Opioid overdose rates rose in seniors; less than half received necessary treatment. Clinicians can focus on safer pain management and reducing addiction risks via screening and patient-centered care.
"Nobody is immune to developing some kind of use disorder, so don't just assume that because someone's 80 years old that there's no way that they have a problem," said Sara Meyer, PharmD, a medication safety pharmacist at Novant Health in Winston-Salem, North Carolina."You never know who's going to potentially have an issue."
Opioids should not be the first treatment option for an older patient with chronic pain. Write short-term prescriptions with few, if any, refills. Focus on goals of care and what brings a patient joy. Ask the patient what they would like to do tomorrow that they can't do today, to place the emphasis on functional gains, not just eliminating pain.Older adults experience neurophysiologic effects different from younger people, said Benjamin Han, MD, a geriatrician and addiction medicine specialist at UC San Diego.
If a patient violates any part of this agreement, their clinician can stop the treatment. The system encourages clinicians to help patients find additional care forOver the past 2 years, Novant also developed an AI prediction model, which generates a score for the risk a patient has in developing substance use disorder or experiencing an overdose within a year of initial opioid prescription. The model was validated by an internal team at the system but has not been independently certified.
Opioids Addiction Nonopioid Pain Management Non-Opioid Pain Management Non-Narcotic Pain Management Nonopioid Analgesic Non-Opioid Analgesic Non-Narcotic Analgesic Nonopioid Pain Medication Non-Opioid Pain Medication Non-Narcotic Pain Medication Pain Chronic Pain Neuropathic Pain Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly
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