Give me the numbers
pain in the____
Rules of Engagement
Fueling the Epidemic
What's the difference?
100
4 to 6 million people
What is the number of people in the US that suffer from both substance abuse and chronic pain?
100
76.2 million
What is the number of people in the United States who suffer from chronic pain
100
It does not differentiate between "dependence" and "addiction"
What are federal regulations regarding narcotic prescribing? or What are terms that are used interchangably in the regulations?
100
25%
What is the percentage of the national AIDS epidemic fueled by illegal drugs?
100
Withdrawal symptoms including agitation, inasomnia, diarrhea, sweating, rapid heartbeat, and a runny nose.
What do the addicted person and the chronic pain suffer have in common when a narcotic medication is abuptly stopped? or what is physical dependence?
200
From the year 2002 to 2009, this number doubled from 360,000 to 739,000 in the US and concomitantly, this number also doubled from 4500 to 9000
What is the number of people in the US receiving treatment for the non-medical us of prescription narcotics and the number of ER visits for misuse of opiods
200
More than 1 million, an almost 50% increase from 2002
What is the number of people who need prescription narcotics for chronic pain?
200
A form of discrimination or injury for which the injured party may seek redress
What is refusing to provide pain relief to an addicted patient? or what is withhold pain medicine or what is failing to treat pain
200
50%, and in some neighborhoods, 100%
What is the percentage of the HIV epidemic in New York City fueled by Illegal drug use?
200
These people experience pain more intensely
What is "the addicted person?"
300
7 million people
What is the number of people in the US who use prescription narcotics for non-medical reasons
300
African Americans and Latinos.
What are the racial or ethnic groups most likely to be undertreated for chronic pain?
300
You can verify if your patient has received controlled substances form 2 or more prescribers and filled them at 2 or more pharmacies in the previous calendar month
What is the Controlled Substance Information (CSI) on Dispensed Prescriptions Program of the New York State Health Commerce System?
300
housing, shelter, luxuries
What is "other reasons for illegally obtaining prescription narcotics?"
300
These individuals often have no visible signs of distress
What is "the chronic pain suffer"?
400
prescription narcotics, usually opiates
What is the the drug of choice for first time users of addictive substances (usually obtained from a friend or relative for free the first time?
400
The most common complaint in doctor's offices and clinics across the United States
What is "chronic pain?"
400
A signed agreement outlining the responsibilities of the healthcare provider and the patient with regard to opioid prescribing
What is a "Pain Management Contract?"
400
1970's= Opioids lead to addiction 1980's= Opioid use in chronic pain posed a minimal risk to addiction 1990's=effective analgesics for chronic pain improves functioning "Pain is what the patient says it is." Now: Science of treating pain in addiction is still in its infancy
What are the paradigm changes in our approch to pain management?
400
A reduction in sensitivity to the effects of opiods following repeated administrations, requiring increased doses to produce the same magnitude of effect?
What is tolerance, which may in occur in the addicted person, the chronic pain suffer, and the addicted person with chronic pain?
500
30mg of Morphine =30 mg of Hydrocodone=20mg of Oxycodone
What is Morphine Equivalent Doses (MED), which should not exceed 100 MED a day?
500
Depression and Anxiety
What often co-exists with chronic pain and my increase the risk of opioid use and misuse?
500
A healthcare provider's irrational fear that appropriate opiod use will lead to addiction
What is "OPIOPHOBIA?" or What is reliance on anecdotal evidence, misunderstanding regulations governing narcotics,and under-education of practitioners about substance abuse and pain management?
500
Overdose,misuse,diversion,and opioid dependence
What is the risks of narcotic pain medication
500
You can treat these patients effectively with narcotic pain medication
What is "the addicted patient?"
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