MEDRADSC 3DH3 Study Guide - Midterm Guide: Opioid, Canadian Medical Association Journal, Constipation

• School: McMaster University
• Department: Medical Radiation Sciences
• Course: MEDRADSC 3DH3
• Professor: Lyndsay Simmons

Document Summary

Location: michael g. degroote national pain centre @ mcmaster. Candians are the 2nd highest users per capita of opioids in the world. As opioid prescriptions rise - hospital visits & overdoses have too. Busse: opioids should not be the first line of therapy . 15-19% of canadians are living with chronic (non-cancer) pain. Guidelines published by the canadian medical association journal (cmaj) focus on the treatment of patients with chronic non- cancer; not those with acute pain, or in pc, who have specific needs. Recommendations include trying non-opioid & non-pharmacological therapies first (when possible) - recognize that physio. Those who require opioids - guidelines restrict doses to a max of 90 mg - effort to reduce overdose (previous guidelines were 200 mg daily dose) Goal: to taper patients down to a lower dose. Up to regulatory bodies to create their standards of practice - hard to get all of canada to follow.