This podcast aims to bring light to Colorado's CURES Opioid Prescribing Guidelines for different clinical specialities through interviews with specialists. In 2019, Colorado Hospital Association, Colorado Medical Society and Colorado Consortium for Prescription Drug Abuse Prevention launched a new initiative designed to address the opioid epidemic – Colorado’s Opioid Solution: Clinicians United to Resolve the Epidemic (CO’s CURE). CO’s CURE brought together diverse clinical specialties, all ...
…
continue reading
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 ...
…
continue reading
1
Episode 10: Reflections on Motivational Interviewing
19:00
19:00
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
19:00
In this episode, Dr. Stader calls Dr. Barnett to reflect on the philosophy of MI and how it has been transformative for his practice. Additional Learning Resources: Thomas Gordon’s Roadblocks to Communication Motivational Interviewing Workshops
…
continue reading
1
Episode 9: A Positive UA - Principles of MI in Practice
24:06
24:06
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
24:06
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…
…
continue reading
1
Episode 8: Diet Change Talk - Principles of MI in Practice
20:23
20:23
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
20:23
In this episode, Dr. Stader implements the breadth of MI tactics discussed thus far in an encounter with Peggy, a pre-diabetic patient with high cholesterol to discuss diet changes.
…
continue reading
1
Episode 7: Scaling and Eliciting Change Talk
18:39
18:39
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
18:39
In this episode, Dr. Stader meets with Rebecca following a trip to the ER for a fall about the potential need to take fall risk reduction measures as she starts to age. Dr. Barnett and Dr. Stader discuss how scaling can be used to gauge where patients' readiness to implement change.
…
continue reading
1
Episode 6: Importance of Establishing Boundaries
16:57
16:57
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:57
In this episode, Dr. Stader meet with Mark who would like to increase his opioid prescription for his back pain. Dr. Barnett and Dr. Stader discuss the importance of establishing physician-patient boundaries when discussing change behavior.
…
continue reading
1
Episode 5: Empathy, Discrepancy, Rolling with Resistance and Supporting Self-Efficacy
19:38
19:38
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
19:38
In this episode, Dr. Stader conducts a new patient encounter with George. Following the encounter, Dr. Barnett and Dr. Stader talk about the four key principles of motivational interviewing: empathy, discrepancy, rolling with resistance and supporting self-efficacy in patients.
…
continue reading
1
Episode 4: Fighting the Righting Reflex
18:29
18:29
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
18:29
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.…
…
continue reading
1
Episode 3: OARS Technique (Open Questioning, Affirming, Reflecting and Summarizing)
17:18
17:18
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
17:18
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…
…
continue reading
In this episode, Dr. Stader has an appointment with Tom, a chronic pain patient grappling with a new diagnosis of sleep apnea and the need to wear a CPAP machine. Following the encounter, Dr. Stader and Dr. Barnett discuss the stages of change patients traverse.
…
continue reading
1
Episode 1: The Spirit of Motivational Interviewing
16:15
16:15
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:15
Dr. Don Stader calls mentor Dr. Peter Barnett to vent about some feelings of burnout he is experiencing with his patients not wanting to follow directions and Dr. Barnett helps him reframe his mentality and offers up motivational interviewing as a potential strategy to employ with his patients resisting change.…
…
continue reading
1
Episode 10: Putting it All Together (Chronic Pain and Opioid Use Disorders)
25:12
25:12
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
25:12
Putting it all together Toolkit Opioid Prescribing and Treatment Guidance Toolkit Compass Opioid Stewardship Program Website Compass Opioid Stewardship Expert Spotlight Spotify Apple
…
continue reading
1
Episode 9: OUD Treatment: Recovery Communities and Social Adjuncts
15:57
15:57
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
15:57
Addiction is about giving up everything for one thing. Recovery is about giving up one thing for everything.
…
continue reading
1
Episode 8: OUD Treatment: Medication for Opioid Use Disorder
24:05
24:05
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
24:05
Buprenorphine and X Waivers Toolkit Buprenorphine Protocol Toolkit
…
continue reading
1
Episode 7: Motivational Interviewing for OUD
21:10
21:10
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
21:10
Motivational Interviewing Toolkit
…
continue reading
1
Episode 6: Deprescribing - A Choice Between Tapering & Addiction Treatment
18:16
18:16
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
18:16
Motivational Interviewing Toolkit
…
continue reading
1
Episode 5: Aberrancy Management in Chronic Opioid Therapy
24:26
24:26
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
24:26
Risk Monitoring Toolkit Aberrancy Management Toolkit
…
continue reading
1
Episode 4: Informed Consents & Controlled Substance Agreements (CSAs)
18:00
18:00
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
18:00
Informed Consent & Controlled Substance Agreement Toolkit
…
continue reading
1
Episode 3: Risk Monitoring and Mitigation for Chronic Opioid Therapy
16:11
16:11
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:11
Risk Mitigation Toolkit
…
continue reading
1
Episode 2: Risk Screening and Stratification for OUD in Primary Care
18:46
18:46
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
18:46
Opioid Therapy Risk-Assessment Screening Tools Table Recommended Screening Tools for Pain + Opioid Risk Management Toolkit A Comparison of Common Screening Methods for Predicting Aberrant Drug-Related Behavior among Patients Receiving Opioids for Chronic Pain Management
…
continue reading
1
Episode 1: An Introduction to Co-Occurring Chronic Pain & Opioid Use Disorder
16:49
16:49
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:49
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
…
continue reading
1
Episode 11: Putting It All Together (Opioid Stewardship)
20:47
20:47
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
20:47
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…
…
continue reading
1
Episode 10: Cross Titration to Buprenorphine for Chronic Pain
16:39
16:39
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:39
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 …
…
continue reading
1
Episode 9: Opioid Tapering Tips: Tapering Fentanyl & Oxycodone
16:21
16:21
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:21
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…
…
continue reading
1
Episode 8: Tapering Conversations and Benefits of Tapering / Deprescribing
20:34
20:34
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
20:34
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…
…
continue reading
1
Episode 7: Respiratory Depression & Screening for Sleep Disordered Breathing
15:01
15:01
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
15:01
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 …
…
continue reading
1
Episode 6: Overdose Education and Naloxone
12:10
12:10
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
12:10
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 …
…
continue reading
1
Episode 5: Addressing Medication Risks for Overdose
13:05
13:05
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
13:05
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…
…
continue reading
1
Episode 4: Reframing Pain & Introducing Pain Psychology
15:18
15:18
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
15:18
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…
…
continue reading
1
Episode 3: Opioid Stewardship Basics. CSA vs Informed Consent. How to Best Track Function, Risk Stratify and Screen Patients on COT
11:11
11:11
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
11:11
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…
…
continue reading
1
Episode 2: Building Therapeutic Alliance and Introducing an Opioid Stewardship Framework
16:54
16:54
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
16:54
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…
…
continue reading
1
Episode 1: Assuming Care for a New Patient on Chronic Opioid Therapy (COT): Meeting a Patient’s and Society’s Needs
20:16
20:16
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
20:16
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…
…
continue reading
Host Elizabeth Esty, MD sits down with ED and ICU Clinical Pharmacist Rachael Duncan, PharmD to discuss the Colorado Hospital Association's opioid prescribing guidelines for pharmacists. Colorado's CURE focuses on four pillars: Limiting the use of opioids in clinical practice Using multimodal alternatives to opioids (ALTO) to better treat pain with…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader, Dr. Marcela Smid and Dr. Jill Liss to discuss the Colorado Hospital Association's opioid prescribing guidelines for OB/GYNs. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine and the editor in chief for all of the Colorado's CURE Guidelines, Dr. Marcela Smid is boar…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader, Dr. Caitline Dietsche and Dr. Cathy O’Neil to discuss the Colorado Hospital Association's opioid prescribing guidelines for hospitalists. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine and the editor in chief for all of the Colorado's CURE Guidelines, Dr. Caitlin…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader and Dr. Susan Somerset to discuss the Colorado Hospital Association's opioid prescribing guidelines for dentists. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine and the editor in chief for all of the Colorado's CURE Guidelines and Dr. Susan Somerset, DMD is a gene…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader and Dr. Ethan Moses to discuss the Colorado Hospital Association's opioid prescribing guidelines for Occupational Medicine. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine and the editor in chief for all of the Colorado's CURE Guidelines and Dr. Ethan Moses, is boa…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader, Dr. Rachael Rzasa Lynn and Dr. Aaron Lynn to discuss the Colorado Hospital Association's opioid prescribing guidelines for Surgery and Anesthesia. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine and the editor in chief for all of the Colorado's CURE Guidelines, Dr…
…
continue reading
Host Elizabeth Esty, MD sits down with Dr. Don Stader to discuss the Colorado Hospital Association's opioid prescribing guidelines for Emergency Medicine. Dr. Don Stader is board certified in Emergency Medicine and Addiction Medicine, practicing Emergency Physician at Swedish Medical Center, member of the Colorado ACEP board and the editor in chief…
…
continue reading
1
Introducing Colorado's CURES Podcast
14:23
14:23
Main Kemudian
Main Kemudian
Senarai
Suka
Disukai
14:23
Host Elizabeth Esty, MD will be sitting down with experts in various medical field to discuss the Colorado Hospital Association's opioid prescribing guidelines for their specialty. Colorado's CURE focuses on four pillars: Limiting the use of opioids in clinical practice Using multimodal alternatives to opioids (ALTO) to better treat pain without th…
…
continue reading