What should healthcare providers do when they notice signs of potential opioid misuse?

When healthcare providers observe signs of potential opioid misuse, the priority should be to discuss treatment options. This approach allows for a thorough assessment of the patient's situation and encourages open communication. By engaging in a conversation with the patient, providers can better understand the underlying issues contributing to the signs of misuse, evaluate the patient's pain management needs, and work collaboratively to identify safer or more effective alternatives for treatment.

This approach aligns with best practices in pain management and substance use disorder treatment, emphasizing empathy, support, and patient-centered care. Discussing treatment options can also involve exploring non-opioid therapies, behavioral health support, or referral to specialized services if necessary, thereby ensuring that the patient receives comprehensive care that addresses both pain and potential misuse issues.

In contrast, confronting the patient immediately may lead to defensiveness and hinder effective communication. Providing educational materials, while helpful, may not address the immediate concerns effectively without further discussion. Limiting access to all pain medications could compromise the patient’s ability to manage their pain effectively and may not be justified without a proper assessment of their needs.