- April 13, 2021
Bill 112 of 2019 requires Pennsylvania prescribers to educate their patients and enter into treatment agreements with their patients before issuing the first prescription in a single treatment for chronic pain with a controlled substance containing an opioid. Individual states, either public authorities or state medical companies have published models of agreements, some that we have found useful: Texas Minnesota Oregon. In addition, several national medical organizations have also published standard treatment agreements: AAFP AAPM ASAM. However, the activities covered by a patient agreement vary: explicit restrictions on the sale of their medications to other parties, requiring patients to use a single pharmacy, taking medication exactly as planned, holding all appointments, providing a urine sample upon request, agreeing not to drink alcohol or taking illicit or prescribed medications that are not prescribed to the patient. , and ready to keep opioid medications in a safe place. Additional provisions may include reporting activities that are required in the event of loss or theft of the medically prescribed drug. Treatment agreements describe the framework of the doctor-patient relationship (for example. B appropriate behaviour and expectations of physicians). These agreements can be considered a checklist of drug prescribing requirements for a patient who expects risk assessment strategies. Informed Consent provides a framework for the risk associated with treatment. In the chronic treatment of opioids (COT) in patients with pain, the tool describes the potential risks (z.B.
potential for dependence on controlled substances) and benefits. Each of them refers to the same contractual document: an agreement signed between a prescriber and a patient that clearly defines the guidelines and responsibilities between these two parties with regard to the behaviours and expectations regarding the prescribing of opioid drugs. The application of a pain management pact documents the understanding between the doctor and the patient. Such documentation, when used as a means of facilitating care, can improve communication between physicians and patients. A pain management agreement may contain statements such as those mentioned in the sample document below. My treatment program may be modified because of the results of treatment, especially if the painkillers are ineffective. These drugs are stopped. My treatment plan is to understand that I have the right to complete pain management. I would like to conclude a treatment agreement to avoid possible chemical dependence.
I understand that not following one of these instructions may result in the fact that Dr. `O` does not provide me with ongoing care. If your doctor asks you to sign a pain treatment agreement, discuss any concerns you may have with the doctor before signing the agreement. Questions you want to ask include: Rhode Island offers the following advice: “Note that each patient is unique and as in other serious illnesses, your clinical judgment is crucial and your decision-making process must be recorded in the medical record.