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Treatment of Injured Workers on Chronic Pain Medications Mark Miles Passey MD Utah Spine and Joint Specialists 801 314-2308
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State of the Art and the State of our Understanding
 
 
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Reinecke H. et al., S3 guideline LONTS: Long-Term Administration of Opioids for on-Tumor Pain,  Schmerz , 2009;23(5):440-7 ,[object Object],[object Object],[object Object]
Current Opinions in Anesthesiology, 2010;23:598-601 ,[object Object]
 
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Standard of Care for long term opioid use for managing pain in injured workers ,[object Object],[object Object]
 
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Opioid Treatment for Chronic Pain ,[object Object]
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Conservative Opioid Prescribing
The Patient Already on Opioids ,[object Object],[object Object],[object Object]
Case Study ,[object Object],[object Object],[object Object]
The new chronic pain condition
Preexisting pain in the acute industrial injury  ,[object Object]
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Principles of Conservative Opioid Prescribing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of Conservative Prescribing ,[object Object]
Universe of Addiction Universe of Chronic Pain Management Counterproductive use of opioids Frequent dose raising IV Heroin IV Oxycodone Actiq, Fentora Frequent dose raising Large amounts of short acting opioids such as Lortab, Percocet, OxyIR, Actiq, Fentora Rehabilitative use of opioids Methadone maintenance Suboxone maintenance Long acting opioids at moderate stable doses, such as methadone, long-acting morphine, fentanyl patches, buprenorphine.
 
 
 
 
 
 
Principles of Conservative Opioid Prescribing ,[object Object],[object Object],[object Object],[object Object],[object Object]
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2011 passey treatment chronic pain

  • 1. Treatment of Injured Workers on Chronic Pain Medications Mark Miles Passey MD Utah Spine and Joint Specialists 801 314-2308
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  • 20. The new chronic pain condition
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  • 27. Universe of Addiction Universe of Chronic Pain Management Counterproductive use of opioids Frequent dose raising IV Heroin IV Oxycodone Actiq, Fentora Frequent dose raising Large amounts of short acting opioids such as Lortab, Percocet, OxyIR, Actiq, Fentora Rehabilitative use of opioids Methadone maintenance Suboxone maintenance Long acting opioids at moderate stable doses, such as methadone, long-acting morphine, fentanyl patches, buprenorphine.
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