Opioid Management Tools and Tips provides health professionals with basic guidance, tools, and resources for identifying patients who may be at risk for opioid misuse and effective managing the risk of abuse, addiction, and diversion.

• 1. Introduction


• 2. The Four A's: Domains for Pain Management Outcomes


• 3. Principles of Responsible Opioid Prescribing


• 4. Documentation


• 5. Defining Addiction, Physical Dependence, Tolerance, and Diversion


• 6. Prior to Initiating Chronic Opioid Therapy


• 7. Selection of Opioid Analgesic


• 8. Tools to Guide Decision Making, Stratify Risk, and Structure Therapy


• 9. Opioid-specific Screening Tools


• 10. Revised Screener and Opioid Assessment for Patients with Pain


• 11. D.I.R.E Score


• 12. Managing the Risk of Abuse, Addiction, and Diversion


• 13. Urine Drug Testing


• 14. Assessing Outcomes of Opioid Therapy


• 15. Documentation Tools in Long-Term Opioid Therapy


• 16. Managing Aberrant Drug-related Behavior


• 17. Quick Scan of Selected Opioid Pharmacokinetic Data


• 18. Legal/Regulatory Materials and Resources on the Use of Controlled Substances to Treat Pain


• 19. Recommended Reading to Increase Skills, Knowledge and to Guide Practice


• 20. Internet Resources to Increase Skills and Knowledge, and to Guide Practice


• 21. References

HSS: Professor of Anesthesiology and Director of Pain Management, Department of Anesthesiology, Albany Medical College, Albany, New York. PGF: Professor of Anesthesthesiology, University of Utah Health Sciences Center, Salt Lake City, Utah.