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
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
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 10: Reflections on Motivational Interviewing
19:00
19:00
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 9: A Positive UA - Principles of MI in Practice
24:06
24:06
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 8: Diet Change Talk - Principles of MI in Practice
20:23
20:23
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 7: Scaling and Eliciting Change Talk
18:39
18:39
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 6: Importance of Establishing Boundaries
16:57
16:57
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 5: Empathy, Discrepancy, Rolling with Resistance and Supporting Self-Efficacy
19:38
19:38
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 4: Fighting the Righting Reflex
18:29
18:29
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 3: OARS Technique (Open Questioning, Affirming, Reflecting and Summarizing)
17:18
17:18
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 1: The Spirit of Motivational Interviewing
16:15
16:15
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
How to Choose the Appropriate Opioid: An Interview with Dr. Heath McAnally
1:28:20
1:28:20
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:28:20
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Mind Body Medicine's Approach to Chronic Pain: An Interview with Dr. Howard Schubiner
1:08:39
1:08:39
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:08:39
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 …
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Chronic Pain Advocacy: An Interview with Kate Nicholson, JD
1:13:40
1:13:40
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:13:40
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 10: Putting it All Together (Chronic Pain and Opioid Use Disorders)
25:12
25:12
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 9: OUD Treatment: Recovery Communities and Social Adjuncts
15:57
15:57
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
15:57
Addiction is about giving up everything for one thing. Recovery is about giving up one thing for everything.
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 8: OUD Treatment: Medication for Opioid Use Disorder
24:05
24:05
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
24:05
Buprenorphine and X Waivers Toolkit Buprenorphine Protocol Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 7: Motivational Interviewing for OUD
21:10
21:10
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
21:10
Motivational Interviewing Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 6: Deprescribing - A Choice Between Tapering & Addiction Treatment
18:16
18:16
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
18:16
Motivational Interviewing Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 5: Aberrancy Management in Chronic Opioid Therapy
24:26
24:26
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
24:26
Risk Monitoring Toolkit Aberrancy Management Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 4: Informed Consents & Controlled Substance Agreements (CSAs)
18:00
18:00
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
18:00
Informed Consent & Controlled Substance Agreement Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 3: Risk Monitoring and Mitigation for Chronic Opioid Therapy
16:11
16:11
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
16:11
Risk Mitigation Toolkit
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 2: Risk Screening and Stratification for OUD in Primary Care
18:46
18:46
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 1: An Introduction to Co-Occurring Chronic Pain & Opioid Use Disorder
16:49
16:49
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Benzodiazepine Tapering: An Interview with Dr. Alexis Ritvo
1:17:51
1:17:51
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:17:51
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 …
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Opioids, Health Disparities and COVID-19: An Interview with Dr. Andrew Herring and Charles Hawthorne
50:34
50:34
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
50:34
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 …
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Episode 11: Putting It All Together (Opioid Stewardship)
20:47
20:47
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 10: Cross Titration to Buprenorphine for Chronic Pain
16:39
16:39
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 9: Opioid Tapering Tips: Tapering Fentanyl & Oxycodone
16:21
16:21
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 8: Tapering Conversations and Benefits of Tapering / Deprescribing
20:34
20:34
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 7: Respiratory Depression & Screening for Sleep Disordered Breathing
15:01
15:01
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 6: Overdose Education and Naloxone
12:10
12:10
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 5: Addressing Medication Risks for Overdose
13:05
13:05
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 4: Reframing Pain & Introducing Pain Psychology
15:18
15:18
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
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
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
Episode 2: Building Therapeutic Alliance and Introducing an Opioid Stewardship Framework
16:54
16:54
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
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
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
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
![Artwork](/static/images/128pixel.png)
1
NIDA Policy Issues: An Interview with Dr. Emily Einstein
58:39
58:39
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
58:39
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Pain, Opioids and Sleep: An Interview With Dr. Heather Poupore-King
1:20:49
1:20:49
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:20:49
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
NIH HEAL Initiative: An Interview with Dr. Rebecca Baker
58:05
58:05
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
58:05
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Learning to Champion Chronic Pain: An Interview with Tom Bowen
1:18:16
1:18:16
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:18:16
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
A Patient and Bioethicist Perspective on the Medical System's Role and Responsibilities in the Opioid Crisis: An Interview with Dr. Travis N. Rieder, PhD
1:13:45
1:13:45
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:13:45
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Recognition and Management of Opioid Use Disorder (OUD): An Interview with Dr. Corey Waller
1:23:52
1:23:52
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:23:52
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 …
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Pain Psychology: An Interview with Dr. Heather Poupore-King
1:09:28
1:09:28
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:09:28
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 …
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Opioid Tapering: An Interview with Dr. Anna Lembke
1:11:47
1:11:47
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
1:11:47
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Physiology of Pain: An Interview with Dr. Heath McAnally
56:04
56:04
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
56:04
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
Opioid MedMal and Litigation Risks: An Interview with Mr. Harry Nelson
49:45
49:45
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
49:45
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…
…
continue reading
![Artwork](/static/images/128pixel.png)
1
How Did We Get Here? An Interview with Dr. Andrew Kolodny
38:04
38:04
Redă mai târziu
Redă mai târziu
Liste
Like
Plăcut
38:04
Hosts Dr. Don Stader and Dr. Mary Andrawis, PharmD sit down to discuss what led to the opioid crisis and our way out with Dr. Andrew Kolodny. 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 t…
…
continue reading