2024 Addiction Medicine Board Certification Review Course-2024

Video Transcription

Video Summary

The video transcript is a comprehensive discussion by Tony Decker on the challenges of pain and addiction. Decker, a medical expert with experience across various healthcare settings, emphasizes the importance of understanding the relationship between pain and substance use disorders. He discusses the significant impact of chronic pain on individuals, noting that it affects more people than diabetes, coronary artery disease, stroke, and cancer combined. Chronic pain can lead to decreased overall function, psychological distress, and long-term disability.<br /><br />Decker outlines objectives for the course, including describing the relationship between pain and substance use disorders, screening for substance misuse in patients taking opioids, implementing non-pharmacologic interventions for pain, and safely tapering off opioids. He highlights the high incidence of chronic pain in the US and the economic impact it has on society.<br /><br />Decker delves into the complexities of opioid prescribing, emphasizing the need for caution, monitoring, and individualized care. He discusses the use of opioid medications, such as morphine, codeine, hydrocodone, hydromorphone, and fentanyl, and the importance of considering factors like metabolism, elimination, and potential risks.<br /><br />The transcript also covers topics like opioid tapering strategies, the role of manual therapies in managing chronic pain, and the controversies surrounding opioid use, conversion processes, and medication-assisted therapy. Decker stresses the significance of de-stigmatizing addiction, enhancing access to treatment programs, and addressing the evolving landscape of opioid use, including the prevalence of fentanyl-related issues.<br /><br />Overall, Decker provides a thorough examination of the complexities of managing pain and addiction, offering insights, recommendations, and considerations for healthcare providers in their practice.

Keywords

pain

addiction

chronic pain

opioids

substance use disorders

opioid prescribing

non-pharmacologic interventions

opioid tapering

manual therapies

medication-assisted therapy

fentanyl