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In this 2-part segment, Dr. Passik discusses some of the lessons learned during and following the Decade of Pain Control and Research, and implications for the appropriate engagement of opioid therapy in chronic noncancer pain management.
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The Iceberg Cometh
Dr. Passik is Director, Clinical Addiction Research and Education, Millenium Laboratories Clinical Education, San Diego, California. He has over 25 years’ experience in clinical practice as a pain psychologist specializing in addiction medicine. He is also a longtime member of...
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Leonard Kish coined the phrase that patient engagement is a blockbuster drug of the 21st century. What research has shown is that if you have engaged patients, you’re going to have better satisfaction, fewer medical errors, and better outcomes. Patients follow the regime of the treatment plan better...
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Proper documentation is both an ethical and legal duty of healthcare providers, particularly with respect to opioid therapy. Attorney Bolen discusses critical documentation skills, and outlines common mistakes that clinicians may make in maintaining the integrity of the medical record. Watch the...
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Prescription drug monitoring programs are a bit of an enigma. Some practitioners are intimately aware of their existence and some are not. Some aren’t clear on what their role is in managing patients with pain and others are. In the years from the end of the 90s to the late first decade of the 2...
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There’s much that you can do to help your patients with postherpetic neuralgia—including how you manage referrals. In this segment, a professor of neurology offers insights for primary care clinicians on diagnosing and managing postherpetic neuralgia, including patient discussion to effectively set...
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Urogenital pain affects at least 25% of reproductive age women. This includes interstitial cystitis, endometriosis, vulvodynia, and then also dyspareunia--a term for painful intercourse, which is really common not just in postmenopausal women, but in premenopausal women. As a physiatrist, I am...
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A prominent psychiatrist and pain educator discusses the challenge of managing patients with chronic pain who also suffer with borderline personality disorder and depression, including the special difficulties associated with demanding, noncompliant, and high-utilizer patients.
Dr. Clark is Vice...
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Pain clinicians are also pain educators, and it’s critically important for them to understand the basic principles of instructional systems development or instructional design. One approach that I like is the ADDIE model, which stands for analysis, design, development, implementation, and evaluation...
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A discussion of the evolving medical/administrative/legal landscape that confronts prescribers of opioid medications. Attorney Furman offers additional advice on how clinicians can protect their practices.