Opioid misuse and overdose deaths have become routine news in too many urban, suburban, and rural communities. Nurses must be ready to assess for opioid misuse and withdrawal, and have knowledge about how to intervene appropriately.
Learning Outcome: After completing this continuing nursing education activity, the learner will be able to discuss the importance of direct verbal screening and initial substance use screening as a routine part of nursing assessment. Learning Engagement Activity: Respond to the following self-assessment questions: Identify two common patient/client situations related to opioid use and indicate the appropriate nursing assessment elements for each.
Contact hours available until 2/28/2021. Requirements for Successful Completion: Complete the learning activity in its entirety and complete the online CNE evaluation. Authors Conflict of Interest Disclosure: The author(s), editor, editorial committee, content reviewers, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article. Commercial Support and Sponsorship: No commercial support or sponsorship declared. Accreditation Statement: This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and AMSN.
Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC-COA)
Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered nursing, Provider Number, CEP 5387.
This article was reviewed and formatted for contact hour credit by Michele Boyd, MSN, RN, AMSN Education Director.
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2/28/19 6:06 pm
An opioid crisis is seen so much in hospitals but working in hospice at times we cannot control our patient symptoms and will need to use more opioids.
7/19/19 1:47 am
Great information on od management. This is the second opioid article I have read tonight. I am surprised that there is not too much information on what is being mandated to help prevent addiction and abuse. In the acute care setting narc scripts will be sent electronically to the pharmacy. The amount prescribed is now less. And now there is a narcotic informed consent that is now signed by the provider and patient. These efforts are promoting a partnership and accountability between the provider and patient.
9/19/19 9:43 am
This was informative. I appreciate the statistics and information about the naloxone.
10/10/19 12:30 pm
I found it interesting that the cdc recommends NSAIDs along with psychosocial therapy for chronic non malignant pain whereas I see pts come into the hospital with outside pain contracts and regime that almost always contains opioids as the medication of choice.
12/24/19 11:36 am
This is informative, but need to look into CA patients needs.
7/31/20 2:01 am
As an orthopedic nurse, I often hand out narcotics everyday. Post-surgical patients, there are two kinds: those who do not want to take narcotics due to possible addition, and those who are chronic pain that already used to narcotics. It is important to educate both types of population in narcotic education during post-op and further on to recovery from their surgeries. Starting with a lower dose of narcotic and pair it with an anti-inflammatory (tramadol and tylenol), have shown with positive results. Thorough assessment needs to be done for those who are in chronic pain. The nurse must have an idea what dosage patients are taking at home and may need to ask the doctor to adjust current orders if it is less than what the patient is used to.
8/11/20 4:27 pm
Informative, but felt it could have covered more.
11/23/20 1:18 pm
Elizabeth John Eyadiel
2/28/21 6:29 pm
i work with cancer patients and they are monitored closely for pain management and overdosing.
4/23/21 6:21 pm
Great article, information shared will enhance my knowledge for early detection with withdrawal as to employ early treatment intervention.