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Pain Management and Addiction/Substance Use Disorders: Navigating Use and Abuse

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1.  Opioid prescribing in the United States: Has increased over the past 10 years Has improved based on CDC Recommendations Did not play a role in the opioid epidemic Solved the issue of poor pain control

2.  Acute pain: lasts longer than 6 months requires opioids for effective treatment has an obvious cause cannot be quantified

3.  Chronic pain is challenging to manage because: it is temporary does not exist always leads to addiction can be caused by improper treatment of acute pain

4.  The high costs of opioid use disorder include all EXCEPT: Increase in health care utilization Criminal justice system involvement Use of comprehensive pain management plans Decrease in productivity due to lost wages

5.  Substance use disorder includes all of these EXCEPT: alcohol opioid food cannabis

6.  Among 1,368,604 primary care patients __% had a diagnosis of opioid use disorder: 5 1 3 10

7.  People with opioid use disorder: Only want opioids to treat acute pain Should never be given opioids to manage acute pain Benefit from a comprehensive pain management plan Need to suffer based on past behavior

8.  Given the rise in synthetic opioid overdoses: Narcan/nalaxone is free to the general public The AHA added opioid overdose treatment to BLS provider training Controlled medications are prescribed for longer periods of time Marijuana was legalized by the Federal Government

9.  People with opioid use disorder: Need a pain management plan created by their physician Must be treated with conservative, less-invasive options after injuries Are unable to experience pain due to past abuse Should be an integral part in creating their pain management plan

10.  An example of implicit bias against a person with substance use disorder is: Cutting a clinic visit short Empathetic communication Offering behavioral health services for treatment resources Screening for social determinant of health

11.  Safety concerns for people with substance use disorders include all EXCEPT: organ damage due to substance misuse multimodal pain management poorly monitored acute withdrawal combining opioids and benzodiazepines

12.  What percentage of people who inject drugs report chronic pain? 20 15 47 5

13.  Safe tapering opioids for long-term chronic non-cancer pain includes: Abruptly stopping opioids Using appropriate tools for dose reduction Managing acute withdrawal at home No consideration of the person as an individual

14.  Patients with chronic pain, mental health and substance use comorbidities: Need sympathy more than empathy Have limited evidence-based options Require each condition to be managed separately Present with challenges best met with a multimodal pain management approach

15.  Non-pharmacological pain management approaches: Work best when the patient is involved in choosing options Have limited evidence to support their use Are not accepted by healthcare providers Are not cost-effective