Living 100

Help manage patient expectations.

A. Educate patients about the role of opioids as a short term therapy to help bridge the most acute pain:

• Consider using a patient agreement that includes the following elements whenever prescribing opioids:

o Discuss the risks and benefits of opioid treatment.

o Carefully outline the intended treatment plan.

o Establish clear expectations of treatment and improvement.

B. Engage patients in establishing reasonable goals and expectations around their care:

Consider learning the following techniques to engage patients in conversation about their care:

o Motivational Interviewing (MI)

       • PCSS-O Training on Motivational Interviewing

o Shared Decision Making

The National Center for Biotechnology Information developed a framework through which to discuss these important matters with patients entitled Shared Decision Making: A Model for Clinical Practice

Here are some additional communication resources that may be helpful: