Improving Opioid Prescribing to Limit Potential for Non-­Medical Opioid Use

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Identifier 2013_Simons
Title Improving Opioid Prescribing to Limit Potential for Non-­Medical Opioid Use
Creator Simons, Jennifer A.
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Prescription Drug Misuse; Opioid-Related Disorders; Drug Overdose; Opiate Overdose; Patient Medication Knowledge; Patient Education as Topic; Evidence-Based Practice; Chronic Disease; Anxiety; Pain; Pain Management; Quality Improvement
Description Prescription drug abuse is a significant problem, and is the fastest growing [drug] problem in the United States. More individuals use prescription drugs than heroin and cocaine combined. The increase in non-medical opioid use is directly correlate with the rate of opioid overdose death, which has increased 400% since the year 2000. The distribution and use of opioids for non-medical use must be controlled to reduce the number of prescription opioid deaths. Individuals are most likely to receive medications from a licensed healthcare provider with prescriptive authority. There are two means by which this occurs: dishonesty obtaining a prescription for exaggerated or malingering symptoms; from excess supply of opioids from a friend or family member. This project aims to address the two main avenues by which individuals obtain opioids for non-medical use: dishonestly from providers and from family or friends with excess opioids from legitimate prescriptions. In an attempt to identify individuals seeking care to obtain opiods for non-medical use, a drug-seeking behavior mnemonic is developed. This is an objective checklist providers can consider when evaluating a patient for potential opioid prescription. If the patient triggers any of the points on the mnemonic, the provider can decide to take the next steps in evaluating for non-medical opioid use, such as urine drug screen or utilizing state or insurance databases. To address excess opioid medication, the second primary source of opioids for non-medical use, opioid prescribing recommendations are provided. The aim of these recommendations is to treat pain for the expected duration of the acute episode with emphasis on follow-up for patients with pain that is not resolving. Both the mnemonic and prescribing recommendations will be organized into a manuscript and poster presentation. These will both be prepared for review to peer organizations for publication and presentation, respectively.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice, DNP
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2013
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s6613xj6
Setname ehsl_gradnu
ID 179602
Reference URL https://collections.lib.utah.edu/ark:/87278/s6613xj6
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