Managing chronic pain in patients who are at risk or have a history of addiction presents a particular treatment challenge for many family physicians. These patients, like all chronic pain patients, benefit substantially from appropriate management, which can include the use of opioids. To optimize care and minimize risk, it is important that family physicians recognize the clinical nuances to pain management in this patient population, especially the importance of appropriate monitoring and documentation of the treatment plan.

During this activity faculty will address primary concerns of family physicians regarding the management of chronic pain in patients at risk or with a history of addiction. Emphasis will be placed on risk assessment, treatment approach, diversion and addiction behaviors, and medical legal considerations when prescribing opioid therapy in high-risk patients. Discussants will review tools and resources available to assist the family physician throughout this process.

Learning Objectives:

• Recognize and address challenges often encountered in the management of chronic pain in patients at risk for or with a history of addiction.
• Understand the role of standard opioid therapies, as well as alternatives (i.e., methadone), for the treatment of chronic pain in patients at risk for or with a history of addiction.
• Appreciate the role of adjunctive therapies and mental health in the management of chronic pain patients with a history of or at risk for addiction.
• Appropriately monitor and document the treatment of pain in patients receiving chronic opioid medications.