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Opioid Stewardship in Practice: Safer Prescribing, ...
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Video Summary
This micro-learning on opioid stewardship uses Maria’s chronic pain case to show safer prescribing in rural practice. Key points: start opioids at the lowest effective dose, avoid automatic dose escalation, and focus on improving function rather than eliminating pain. Use tools like PEG-3 to assess pain’s impact on daily life. Expand non-opioid and non-pharmacologic options, including movement, sleep support, CBT-I, PT, and medications like duloxetine or topical NSAIDs. If opioids are no longer helpful, taper slowly and collaboratively, or consider buprenorphine as a safer alternative with less respiratory risk.
Keywords
opioid stewardship
chronic pain management
safer prescribing
non-opioid alternatives
buprenorphine
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