may benefit from closer monitoring, a reduction or tapering of opioids, being offered a prescription for naloxone, or other measures to reduce risk of overdose.
Ongoing assessment of the 4 A's of pain treatment is helpful. The 4 A's — analgesia, activities of daily living, adverse events, and aberrant drug-taking behaviors — can structure assessment and serve as a means by which to record patient response to therapy.
The 2022 Centers for Disease Control and Prevention guideline reiterates that clinicians should prescribe opioids at the lowest effective dose for the expected duration of pain warranting opioid use. The guideline also endorses patient-centered approaches to the initiation or taper of opioids.
The new policies include improved safety alerts (pharmacy claim edits) when a patient fills an opioid prescription at a pharmacy, and drug management programs to help coordinate care for patients with high-risk opioid use, such as those receiving high levels of opioids from multiple prescribers and/or pharmacies.

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The Guidelines for Prescription of Opioid Medications for Acute and Chronic Pain are established protocols designed to aid healthcare providers in the safe and effective prescribing of opioid medications for patients experiencing acute or chronic pain. These guidelines aim to minimize the risk of addiction, misuse, and overdose while ensuring that patients receive appropriate pain management.
Healthcare providers who prescribe opioid medications, including but not limited to physicians, nurse practitioners, and physician assistants, are required to adhere to these guidelines. In some jurisdictions, there may be specific requirements for reporting or submitting documentation related to opioid prescriptions.
To fill out the Guidelines for Prescription of Opioid Medications, healthcare providers should document pertinent patient information including patient history, the nature and severity of pain, treatment goals, risk assessment for substance abuse, and justification for opioid therapy if prescribed. Additionally, they should include details about the prescribed opioid, dosage, duration of therapy, and monitoring plans.
The primary purpose of these guidelines is to ensure the safe and responsible prescribing of opioid medications, to protect patients from the risks associated with opioid misuse and addiction, and to promote effective pain management strategies. The guidelines also aim to standardize practices among healthcare providers to improve patient outcomes.
Required information typically includes patient demographics, clinical history, pain assessment findings, risk for opioid misuse, rationale for prescribing opioids, type and dosage of the prescribed opioid, duration of the prescription, and follow-up plans for monitoring and reassessment of pain management.
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