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  • Episode 1: Assuming Care for a New Patient on Chronic Opioid Therapy (COT): Meeting a Patient’s and Society’s Needs

    Episode 1: Assuming Care for a New Patient on Chronic Opioid Therapy (COT): Meeting a Patient’s and Society’s Needs
    2022/04/11
    In this episode, Dr. Stader meets Anne, a chronic pain patient new to his practice and they review her medical history. Following their encounter, Don and Rachael discuss the lack of longterm efficacy of opioids for pain management and their safety risks. Show Notes:  Opioid Risks and Side Effects

    The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    20 分
  • Episode 2: Building Therapeutic Alliance and Introducing an Opioid Stewardship Framework

    Episode 2: Building Therapeutic Alliance and Introducing an Opioid Stewardship Framework
    2022/04/11
    In this episode, Dr. Stader gets to know Anne better and introduces his principles of opioid stewardship to her and how it will look. Following their encounter, Don and Rachael discuss the importance of therapetutic alliance and using evidence-based tools to track her treatment and pain. Show Notes:  Compass Opioid Prescribing + Treatment Guidance Toolkit The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    17 分
  • Episode 3: Opioid Stewardship Basics. CSA vs Informed Consent. How to Best Track Function, Risk Stratify and Screen Patients on COT

    Episode 3: Opioid Stewardship Basics. CSA vs Informed Consent. How to Best Track Function, Risk Stratify and Screen Patients on COT
    2022/04/11
    In this episode, Don and Rachaeldiscuss informed consent and what tools to use for risk stratification and monitoring. Informed Consent and Controlled Substance Agreements Screening Tools for Pain and Opioid Risk Management Risk Management: Putting it All Together 

     

    The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    11 分
  • Episode 4: Reframing Pain & Introducing Pain Psychology

    Episode 4: Reframing Pain & Introducing Pain Psychology
    2022/04/11
    In this episode, Dr. Stader meets again with Anne after reviewing her history and new pain tracking documents and starts to reframe pain to her. Following their encounter, Don and Rachael dive into the biopsychosocial approach and pain psychology.   Show Notes: Behavioral Medicine for Pain: Resources for Clinicians and Patients Pain Management Algorithm Nonopioid Pharmacologic Treatments Non-Pharmacologic Treatments The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    15 分
  • Episode 5: Addressing Medication Risks for Overdose

    Episode 5: Addressing Medication Risks for Overdose
    2022/04/11
    In this episode, Dr. Stader and Anne discuss her medication list and some of their adverse side effects. Following their encounter, Don and Rachael dive into medication risks arising from opioids and certain co-prescribed medications. Show Notes: 2020 Opioid + Sedative Use in COPD Study 2017 Bzd and Z-drug Review The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    13 分
  • Episode 6: Overdose Education and Naloxone

    Episode 6: Overdose Education and Naloxone
    2022/04/11
    In this episode, Dr. Stader educates Anne about naloxone and why its appropriate in her situation. Following their encounter, Don and Rachael dive into a deeper discusison of harm reduction and how to appropriately broach the subject to patients.   Show Notes: Naloxone for Patients on Chronic Opioid Therapy The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    12 分
  • Episode 7: Respiratory Depression & Screening for Sleep Disordered Breathing

    Episode 7: Respiratory Depression & Screening for Sleep Disordered Breathing
    2022/04/11

    In this episode, Dr. Stader talks with Anne about her sleep study showing sleep apnea and his concern for her medication regimen contributing to it. Following their encounter, Don and Rachael dive into the nuts and bolts of screening for sleep disordered breathing.

    Show Notes:

    2021 BMJ Article Infographic: Diagnosing Sleep Apnea in Patients Taking Opioids for Chronic Pain

    The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    15 分
  • Episode 8: Tapering Conversations and Benefits of Tapering / Deprescribing

    Episode 8: Tapering Conversations and Benefits of Tapering / Deprescribing
    2022/04/11

    In this episode, Dr. Stader broached his concerns with Anne's medication regimen and they discuss the mechanics of tapering her off some of her medications. Following their encounter, Don and Rachael dive into the collaborative framework for a taper using the BRAVO approach.

    Show Notes:

    Optimizing Patient Communication: The Key to a Successful Taper

    Provider Resources: Patient Communication Skills

    JAMA 2021 Tapering and Mental Health Article

    BMJ 2020 Tapering VA Study

    BRAVO: A Collaborative Approach to Opioid Tapering

    Opioid Tapering: The Risks and Benefits

    The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Cases podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compass Opioid Stewardship Program.
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    21 分