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Discover new tools and guidelines for chronic non-cancer pain management with free resources and CME credits. Get expert consultations in various formats for optimal patient care.
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New Tools and Strategies for Opioid Misuse and Abuse Hal Stockbridge, MD, MPH Labor and Industries
Opioid Dosing Guidelines • An interagency guideline developed by DSHS, DOH, HCA, L&I, Corrections, in collaboration with pain specialists • Purpose: assist primary care providers to prescribe in a safe and effective manner • Applies only to chronic non-cancer pain • Only 11 pages
Opioid Dosing Guidelines -5 key points • In general, the total daily dose of opioid should not exceed 120 mg of oral morphine equivalents • If considering going above 120mg, obtain a pain management consultation • Assess function regularly, for example using SF-36, Oswestry, QuickDash
Opioid Dosing Guidelines • Free online calculator is available to determine if dose exceeds 120 mg threshold
Opioid Dosing Guidelines • Finding a pain management specialist: - List of specialists at www.agencymeddirectors.wa.gov
Opioid Dosing Guidelines • Weaning opioids safely • Behavioral issues • Urine drug toxicology screening • One-year educational pilot
Free Category 1 CME • www.agencymeddirectors.wa.gov • Easy online format • Print certificate immediately • No registration needed
Consultations • Traditional • Telephone consults • Chart review • Telemedicine