04/16/2024
A client uses fentanyl patches to manage chronic pain from a back injury. What kind of risk does this present to the therapist? And, if we’re not careful, the bigger risk might be to the client. Check it out on this episode of “I Have a Client Who . . .” with Ruth Werner.
Resources:
Cai, B., Engqvist, H. and Bredenberg, S. (2015) ‘Development and evaluation of a tampering resistant transdermal fentanyl patch’, International Journal of Pharmaceutics, 488(1), pp. 102–107. Available at: https://doi.org/10.1016/j.ijpharm.2015.04.061.
Commissioner, O. of the (2023) ‘Accidental Exposures to Fentanyl Patches Continue to Be Deadly to Children’, FDA [Preprint]. Available at: https://www.fda.gov/consumers/consumer-updates/accidental-exposures-fentanyl-patches-continue-be-deadly-children (Accessed: 4 April 2024).
‘Drug Overdoses - Data Details’ (no date) Injury Facts. Available at: https://injuryfacts.nsc.org/home-and-community/safety-topics/drugoverdoses/data-details/ (Accessed: 4 April 2024).
Duragesic Transdermal: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD (no date). Available at: https://www.webmd.com/drugs/2/drug-14008/duragesic-transdermal/details (Accessed: 4 April 2024).
Ep 186 – Fentanyl Patches: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner (2022) Associated Bodywork & Massage Professionals. Available at: https://www.abmp.com/podcasts/ep-186-fentanyl-patches-i-have-client-who-pathology-conversations-ruth-werner (Accessed: 4 April 2024).
Equity--OS-OPAE--1600, O. of P.A. and (no date) Fentanyl Exposure in Public Places | Washington State Department of Health. Available at: https://doh.wa.gov/community-and-environment/opioids/fentanyl-exposure-public-places (Accessed: 4 April 2024).
Fentanyl Facts (2024). Available at: https://www.cdc.gov/stopoverdose/fentanyl/index.html (Accessed: 4 April 2024).
Khan, S. and Sharman, T. (2024) ‘Transdermal Medications’, in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK556035/ (Accessed: 4 April 2024).
Kim, T.S. et al. (2015) ‘Comparison of adhesion and dissolution of fentanyl patches: Fentadur® and Durogesic DTrans®’, Journal of Pharmaceutical Investigation, 45(5), pp. 475–480. Available at: https://doi.org/10.1007/s40005-015-0195-y.
Mann, B., News, A.P.-K.H. and Bebinger, M. (2023) ‘In 2023 fentanyl overdoses ravaged the U.S. and fueled a new culture war fight’, NPR, 28 December. Available at: https://www.npr.org/2023/12/28/1220881380/overdose-fentanyl-drugs-addiction (Accessed: 4 April 2024).
Overdose (no date) Drug Policy Alliance. Available at: https://drugpolicy.org/overdose/ (Accessed: 5 April 2024).
Prausnitz, M.R. and Langer, R. (2008) ‘Transdermal drug delivery’, Nature Biotechnology, 26(11), pp. 1261–1268. Available at: https://doi.org/10.1038/nbt.1504.
Shearn, I.T. (2023) Fentanyl myth: Police cry overdose, facts prove otherwise, NJ Spotlight News. Available at: https://www.njspotlightnews.org/special-report/fentanyl-myth-police-cry-overdose-facts-prove-otherwise/ (Accessed: 5 April 2024).
Using Skin Patch Medicines Safely (no date). Available at: https://www.poison.org/articles/using-skin-patch-medicines-safely (Accessed: 4 April 2024).
Wong, W.F. et al. (2023) ‘Recent Advancement of Medical Patch for Transdermal Drug Delivery’, Medicina, 59(4), p. 778. Available at: https://doi.org/10.3390/medicina59040778.
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Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.
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Founded by a massage therapist for massage therapists, the Elements Massage brand is a network of independently-owned and operated studios dedicated to changing lives--including yours! The Elements Massage brand believes massage therapists deserve a supportive team, business and marketing resources, and the chance to learn as much as they want, so many Elements Massage studios offer and reimburse continuing education on an ongoing basis. It's no surprise Elements Massage therapist and client satisfaction leads the industry. That's because from day one, the brand has kept an unmatched commitment to deliver the best therapeutic massage experiences possible for both clients and massage therapists. Elements Massage studios expects the best. So should you. If this sounds like a fit, reach out. Studios are hiring!
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