Respond to suspicion of opioid misuse or diversion by collecting more information and discussing with the patient.
A team-based approach, adequate consultative support, and training can begin to address some of these barriers. Patients may have individual barriers to accessing care or participating in self-management. Provide them with specific support as needed.
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Smoking is a slow death that is damaging your health day by day, but quitting can transform your life. It is one of the leading causes of preventable diseases across the world, and it raises the risk of lung cancer, cardiovascular diseases, stroke, and respiratory diseases. Quitting smoking can be difficult, but it is possible if approached with the proper strategy.
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Combining alcohol with certain sleeping pills can lead to dangerously slowed breathing or unresponsiveness. And alcohol can actually cause insomnia.
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Remember the facts: Smoking can kill you. And think about how much better you’ll feel once smoking is out of your life.
Some evidence shows that patients with complex persistent dependence may tolerate transition to buprenorphine better than a tapering down of the opioid dose. When complex persistent dependence is suspected, a more clinically useful approach may be to transition to buprenorphine and then taper down the dose.
Advise patients to avoid alcohol while using an opioid. For patients who are pregnant or may become pregnant, discuss the risk of neonatal abstinence syndrome.
The mechanism is very similar to that which regulates the central heating in a house where there is a thermostat in, say, the living room, more info which is set to a particular temperature and which activates the gas- or oil-fired furnace, or boiler that heats the hot water.
Assess the benefits and risks to determine whether an opioid will improve overall chronic pain management.
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Ensure caregiver receives education on appropriate Intranasal Narcan use and administration to the patient if indicated