Chronic Pain and Drug Seeking Patients - CME Conferences
Chronic Pain and Drug Seeking Patients - CME Conferences
Chronic Pain and Drug Seeking Patients - CME Conferences
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3 rd Annual Essentials in Primary Care<br />
Summer Conference: Session 1<br />
Tuesday, July 24, 2012<br />
Patient Care Agreement/<br />
Informed Consent Components<br />
Reminder: opioids are one modality in multifaceted<br />
approach to achieving goals of therapy<br />
Detailed outline of procedures <strong>and</strong> expectations<br />
between patient <strong>and</strong> doctor<br />
Prohibited behaviors <strong>and</strong> grounds for tapering or<br />
discontinuation<br />
Limitations on prescriptions<br />
Refill <strong>and</strong> dose-adjustment procedures<br />
Exit strategy<br />
Patient Care Agreement / Informed<br />
Consent Components (cont)<br />
They will not use Illegal drugs ( including Marijuana)<br />
They will not change their dose without prior discussion<br />
with the provider<br />
They will not obtain scheduled substances from another<br />
provider without notifying the pain physician (including<br />
the ER doc)<br />
They will get their prescription filled at a single pharmacy (<br />
of their choosing)<br />
They will obtain consultations or go to PT if asked to<br />
They will NOT be given early refills if the medications are<br />
used up early, lost or stolen<br />
They agree to r<strong>and</strong>om urine drug screening<br />
Grace Forde, MD<br />
<strong>Chronic</strong> <strong>Pain</strong> & the <strong>Drug</strong> <strong>Seeking</strong> Patient
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