Health care providers often request guidance on how to have conversations with patients about opioids, pain treatment, addiction and other topics that may be challenging. In this collection, we have gathered materials that provide support to providers as they have these difficult conversations.
A toolkit prepared by the Veterans Health Administration to help primary care providers manage opioid tapering in their practices. It includes steps to take before beginning a taper including assessing the patient for conditions that might complicate the tapering process and communicating directly with the patient about opioid safety and tapering options.
Guidance for clinicians on how to taper patients’ long-term opioid prescriptions to lower dosages or discontinuation from the U.S. Department of Health and Human Services.
This 2016 toolkit from Partnership Health Plan of California provides guidance for providers seeking to engage their patients in a step-wise, physician directed tapering of their opioid dose. The toolkit has 4 sections: how to identify candidates for tapering, how to collaboratively set a tapering plan with the patient, how to manage the tapering process and complications, and advice on planning for special situations
This 2015 video from Dr. Andrea Rubinstein provides guidance to providers on how to work with patients to taper their opioid medication dosage. Includes a discussion on indications for tapering, 10 best practices for
The 2017 Nebraska Pain Management Guidance document was developed by an expert advisory task force consisting of actively practicing clinicians and prescribers, public health officers and senior state officials. The guidance is notable for addressing a broad range of topics including
In 2018 the Arizona Legislature passed the Arizona Opioid Epidemic Act. This one page information sheet for patients explains how the legislation protects chronic pain patients who use opioids to treat their pain. The document clarifies that the act does not limit prescription fills for chronic
This website includes all of the pain treatment guidelines prepared by the Oregon Pain Guidance commission including guidelines on acute pain, chronic pain, low back pain, alternatives to pharmacological treatment of pain, treating pain in children and senior citizens, pain control for cancer and palliative care, opioid
This 4 page guide from Minnesota’s Flip the Script campaign centers on health care providers and conducting difficult conversations with patients around opioids. The guide covers topics such as tapering opioid dose, pain relief, emerging behavioral health conditions, and concerns about the addiction risk of using opioids and includes sample language providers can use when talking to patients.
In 2018, the Arizona Legislature passed the Arizona Opioid Epidemic Act. This one page information sheet for patients in Spanish explains how the legislation protects chronic pain patients who use opioids to treat their pain. The document clarifies that the act does not limit prescription fills