When compared to an initial visit with a primary care physician, patients who initially received care for new-onset low back pain from a chiropractor, physical therapist, or acupuncturist had decreased odds of both early and long-term opioid use.
Opioid therapy can be an effective form of pain management in the ED for acute painful conditions. The risk of addiction and abuse should be considered in every case. Alternatives to opioid therapy include systemic agents, such as acetaminophen, NSAIDs, lidocaine, alpha agonists, anticonvulsants, ketamine, corticosteroids, and local and regional anesthesia.
A reliable treatment center partner is critical to quickly take over the care of patients initiated on such treatment
January 29, 2020
There are many reasons why EDs may choose to keep patients who present with opioid use disorders at arm’s length, preferring to hand them off to an addiction or behavioral health specialist whenever possible. One of the more frequent refrains is that they simply do not have the resources or expertise to treat addictions.
Simply reducing the number of opioid prescriptions is not enough, the report authors wrote. Hospitals must be much more proactive in identifying patients with opioid use disorder and initiating treatment wherever those patients are encountered within the treatment process.
A pair of data-driven quality improvement initiatives are helping Aetna improve care in two different areas. One involves improving oral hygiene to reduce infections; another helps reduce opioid-related deaths by contacting patients after an overdose.