ASA, AAOS launch toolkit to help physicians safely, effectively alleviate patients’ postoperative pain with reduced opioid use

To help physicians safely and effectively alleviate pain and encourage optimal opioid stewardship in patients following surgery, the American Society of Anesthesiologists (ASA) and the American Academy of Orthopaedic Surgeons (AAOS) today released the Pain Alleviation Toolkit. The toolkit provides physicians and patients with resources to encourage communication and decision-making to help reduce patients’ postoperative pain as much and as safely as possible.

Peggy Compton, PhD, Selected for Induction to the International Nurse Researcher Hall of Fame

Penn Nursing’s Peggy Compton, PhD, RN, FAAN, the van Ameringen Chair in Psychiatric and Mental Health Nursing and an Associate Professor in the Department of Family and Community Health, will be honored by Sigma Theta Tau International (STTI) for her contributions to the nursing profession during the 31st International Nursing Research Congress in Abu Dhabi, United Arab Emirates, July 23-27, 2020.

March 2020 Issue of The American Journal of Gastroenterology Includes Complementary & Alternative Therapies for Functional GI Disorders

The March issue of The American Journal of Gastroenterology features evidence-based articles related to complementary and alternative medicine therapies for functional GI disorders, a new ACG Clinical Guideline for the diagnosis and management of Chronic Pancreatitis, opioid-related constipation, and more.

PA School Nurses on the Frontlines of the Opioid Epidemic

At the University of Pennsylvania School of Nursing (Penn Nursing), researchers conducted an online survey of 362 Pennsylvania school nurses (elementary, middle, and high school) to better understand how they have a supply, administer, and perceive storing naloxone in their schools. The results illustrate that though many nurses have a supply of naloxone in their school, important barriers to access and use of this life-saving medication still exist.

Battling treatment resistant opioid use disorder

Similar to treatment resistant depression, there is a subpopulation of those addicted to opioids who do not respond to standard opioid use disorder (OUD) treatments. In a new paper, an addiction expert at the Brown School at Washington University in St. Louis suggests a new category for these types of patients: treatment resistant opioid use disorder (TROUD).

IU study looks at the effect of Medicaid expansion on hiring attempts in substance use treatment workforce

While Medicaid expansion has led to substantial increases in Medicaid reimbursement for substance use treatment, it has not specifically led to a detectable increase in hiring attempts to increase the substance use disorder and behavioral health treatment workforce, according to a study by Indiana University researchers.

Program reduces narcotic prescriptions after surgery with over-the-counter pain medicine

Surgeons at Houston Methodist Hospital are stemming the tide of addiction to prescription opioids by managing patients’ pain after surgery. By using long-acting local anesthetics at the site of surgery and scheduled non-narcotic pain medicine, they decreased opioid prescriptions from 87% to 10% after surgery.

Shifting Clinic Culture to Address the Opioid Epidemic

At a family medicine clinic in the Boston area, a team led by faculty from Tufts University School of Medicine conducted a five-year case study where they found medical facilities can help physicians to treat chronic pain in a way that will deter opioid misuse, while creating better processes to identify and treat patients who develop an opioid use disorder.

Research shows nasal spray antidote is easiest to give for opioid overdose

Of three possible ways for people to deliver the life-saving antidote naloxone to a person experiencing an opioid overdose, the use of a nasal spray was the quickest and easiest according to research conducted by William Eggleston, clinical assistant professor at Binghamton University, State University of New York, and colleagues at SUNY Upstate Medical University.

American Chiropractic Association Launches Website to Enhance Public Understanding of Chiropractic

Hands Down Better, a website launched by the American Chiropractic Association (ACA), is a new resource for those who seek alternatives to pain medications and surgery for common musculoskeletal conditions such as back pain, neck pain, joint pain and headaches.

Is opioid treatment available to those who need it most?

The U.S. opioid epidemic is still raging – it’s particularly pronounced in low-income areas and in those where people lack access to health care services, which includes cities in Michigan and across the Rust Belt. But the effectiveness of efforts to provide treatment and recovery options to those who need it most – that is, in locations with the greatest number of deaths from opioid overdose – has been unclear.

Nanoparticle Drug Delivery Provides Pain Relief and More Effective Opioid Alternative in Animal Study

An international team of researchers has used nanoparticles to deliver a drug—one that previously failed in clinical trials for pain—into specific compartments of nerve cells, dramatically increasing its ability to treat pain in mice and rats. The findings are published Nov. 4 in Nature Nanotechnology.

National focus on overdose prevention should include alcohol too, study suggests

The need to prevent and rapidly treat opioid overdoses is in the spotlight. But a new study suggests more focus is needed on the risk of alcohol overdoses among people who use opioids of all kinds, and other drugs. Ninety percent of residential recovery center patients surveyed had overdosed on alcohol at least once, and 80 percent of them said that at the time of their overdose, they had also been taking other drugs.

New Opioid Prescription Dosages Drop 22 Percent in Penn Medicine’s New Jersey Practices Following Changes to State Law and Health Record Alerts

The total amount of opioids dispensed per new opioid prescription decreased by 22 percent in Penn Medicine outpatient practices in New Jersey after the state passed a law limiting prescriptions to a five-day supply for new opioid prescriptions. Penn Medicine implemented an electronic health record (EMR) alert, or “nudge,” to notify clinicians if that limit had been reached. The study, published online today in the Journal of General Internal Medicine, is one of the first evaluations of a state law’s impact on prescribing outcomes, and is the first report of an EMR being used to make compliance with prescribing limits easier. Importantly, after the prescribing limit and alert went into effect there was no evidence to suggest pain control worsened.

Men Receiving Opioids After Vasectomy at High Risk for Persistent Opioid Use

Routine use of opioids after vasectomy doesn’t improve pain control, but is associated with a substantial rate of persistent opioid use in the months after the procedure, reports a study in the October issue of The Journal of Urology®, Official Journal of the American Urological Association (AUA). The Journal is published in the Lippincott portfolio by Wolters Kluwer.

UIC researchers tackle opioid use among kidney disease patients

The University of Illinois at Chicago has received $2.8 million in funding from the National Institutes of Health to investigate non-opioid pain management strategies for people with kidney disease, which affects about 15% of adults in the U.S. With the funding, UIC will be one of eight clinical centers studying alternative pain management solutions for adults on maintenance dialysis

WashU Expert: Opioid cases represent tipping point in addiction fight

An Oklahoma judge ordered Johnson & Johnson to pay $572 million for its role in the opioid crisis in a historic ruling Aug. 26. A federal case in Ohio involves at least 1,600  lawsuits from cities and counties throughout the country. Oxycontin maker Purdue Pharma has offered to settle more than 2,000 lawsuits from states and cities for between $10 billion and $12 billion.

Depression, Anxiety Linked to Opioid Use in Women With Breast Cancer

The findings should encourage doctors to better manage mental health in patients with breast cancer and spur care providers to consider alternative pain management such as physical therapy, massage and acupuncture, the researchers say.

Depression, Anxiety Linked to Opioid Use in Women With Breast Cancer

The findings should encourage doctors to better manage mental health in patients with breast cancer and spur care providers to consider alternative pain management such as physical therapy, massage and acupuncture, the researchers say.