show episodes
 
The Compass Opioid Stewardship Clinical Cases podcast aims to provide clinicians with practical skills for managing patients on chronic opioid therapy. This 11 part podcast series introduces a framework to approaching clinical encounters with legacy patients on long term opioid therapy. Episodes highlight clinical patient scenarios through roleplaying and are followed by a discussion of the science, structure and pertinent clinical skills by Board Certified Addiction Medicine physician Dr. D ...
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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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show series
 
In this episode, Dr. Stader utilizes the principles of MI when navigating an encounter with Sam, a patient who just had a routine UA test positive for fentanyl, an opioid he is not prescribed. Dr. Barnett and Dr. Stader debrief the details of this case following the encounter including the delicate position a physician occupies when establishing pa…
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In this episode, Dr. Stader meets with Cindy, a fibromyalgia patient on longterm opioid therapy, to discuss decreasing her percocet following a DUI. Following the encounter, Dr. Barnett and Dr. Stader discuss the importance of pushing back against the innate urge to tell a patient the solution to their problem as it can lead to resistance.…
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In this episode, Dr. Stader introduces the OARS technique in an encounter with Paul who visits clinic regarding his surgeon’s wish for him to quit smoking pre-operatively. Following the encounter, Dr. Stader and Dr. Barnett dicuss how open questions, affirming patient sentiments, reflective statements and summarizing an encounter and assisting in m…
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Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to chat with Dr. Heath McAnally, MD, to discuss the nuances between different opioid agents and how to choose between them to match your patient's needs. Tune in as we review the biological pain pathways and how the mu and kappa receptors are involved with different opioid agents and then…
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Howard Schubiner, MD to discuss mind body medicine and the power of perception when it comes to pain. Dr. Schubiner discusses how the brain is responsible for much of the pain we experience and how we can harness this knowledge to reduce it after ruling out structural sources. Resources …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Kate Nicholson, JD, the founder of the nonprofit National Pain Advocacy Center whose mission is to advance the health and human rights of people in pain. Kate discusses her entry into the field of pain and her own journey developing and managing chronic pain and how she has used her expe…
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Summarized DSM-5 diagnostic categories and criteria for opioid use disorder Risks for opioid abuse and dependence among recipients of chronic opioid therapy: results from the TROUP study Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis
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Host Rachael Duncan, PharmD sits down with Alexis Ritvo, MD, an assistant professor at CU Anschutz School of Medicine Department of Psychiatry and Program Director at Addiction Psychiatry Fellowship at the University of Colorado to discuss all things benzodiazepines. Tune in to learn about tapering strategies, polypharma interactions and increased …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Andrew Herring, MD and Charles Hawthorne of CA Bridge to discuss healthy equity and disparities in the opioid epidemic. CA Bridge is a pioneering organization that expands access of evidence-based addiction care to those who use drugs across California, Andrew serves as the Director and …
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In this episode, Dr. Stader and Anne chat about how her pain has improved and she is getting more out of life. Following their encounter, Don and Rachael circle back on the 8 pillars of opioid stewardship tying it all together and and talk about modifying the framework to fit individual patients. Show Notes: Benzodiazepine Deprescribing Algorithm C…
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In this episode, Dr. Stader introduces buprenorphine as a possible agent to help manage Anne's chronic pain. Following their encounter, Don and Rachael discuss the use of buprenorphine for chronic pain and how to effectively cross titrate a patient from other opioids to the safer agent. Show Notes: Buprenorphine and X Waivers IR Opioid Cross Taper …
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In this episode, Dr. Stader and Anne discuss how her taper is going and they agree on some adjustments. Following their encounter, Don and Rachael take a deeper dive into the specific mechanics of tapering fentanyl and Oxycodone. Show Notes: Opioid + Benzodiazepine Tapering How-To Guide Fentanyl 50 mcg TD Taper Example The Iowa Healthcare Collabora…
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In this episode, Dr. Stader broached his concerns with Anne's medication regimen and they discuss the mechanics of tapering her off some of her medications. Following their encounter, Don and Rachael dive into the collaborative framework for a taper using the BRAVO approach. Show Notes: Optimizing Patient Communication: The Key to a Successful Tape…
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In this episode, Dr. Stader talks with Anne about her sleep study showing sleep apnea and his concern for her medication regimen contributing to it. Following their encounter, Don and Rachael dive into the nuts and bolts of screening for sleep disordered breathing. Show Notes: 2021 BMJ Article Infographic: Diagnosing Sleep Apnea in Patients Taking …
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In this episode, Dr. Stader educates Anne about naloxone and why its appropriate in her situation. Following their encounter, Don and Rachael dive into a deeper discusison of harm reduction and how to appropriately broach the subject to patients. Show Notes: Naloxone for Patients on Chronic Opioid Therapy The Iowa Healthcare Collaborative presents …
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In this episode, Dr. Stader and Anne discuss her medication list and some of their adverse side effects. Following their encounter, Don and Rachael dive into medication risks arising from opioids and certain co-prescribed medications. Show Notes: 2020 Opioid + Sedative Use in COPD Study 2017 Bzd and Z-drug Review The Iowa Healthcare Collaborative p…
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In this episode, Dr. Stader meets again with Anne after reviewing her history and new pain tracking documents and starts to reframe pain to her. Following their encounter, Don and Rachael dive into the biopsychosocial approach and pain psychology. Show Notes: Behavioral Medicine for Pain: Resources for Clinicians and Patients Pain Management Algori…
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In this episode, Don and Rachaeldiscuss informed consent and what tools to use for risk stratification and monitoring. Informed Consent and Controlled Substance Agreements Screening Tools for Pain and Opioid Risk Management Risk Management: Putting it All Together The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Ca…
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In this episode, Dr. Stader gets to know Anne better and introduces his principles of opioid stewardship to her and how it will look. Following their encounter, Don and Rachael discuss the importance of therapetutic alliance and using evidence-based tools to track her treatment and pain. Show Notes: Compass Opioid Prescribing + Treatment Guidance T…
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In this episode, Dr. Stader meets Anne, a chronic pain patient new to his practice and they review her medical history. Following their encounter, Don and Rachael discuss the lack of longterm efficacy of opioids for pain management and their safety risks. Show Notes: Opioid Risks and Side Effects The Iowa Healthcare Collaborative presents the Compa…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Dr. Emily Einstein, PhD, chief of the Science Policy Branch for the National Institute on Drug Abuse (NIDA). This episode ranges from policy issues at NIDA and plans to implement actionable interventions to improve care for those suffering from addiction to in-depth biology of addict…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Stanford pain psychologist Dr. Heather Poupore-King, PhD to discuss the intersection of pain, opioids and sleep. This episode addresses the biopsychosocial approach to health and highlights how relevant it to how pain and opioids affect your sleep and how sleep quality and quantity c…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Director of the NIH's Helping End Addiction Longterm (HEAL) Initiative, Dr. Rebecca Baker, Ph.D. In the podcast we discuss the opioid crisis, health disparities and scope of HEAL Initiative. Dr. Baker shares her insights into how the NIH has prioritized efforts to better understand a…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Tom Bowen to discuss his personal journey through dealing with chronic pain. Tune in to hear Tom's story and how he learned to live with his chronic pain by changing his perspective and utilizing invaluable self-directed pain management techniques. Tom is an active advocate for patie…
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Dr. Steven Wright joins us to explain how to best manage patients with OUD in the primary care setting. Tune in to learn how to counsel patients with OUD and responsibly incorporate buprenorphine, naltrexone and methadone into your practice in this eighth installment of the Compass Opioid Stewardship Program lecture series. Feel free to contact Dr.…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Dr. Travis Rieder, PhD, a Research Scholar at Johns Hopkins Berman Institute of Bioethics to discuss his personal experience becoming dependent on opioids following a traumatic motorcycle accident and navigating the healthcare system to wean himself from his medications. Iowa Healthc…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Addiction and Emergency Medicine physician Dr. Corey Waller to define addiction, discuss strategies for recognizing signs of OUD early and then appropriately manage it. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Expert Spotlight podcast in partnership with …
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Dr. Don Stader joins us to explain how to identify OUD in patients on short-term and long-term opioid prescriptions and discuss the benefits of medication assisted treatment for addiction. Tune in to learn how to incorporate buprenorphine into your practice in this seventh installment of the Compass Opioid Stewardship Program lecture series. Feel f…
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Dr. Steven Wright joins us to explain the best practices for chronic pain management in this sixth installment of the Compass Opioid Stewardship Program lecture series. Feel free to contact Dr. Stader at don@staderopioidconsultants.com with any questions or inquiries. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Program Pod…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Stanford pain psychologist Dr. Heather Poupore-King, PhD to discuss the nuance of pain psychology and management of patients with chronic pain. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Expert Spotlight podcast in partnership with the Centers for Medicare …
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Dr. Anna Lembke to discuss her BRAVO protocol for opioid tapering. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Expert Spotlight podcast in partnership with the Centers for Medicare and Medicaid Services. Visit their website for more information on the Compas…
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Dr. Don Stader and Dr. Steven Wright explain the best practices for opioid and benzodiazepine tapering in this fifth installment of the Compass Opioid Stewardship Program lecture series. Feel free to contact Dr. Stader at don@staderopioidconsultants.com with any questions or inquiries. Iowa Healthcare Collaborative presents the Compass Opioid Stewa…
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Hosts Dr. Don Stader and Dr. Mary Andrawis, PharmD sit down with Dr. Heath McAnally and dive deep into the weeds of pain physiology, opioid induced hyperalgesia and so much more. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Expert Spotlight podcast in partnership with the Centers for Medicare and Medicaid Services. Visit th…
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Hosts Dr. Don Stader and Dr. Mary Andrawis, PharmD sit down to discuss the intricacies of litigation risks that come with prescribing opioids with healthcare attorney, Mr. Harry Nelson. Tune in to review the risks and practices you can adopt to protect yourself as a prescriber. Iowa Healthcare Collaborative presents the Compass Opioid Stewardship E…
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