VA Answers Governor Christie’s Call on Opioid, Launches S.T.O.P. P.A.I.N Advices and Guidelines
When it comes to treating pain and substance abuse, the
"Recent studies (https://www.rand.org/news/press/2017/06/27.html) and stories (http://www.cnn.com/2017/07/31/health/opioid-doctors-responsible-overdose/index.html) have pointed to
"As
"At
To that end, Secretary Shulkin announced the release of
These best practices are summed up by the acronym S.T.O.P. P.A.I.N.
S.T.O.P. P.A.I.N. stands for:
* S - Stepped Care Model - Adapted from the
* T - Treatment alternatives/complementary care - Complementary and Integrative health expands the availability of provider options beyond the use of standard care in the treatment of chronic pain.
* O - Ongoing monitoring of usage, which relies on multiple tools for tracking and monitoring individual usage of and risk of opioid therapy.
* P - Practice Guidelines - Key Clinical Practice Guidelines (CPG) provide clear and comprehensive evidence-based recommendations for practitioners to minimize harm and increase patient safety in patients requiring Substance Use Disorder (SUD) treatment and opioid therapy. They can be found online at https://www.healthquality.va.gov/guidelines/MH/sud/ and https://www.healthquality.va.gov/guidelines/Pain/cot/
* P - Prescription monitoring -
* A - Academic Detailing - The Academic Detailing program is a one-to-one peer education program targeted to front-line providers. It gives specific information on practice alternative and resources, opioid safety, and can compare the practice of the provider to that of their peers. Veterans have improved pain control as a result of it. Information about this may be found at : https://www.pbm.va.gov/PBM/academicdetailingservicehome.asp and https://www.pbm.va.gov/PBM/academicdetailingservice/Pain_and_Opioid_Safety.asp
* I - Informed consent for patients -
* N - Naloxone distribution - The Opioid Overdose Education & Naloxone Distribution, also known as the OEND program has focused on education of providers on Naloxone distribution to Veterans on long-term opioid therapy. https://www.pbm.va.gov/PBM/academicdetailingservice/Opioid_Overdose_Education_and_Naloxone_Distribution.asp
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