Monday, January 29, 2018

Biomedicine Review with CEUs on Opioid-Induced Constipation (OIC) and the Mu-Opioid Receptor, a Lunchtime Listen Recommendation

key words:  opioid crisis, CEU, palliative care, opioid-induced constipation, biomedical review, biomedical perspective of opioid-induced constipation, stool softeners, stool-movers, pain management, evidence-based medicine, pharmacology review, lunchbreak listen recommendation, team care, palliative medicine, pain medicine, chronic pain

Free continuing education credit while you learn more about the mu-opioid receptor's role in pain?  

Check out this 30 minute online CEU from ReachMD:

"Comprehensive Pain Management in Palliative Care:  Relieving the Burden of Opioid-Induced Constipation"

I recommend this biomedical review of opioid-induced constipation (OIC) in palliative care on Reach MD.  It is eligible for free continuing education credit (0.5) and has a great audiovisual explanation of the action of the mu-opioid receptor in pain perception within the first 7 minutes.

To me, it makes it clear how useful it is to have LAcs/EAMPs as part of the palliative care team.  Acupuncturists bring non-drug pain relief to help reduce MED (morphine equivalent dose) load and have comprehensive training in food-as-medicine for teaching patients self-care tips in foods that move the stool and those that soften the stool.  Team-care is a wonderful way to work.

Recent research into acupuncture and the mu-opioid receptor supports what is observed clinically--that acupuncture works with the mu-opioid receptor (releases endogenous opioids) 
so patients have pain relief with fewer pain meds, and can work with their prescribing provider to reduce their MED.
A lower MED leads to less complex pain medication profile and reduced risk of opioid-induced constipation. 
Research paper referenced:
Harris, R.E, Zubieta, J.K., Scott, D.J., Napadow, V., Gracely, R.H., and Clauw, D.J. (2009).  Traditional Chinese Acupuncture and Placebo (Sham) Acupuncture Are Differentiated by Their Effects on 𝜇-Opioid Receptors (MORs).  NeuroImage, 47(3), 1077-1085.

Related Blogposts
The Field of Acupuncture Research in Just 10 Minutes, another video with Mel
More about the Acupuncture in the Opioid Crisis, including resources on calculating morphine equivalent dosage (MED, MEQ), and review of systems with focus on side effects of opioid medications
DVPRS, the validated pain scale for your patient-centered clinic care model

More Lunchtime Listen Recommendations
The Opioid Epidemic, a Joint Pain Education Project video, within a blogpost filled with resources
Launching an Integrative Health Program in a Medical Center 
Integrative Medicine Leadership:  Lori Knutson's "Leading Simply in a Complex System" 
The Complexity of Acupuncture Research in just 10 minutes
Research Review:  Key Studies to Understand when Discussing Pain Management with a Physician

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