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1 Opioid Crisis: How is the Oncology Patient Affected Kelly Grindrod BScPharm PharmD MSc Associate Professor University of Waterloo School of Pharmacy Learning Objectives By the end of this session, participants should be able to: Describe the changing role of opioids in pain management; Discuss how patients can be educated about safe opioid use; Describe what we know about opioid use and how it relates to opioids in the community; and Use a case-based approach to exploring the role of opioids in cancer pain management. Presenter Disclosure Presenter’s Name: Kelly Grindrod I have received grants from TELUS Health Speaking fees for current program: I have received a speaker’s fee from the CAPhO Conference for this learning activity What is the opioid crisis? 4

Opioid Crisis: How is the Oncology Patient Affected...2 Key Principles 1.Know when to use opioids 2.Know when to stop opioids 3.Know how to minimize harm Know When to Use Opioid Principle

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Page 1: Opioid Crisis: How is the Oncology Patient Affected...2 Key Principles 1.Know when to use opioids 2.Know when to stop opioids 3.Know how to minimize harm Know When to Use Opioid Principle

1

Opioid Crisis: How is the Oncology Patient Affected

Kelly Grindrod BScPharm PharmD MSc

Associate Professor

University of Waterloo School of Pharmacy

Learning Objectives

• By the end of this session, participants should be able to:• Describe the changing role of opioids in pain

management;

• Discuss how patients can be educated about safe opioid use;

• Describe what we know about opioid use and how it relates to opioids in the community; and

• Use a case-based approach to exploring the role of opioids in cancer pain management.

Presenter Disclosure

• Presenter’s Name: Kelly Grindrod

• I have received grants from TELUS Health

• Speaking fees for current program:• I have received a speaker’s fee from the CAPhO

Conference for this learning activity

What is the opioid crisis?

4

Page 2: Opioid Crisis: How is the Oncology Patient Affected...2 Key Principles 1.Know when to use opioids 2.Know when to stop opioids 3.Know how to minimize harm Know When to Use Opioid Principle

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Key Principles1.Know when to use opioids

2.Know when to stop opioids

3.Know how to minimize harmKnow When to Use Opioid

Principle 1

10

Contrasting Opioids for Chronic Non-Cancer vs.

Cancer Pain

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Page 3: Opioid Crisis: How is the Oncology Patient Affected...2 Key Principles 1.Know when to use opioids 2.Know when to stop opioids 3.Know how to minimize harm Know When to Use Opioid Principle

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Know When to Stop/Avoid Opioids

Principle 2

44

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Summary of recommendations for the clinical management of opioid use disorder*.

Julie Bruneau et al. CMAJ 2018;190:E247-E257

©2018 by Canadian Medical Association

Know How to Minimize Harm

Principle 3

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Key Principles1.Know when to use opioids

2.Know when to stop opioids

3.Know how to minimize harm

Page 11: Opioid Crisis: How is the Oncology Patient Affected...2 Key Principles 1.Know when to use opioids 2.Know when to stop opioids 3.Know how to minimize harm Know When to Use Opioid Principle

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Learning Objectives

• By the end of this session, participants should be able to:• Describe the changing role of opioids in pain

management;

• Discuss how patients can be educated about safe opioid use;

• Describe what we know about opioid use and how it relates to opioids in the community; and

• Use a case-based approach to exploring the role of opioids in cancer pain management.