Define integrative medicine
The combination of all available and appropriate strategies and approaches combined to benefit the patient
Define non-allopathic medicine
A group of diverse medical and healthcare systems, practices, and products that are not presently considered part of conventional medicine (everything outside of conventional medicine)
Why is a physical exam important in detecting diverters?
It can reveal potential signs of drug abuse
What is the Mandatory Use Law?
It is a law mandating that a prescriber shall access and review a patient's record in PMP prior to initially prescribing any opioid and then every 90 days when therapy continues for more than 90 days
Is oxycodone or morphine stronger?
oxycodone
Why is it important as a physician to take into consideration patient use of non-allopathic medicine
Lack of disclosure can lead to drug-herbal interactions and misinformation for patients
What is National Prescription Drug Take Back Day?
A day in which collection sites will be provided for people to drop off medications for safe disposal
List two exceptions to the Mandatory Use Law
Drug is prescribed for or administered to a hospice patient or to any other patient diagnosed with a terminal illness
Drug is prescribed or administered for the treatment of cancer-related chronic or intractable pain
Drug is ordered for or administered to a patient being treated in a hospital
PMP is not functioning properly due to internal or external electronic issues. However, prescriber or delegate shall check PMP once accessibility is restored and note the cause for the delay in the patient’s chart
No more than a single 7-day supply of the drug is prescribed for or administered to the patient
Define oromucosal and state whether administration of medical marijuana would occur more rapidly through this mode of delivery or through inhalation
Relating to, or directed towards the mucous surfaces of the mouth (cheek)
inhalation
List one way in which yoga can help the body
Stimulates muscles
Increases blood and lymphatic flow
Deep breathing increases oxygen and vital nutrient delivery to cells removes toxins
What is the Opioid Risk Tool (ORT) and what does it do?
It is 5 yes-or-no self report items covering issues that can help determine a patient’s risk for medication abuse
Does a spectrum exist for nonadherence opioid users of nonmedical users and pain patients? Explain your answer.
Yes
How does acupuncture help on a biological level?
It is thought to stimulate the secretion of endorphins, serotonin, and noradrenaline in the central nervous system and cause vasodilation
What is the PMP?
Prescription Monitoring Program- an electronic system that monitors controlled substances, particularly opioids
Buprenorphine is what kind of agonist?
Partial mu opioid receptor agonist
List three of the five domains for non-allopathic medicine
Alternative medical systems (acupuncture, yoga, homeopathy, naturopathy)
mind body intervention (mediation, hypnosis, dance, music therapy, art therapy, prayer, mental healing)
Biologically based treatments (supplements, dietary changes)
Manipulative and body-based methods (chiropractic medicine, massage therapy)
Energy therapies (biofields, electromagnetic fields)
What form allows Louisianas to pledge to refuse the offer or administration of opioid medications from their healthcare practitioner or attending physician?
Voluntary opioid refusal form