Exam (elaborations)
CMN 577 UNIT 3 _Opioid Prescribing_ Safe Practice, Changing Lives_.
CMN 577 UNIT 3 _Opioid Prescribing_ Safe Practice, Changing Lives_.
[Show more]
Seller
Follow
Content preview
CMN 577 UNIT 3 "Opioid Prescribing: SafePractice, Changing Lives"
What are benefits of Opiates? - CORRECT ANSWER-Analgesia
-Adequate pain control
-Continuous, predictable (with ER/LA opioids)
Improved function
Improved quality of life
What are risks of Opiates? - CORRECT ANSWER-Overdose
Life-threatening respiratory depression
Abuse by patient or household contacts
Misuse, diversion, and addiction
Physical dependence and tolerance Interactions with other medications and
substances
Risk of neonatal opioid withdrawal syndrome
Inadvertent exposure/ingestion by household contacts, especially children
What does REMS mean? - CORRECT ANSWER-Risk Evaluation and Mitigation
Strategy
What are the main goals of the REMS? - CORRECT ANSWER-help clinicians:
Understand how to assess patients for treatment with ER/LA opioids
Be familiar with how to initiate therapy, modify dosages, and discontinue use of
ER/LA opioids
Know how to manage ongoing therapy with ER/LA opioids
Know how to counsel patients and caregivers about the safe use of ER/LA
opioids, including proper storage and disposal
Be familiar with general and product-specific drug information concerning ER/LA
opioid
Domains of Pain to Assess: - CORRECT ANSWER--Location of pain
-Intensity of pain
-Quality of pain: eg, dull, stabbing, hot-burning, shooting, aching, piercing,
tingling, numb, radiating (use patient's words when possible)
, -Onset/duration of pain
-Variations/patterns/rhythms of pain: eg, the pain is constant, intermittent,
episodic/recurring
-What relieves the pain? eg, sitting, lying down, standing, heat, cold, rest,
distraction, exercise, movement
-What causes or increases the pain? eg, sitting, lying down, standing, heat, cold,
rest, exercise, movement
-What are the effects of pain? eg, sleep, movement, energy, lifestyle, personal
relationships, work, emotions, concentration, appetite, motivation, ADLs,
instrumental ADLs
-Patient's pain and functional goals: eg, comfortable sleep, comfort at rest,
comfort with movement, able to perform ADLs, QoL, acceptable level of pain
intensity on a 0-to-10 scale
-Current pain and function
What are some Physical Exam components to focus on when evaluating patient
with pain? - CORRECT ANSWER-General: vital signs, appearance, and pain
behaviors Neurologic examination
Musculoskeletal examination: inspection, gait and posture, range of motion,
palpation, percussion, auscultation, and provocative maneuvers
Cutaneous or trophic findings
What are features of the Opioid Risk Tool (ORT)? - CORRECT
ANSWER--Administered by patient
-Includes 5 items
-Assesses risk of aberrant drug-related behaviors
-May be better suited for primary care settings that have a predominantly low-risk
population
What are features of the Screener and Opioid Assessment for Patients with Pain
(SOAPP) - CORRECT ANSWER--Usually self-administered in waiting room or
examination room or before an office visit; may be completed as part of an
interview with a nurse, physician, or psychologist
-Includes 24, 14, and 5 items; 4 different formats available -Assesses risk of
aberrant drug-related behaviors
-May be particularly useful in high-risk settings
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modocko752. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.52. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now