Page 8 - Mecklenburg_Medicine_March-2016

MMAE

Building a Healthier Community

CommThuurnsdaiyt, MyarHche10a|lt9:h30 aC.ml. a| sMsyrersoPoarkmCouonntry Autism

Club

A panel from Southeast Psych will address questions about Autism and Autism Spectrum.

n Dr. Frank Gaskill will give an overview of Asperger’s, Autism Spectrum and Autism, and will explain the
DSM-V classification.

n Dr. Kelley Bolton will talk about how the disorders differ between boys and girls.
n Dr. Mary B. Moore will discuss social and emotional skills development.
n Dr. Josh Jensen will address how children with Autism Spectrum diagnosis can use their strengths
to develop skills.

For more information, visit mmaeonline.com

FEATURE CONTINUED FROM PAGE 7 2. The CSRS (https://nccsrsph.hidinc.com) is a great resource and has
become more valuable with the addition of a face lift and two recent
The five A’s are helpful to remember what should be covered and updates from March 2015: Delegate Accounts and Provider Reports.
documented. Analgesia — is there pain reduction? Affect — mood
changes present? Aberrant behaviors present? (lost scripts, running Along with the usual checking on your own patients, now you can
out early and documenting monitoring; CSRS, pill counts, RUDS, run a provider report on yourself. You can see if there are patients
etc.) Activity — level of functioning? Adverse reactions — any side on this list you don’t know, and you can spot a prescription forgery.
effects? Document your actions if there are signs of aberrancy. Delegate accounts now allow anyone in your office access to the
CSRS on your behalf. This can provide a systematic team approach
I want to discuss some new ways your Medical Society, the N.C. to checking the database and ensuring patient compliance. The
Department of Health and Human Services and the N.C. Medical “Help” section on the CSRS website can answer most questions.
Board have come up with to combat the problem.
I am hopeful this article will stimulate more discussion and will
1. The NCMB has two policies related to this problem. The encourage readers with questions to learn more. Together, using
Drug Overdose Prevention policy paper was established in 2008 the D.R.U.G.S. acronym, we can provide excellent care safely
and suggests making naloxone available to patients prescribed for patients with severe chronic pain while limiting the diversion
opioids to treat overdose. The latest revision of the policy for and misuse of these medications that threatens the population of
use of opiates is a comprehensive 58-page paper describing a Mecklenburg County and our state.
best practice approach to using opioids in CNCP. An executive
summary is being prepared and will be available soon. I strongly Trivia answer from page 5:
advise you take the time to read it if you prescribe long-term Ali Maow Maalin was the last person on earth to contract
opioids. The NCMB also is using the CSRS to prospectively
evaluate providers in the top 1 percent of prescribing 100 morphine smallpox. He became infected in 1977 and recovered. In 1979, the
mg equivalents per patient per day, and those who have had two or World Health Organization (WHO) declared smallpox eradicated
more opioid related deaths in a year. You will hear more about this from the globe. Thank you, Dr. Jenner.
in the future.
In a strange twist of fate, Mr. Maalin, who was a healthcare
(http://www.ncmedboard.org/resources-information/professional- worker, died of malaria in 2013 while in Somalia. He was there
resources/laws-rules-position-statements/position-statements/drug_ helping vaccinate children against polio, as Somalia had suffered
overdose_prevention) an outbreak. Despite the WHO’s best effort, polio refuses to be
totally conquered.
(http://www.ncmedboard.org/images/uploads/other_pdfs/Policy_
for_the_Use_of_Opiates_for_the_Treatment_of_Pain_Jan_2015.pdf)

8 | March 2016 • Mecklenburg Medicine