CONCLUSION
Currently, there is an epidemic of prescription drug abuse, diversion, and overdose deaths not only in West Virginia but also across the country. The complexity of this crisis creates challenges for federal, state, and local governments as well as nongovernmental partners who must confront the growing impacts on the community.
Overprescribing opioids for more than a decade has contributed to prescription opioid addiction and led to a sharp increase in opioid addiction, which is associated with a significant increase in heroin abuse, health compromise, and overdose deaths. A multifaceted public health approach is necessary in order to effectively reduce opioid-related morbidity and mortality.
The opioid epidemic in this country has evolved and escalated along with an epidemic of chronic pain. With current evidence affirming that less-risky pain alternatives are just as effective as opioids for managing chronic pain, it is clear that there must be a cultural shift away from treating chronic pain with opioid medication.
Nurses are in a unique position to address this dual epidemic with the right clinical skills and knowledge in assessment and management of addiction risk and best practices for safe opioid prescribing. A comprehensive approach that supports safe and effective pain management without increasing patient risk for addiction must be priority in every clinical practice setting.
RESOURCES
CDC Clinical Practice Guideline for Prescribing Opioids for Pain
Drug overdose prevention in States
Opioid prescribing guideline resources (CDC)
Opioid safety: veteran/patient education (Veteran’s Administration)
Pain Assessment and Documentation Tool (PADT)
Screening and assessment tools chart (National Institute on Drug Abuse)
REFERENCES
NOTE: Complete URLs for references retrieved from online sources are provided in the PDF of this course.
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