Dialogue Volume 15 Issue 1 2019 - Page 34

PRACTICE PARTNER further address the management plans by Ontario doctors. All of the tools below can be found on the website of the Centre for Effective Practice http://www. cep.health/. The CPSO’s website also includes links to these resources and others in order to provide support and assistance to physicians. The Management of Chronic Non-Cancer Pain Tool This tool is designed to assist primary care providers develop and implement a management plan for adult patients living with chronic non-cancer pain. This tool encourages primary care providers, where appropri- ate, to use a combination of non-pharmacological and pharmacological options to build a comprehensive and personalized plan that incorporates the patient’s goals. The tool reflects recommendations from the 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain and provides supporting materials and resources for patients and providers. Clinically Organized Relevant Exam (CORE) Back Tool This tool builds from the Ministry of Health and Long-Term Care Low Back Pain Strategy, which began in 2012. The goal of this initiative was to reduce the number of unnecessary diagnostic tests, improve wait times and enhance patient care. Feedback from primary care providers about the CORE Back Tool 2012 has informed revisions to a 2016 update. Opioid Manager The CORE Neck Tool and Headache Navigator The Opioid Manager is specifically designed to support primary care providers prescribe and manage opioids for patients with chronic non-cancer pain. This is an update of the original Opioid Manager tool which includes feedback from primary care providers and recommendations from the 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain. Headache and neck pain are challenging to treat, especially when presented together. The CORE Neck Tool and Headache Navigator was developed to assist primary care providers in differentiating and assessing neck pain or headache. Because neck pain and headache often have overlapping presentation of symptoms, this tool uses discrete approaches that help rule out other underlying conditions. Opioid Tapering Template This tool recognizes that opioid tapering is a complex process, and is designed to assist primary care providers develop tapering plans with their patients and adjust those plans as their patients’ needs change due to pain, function and withdrawal symptoms. Throughout the tool, providers will find helpful talking points, fillable forms and links to relevant resources including those created by the CEP as part of its pain management suite of clinical tools. Opioid Use Disorder (OUD) Tool This tool was developed to walk primary care provid- ers through screening, diagnosing, treating and com- 34 municating with patients who have, or are at risk of developing, OUD. The tool emphasizes a stigma-free and empathetic approach that acknowledges OUD as a chronic illness requiring long-term chronic disease management. In order to navigate difficult conversations about opioid misuse, the CEP has included talking points throughout the tool that address patient education, safety, expectations and goals. DIALOGUE ISSUE 1, 2019 Osteoarthritis Tool The Osteoarthritis Tool was developed for primary care providers managing patients with new or recurrent joint pain consistent with osteoarthritis of the hip, knee or hand. This tool can help clinicians identify symptoms and provide evidence-based, goal-oriented non-phar- macological and pharmacological management while identifying triggers for investigations or referrals. MD The CPSO’s website include links to these resources and others. www.cpso.on.ca/CPD/resource