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Mitigating the opioid crisis for the lower extremity provider opioid stewardship programs.
Foot (Edinb). 2020 Dec; 45:101708.F

Abstract

Opioids are an effective form of analgesia for pain treatment. Over prescribing of opioids agents have becom;1;e detrimental to the United States' public health. One of the most difficult challenges for any prescriber is to balance the potential benefits versus the potential risks of opioid prescribing. Addressing the opioid crisis requires an interprofessional team approach. The utilization of an opioid stewardship program provides the necessary frame work to identify gaps in the in quality and development in the implementation of a change of long standing opioid culture and practice. These programs address opioid prescribing, treatment for opioid use disorder, educational initiatives, and the use of information technology. A few acronyms have been created to assist providers to guide them when prescribing opioids. The purpose of this article is to explore the central theme of responsible opioid pain management. It will introduce, define, and defend with clinical base evidence a proposed acronym "MORPHINE" to assist and help shape prescription opioid strategies used for lower extremity pain. Implications for practicing lower extremity providers need to acknowledge the potential harm that prescribing opioids may cause to their patients. Opioid stewardship principles should become a priority in podiatric medicine and podiatric surgery.

Authors+Show Affiliations

Shoe String Podiatry, 723 Lucerne Circle, Ormond Beach, Florida 32174, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

33049426

Citation

Smith, Robert G.. "Mitigating the Opioid Crisis for the Lower Extremity Provider Opioid Stewardship Programs." Foot (Edinburgh, Scotland), vol. 45, 2020, p. 101708.
Smith RG. Mitigating the opioid crisis for the lower extremity provider opioid stewardship programs. Foot (Edinb). 2020;45:101708.
Smith, R. G. (2020). Mitigating the opioid crisis for the lower extremity provider opioid stewardship programs. Foot (Edinburgh, Scotland), 45, 101708. https://doi.org/10.1016/j.foot.2020.101708
Smith RG. Mitigating the Opioid Crisis for the Lower Extremity Provider Opioid Stewardship Programs. Foot (Edinb). 2020;45:101708. PubMed PMID: 33049426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mitigating the opioid crisis for the lower extremity provider opioid stewardship programs. A1 - Smith,Robert G, Y1 - 2020/06/22/ PY - 2019/04/08/received PY - 2019/06/04/revised PY - 2020/06/18/accepted PY - 2020/10/14/pubmed PY - 2021/10/7/medline PY - 2020/10/13/entrez KW - Analgesic KW - Foot KW - Morphine KW - Opioid KW - Stewardship SP - 101708 EP - 101708 JF - Foot (Edinburgh, Scotland) JO - Foot (Edinb) VL - 45 N2 - Opioids are an effective form of analgesia for pain treatment. Over prescribing of opioids agents have becom;1;e detrimental to the United States' public health. One of the most difficult challenges for any prescriber is to balance the potential benefits versus the potential risks of opioid prescribing. Addressing the opioid crisis requires an interprofessional team approach. The utilization of an opioid stewardship program provides the necessary frame work to identify gaps in the in quality and development in the implementation of a change of long standing opioid culture and practice. These programs address opioid prescribing, treatment for opioid use disorder, educational initiatives, and the use of information technology. A few acronyms have been created to assist providers to guide them when prescribing opioids. The purpose of this article is to explore the central theme of responsible opioid pain management. It will introduce, define, and defend with clinical base evidence a proposed acronym "MORPHINE" to assist and help shape prescription opioid strategies used for lower extremity pain. Implications for practicing lower extremity providers need to acknowledge the potential harm that prescribing opioids may cause to their patients. Opioid stewardship principles should become a priority in podiatric medicine and podiatric surgery. SN - 1532-2963 UR - https://neuro.unboundmedicine.com/medline/citation/33049426/Mitigating_the_opioid_crisis_for_the_lower_extremity_provider_opioid_stewardship_programs_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0958-2592(20)30046-8 DB - PRIME DP - Unbound Medicine ER -