Abstract

Uptake of evidence-based guidelines varies among primary care providers when treating chronic non-cancer pain patients in managed primary care settings. This project aimed to determine the feasibility and compliance of the Centers for Disease Control and Prevention's (CDC) opioid guidelines by implementing and evaluating safe opioid prescribing practices for adults with chronic non-cancer pain in primary care. Post educational intervention analysis revealed an increase in offering an alternative to opioids, an increase in establishing measurable goals for pain and function, an increase in discussing risks and benefits of opioid therapy, and an increase in checking a patient's prescription monitoring drug programming. Initiating a patient agreement and opioid risk tool demonstrated to be effective with over 70% compliance among the providers. There was no difference post intervention with use of urine drug screens or avoiding concurrent benzodiazepine and opioid prescribing. Findings suggest that a brief educational intervention increased compliance with most of the recommendations of the CDC guidelines.

Author Details

Nicole Parsons, DNP, MS, AGPCNP-BC and Patricia Bruckenthal, PhD, APRN-BC, FAAN

Sigma Membership

Theta Tau

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

N/A

Keywords:

Guidelines, Opioid Analgesics, Chronic Non-cancer Pain, CDC

Advisor

Patricia Bruckenthal

Degree

DNP

Degree Grantor

The State University of New York at Stony Brook

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2019-07-02

Full Text of Presentation

wf_yes

Download

Share

COinS