Besttapering tool

Dr. Radhakrishnan provided clinical leadership for the development of the chronic non-cancer pain topic and was offered compensation for his role.

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Tapering toolamazon

Click on the button below to download the tool. Depending on your browser or device, you may need to check the files on your local drive to access it.

The Opioid Tapering Template is one of several clinical tools developed as part of the Knowledge Translation in Primary Care Initiative. This multi-year initiative was a collaboration between the Centre for Effective Practice, Ontario College of Family Physicians (OCFP), and Nurse Practitioners’ Association of Ontario (NPAO). Funded by the Ministry of Health and Long-Term Care, this initiative supports primary care providers with the development of a series of clinical tools and health information resources. Learn more about the Knowledge Translation in Primary Care Initiative (KTinPC).

NOV Fiberglasstapering tool

Revaluating opioid therapy and discussing opioid tapering with patients can be challenging. This tool recognizes that opioid tapering is a complex process, which requires ongoing discussion and support, individualizing tapering plans and prioritizing patient safety and self-efficacy. The Opioid Tapering Template is designed to assist family physicians and primary care nurse practitioners on developing tapering plans with their patients and adjusting those plans as their patients’ needs change due to pain, function and withdrawal symptoms.

Recognize common mechanical back pain syndromes and screen for conditions using the Clinically Organized Relevant Exam (CORE) Back Tool and Toolkit.

The Opioid Tapering Template was developed using the CEP’s integrated knowledge translation approach. This approach ensures that providers are engaged throughout the development processes through the application of user-centered design methodology. Clinical leadership of the resource was provided by Dr. Arun Radhakrishnan. End-users and clinical experts were also engaged to provide feedback.

Arrow TaperTool

In 2015, approximately 2 million Ontarians filled an opioid prescription from various sources within the healthcare system. Use the Opioid Tapering Template to evaluate opioid therapies and reduce opioid dosages in safe and effective ways.

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Wood arrow tapertool

Woodchuck tapertool

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. These clinical tools aim to provide primary care providers an overview of safe and effective opioid use, and appropriate pain management.

Please provide feedback on any of the Centre for Effective Practice's (CEP) tools or materials below. Your feedback is important to us and often helps inform important revisions to the tools.

Dr. Arun Radhakrishnan is a family physician with a focused clinical practice in chronic pain. He is an Assistant Professor with the Department of Family Medicine at the University of Ottawa and the University of Toronto. He is affiliated with The Ottawa Hospital and the Elisabeth Bruyere hospital and is an investigator at the Bruyere Research Institute and the Equity in Health Systems Lab. His research and education interests are in knowledge translation mentoring and digital health technologies. He has led the development of several award-winning educational programs, clinical practice tools and resources to support primary care management of chronic pain. He is a past AMS Phoenix Fellow and is currently the Medical Director of the Adaptive Mentoring Networks with the Centre for Effective Practice.

Use this tool to review non-pharmacological and pharmacological options for managing adult patients with chronic non-cancer pain (CNCP).

Differentiate, manage and assess neck pain or headaches using the Clinically Organized Relevant Exam (CORE) Neck Tool and Headache Navigator.

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