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For core clinical content designed to help you safely and effectively manage patients with chronic pain, when appropriate, with opioid analgesics, please visit our sister site, SCOPE of Pain.

 

  1. Optimizing Office Systems
  2. Office Systems Safe and Competent Opioid Prescribing: Optimizing Office Systems Program CME Post-Test Evaluation
  1. Massachusetts Laws
  2. Educational Program Making Sense of Massachusetts Opioid Prescribing Laws and State and National Guidelines Program CME Post-Test Evaluation
  1. Dental Pain
  2. Educational Program Safe Opioid Prescribing for
    Acute Dental Pain
    Program CME Post-Test Evaluation
  1. Prescribe to Prevent
  2. Educational Program Prescribe to Prevent: Overdose Prevention and Naloxone Rescue Kits for Prescribers and Pharmacists Information Program CME Post-Test Evaluation
  1. Military Modules
  2. Module 1 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  3. Module 2 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  1. Video Modules
  2. Module 1 Case Studies In Practice: Applying Principles
    of Safe Opioid Prescribing
    Information Introduction Cases Case I Case II Case III Certification CME Post-Test Evaluation
  3. Module 2 Complex Convrs. High Dose Opioids
    & Illicit Drug Use
    Information Introduction Cases Case I-A Case I-B Case II Certification CME Post-Test Evaluation
  4. Module 3 Using the PDMP PMP Questionable Activity Information Introduction Cases Case I Case II Certification CME Post-Test Evaluation

Case I: PMP Questionable Activity, Established Patient Case I: PDMP Questionable Activity, Established Patient

Sarah Taylor is a 51 year old female, established patient, who presents for routine follow up with a new complaint of “heart burn”. She has chronic back pain after two surgeries for disc disease. She has been on stable dose of acetaminophen with codeine one tablet 3 times per day for the past 2 years.

Upon review of the state PDMP data, the patient has received prescriptions for oxycodone from 2 different prescribers in the past month.

Pain history:
She had a slipped disc when she was gymnast in high school. She required surgery. She had repeat back surgery 10 years ago when she slipped on some ice and re-injured her back. Her pain is usually 5 out of 10. She has excellent functional capacity working part-time and caring for her 2 children.

Other medical history:
History of a hysterectomy for fibroids and uterine bleeding.

Substance use history:
She quit smoking 5 years ago. She drinks on weekends. No drug use. No family history of substance abuse.

Social history:
She lives with her husband, 2 children (ages 13 and 15) and works as a librarian in her children’s school.

Physical exam:
She looks well with a completely normal exam.

Will you continue to prescribe acetaminophen with codeine in this patient with questionable activity on the Prescription Drug Monitoring Program?