Category Archives: Opioids in the Workplace

Talking About the Opioid Epidemic

I am always honored when an organization asks me to speak on the Opioid Epidemic.  I am not a professional speaker by any means.  I don’t travel around the country speaking at conference after conference on this topic. I mainly speak at the regional or local level, with a sprinkling of national venues. My main…
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Medication Assisted Treatment vs. 12 Step – Is it only One or the Other?

April 10, 2017  Are you a proponent for Medication Assisted Treatment (MAT) for opioid use disorder?  Do you believe that a 12 Step Program should not incorporate MAT?  Is  addiction is a voluntary disorder in your opinion? There was a very interesting article posted today on MedScape for Nurses, titled "Opioid Crisis in America: Experts…
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Missouri PDMP Bill – Are we almost there yet?

According to the National Safety Council, Missouri’s legislature is again mired in debate over implementation of a proposed prescription drug monitoring program (PDMP). As a past Missouri native, this reluctance to implement a PDMP is distressing. PDMPs are databases designed to track prescribing and dispensing of controlled prescription drugs. Every state but Missouri currently has…
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Where is Case Management Going in 2017?

I have read multiple blogging prognosticators discussing their predictions for workers' compensation in 2017.  Some funny, some serious.  Just ask my husband, I always have to either have the last word or at least make sure my opinion is also included in any discussion.  So here goes with my opinions regarding case management trends in…
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Doctor’s Prescribing Habits linked to Drug Company Gifts

This study backs up ongoing concerns voiced regarding the practice of pharmaceutical reps providing gifts to physicians.  http://www.medscape.com/viewarticle/863304?nlid=105107_2981&src=wnl_dne_160517_mscpedit&uac=249582HK&impID=1099469&faf=1  Another very in-depth article on this http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811591/ How does this relate to the Opioid Epidemic?  Take a look at this article that details Purdue Pharma and their role in marketing Valium and Oxyconting: http://theweek.com/articles/541564/how-american-opiate-epidemic-started-by-pharmaceutical-company
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TALKING TO THE INJURED WORKER ABOUT SENSITIVE TOPICS

TALKING TO PATIENTS ABOUT SENSITIVE TOPICS As the opioid epidemic and its aftermath continues to run its course, the federal government is beginning to take notice and more importantly, action.  At the National Prescription Drug Abuse and Heroin Summit last week in Atlanta a  surprise visitor, President Obama attended and participated in a panel discussion.…
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New Direction – Part 2 What is “Number Needed to Treat”?

Number Needed to Treat (NNT) was a term with which I was unfamiliar.  The Center for Evidence Based Medicine defines the Number Needed to Treat as the number of patients you need to treat to prevent one additional bad outcome (death, stroke, etc.). For example, if a drug has an NNT of 5, it means you have…
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