Advisor

Hessler, Karen

Committee Member

Clukey, Lory

Department

Nursing Practice

Institution

University of Northern Colorado

Type of Resources

Text

Place of Publication

Greeley (Colo.)

Publisher

University of Northern Colorado

Date Created

8-2017

Genre

Thesis

Extent

87 pages

Digital Origin

Born digital

Abstract

Pain management, opioid addiction, opioid diversion, opioid overdose, and prescription fraud continue to rise to epidemic levels in the United States. As primary care continues to manage a large proportion of these patients, multiple barriers exist that prevent proper pain management. Pain management specialists are no longer available to see patients, documentation on pain management patients is lacking and sub-par, and access to the prescription drug-monitoring program (PDMP) is challenging. Recent guidelines released by the Centers for Disease Control and Prevention (CDC; 2016a) indicated patients should no longer be on greater than 90-120 morphine milligram equivalents a day. These guidelines also are useful for providers to decide when to initiate opioid therapy, provide information on appropriate selection of opioids including necessary follow-up and monitoring, along with the need of screening tools to assess risk related to opioid therapy. This capstone examined pain management in primary care, ways to improve documentation, increase patient safety and prescriber adherence to CDC guidelines, as well as PDMP access and use--all in hopes of creating safe practices in primary care regarding pain management due to specialists being unavailable.

Degree type

DNP

Degree Name

Doctoral

Language

English

Local Identifiers

LindekenCapstone2017

Rights Statement

Copyright is held by the author.

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