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For years, the Controlled Substance Act has hindered the process for obtaining Schedule II drugs for long-term care residents. It’s a big-enough issue that the American Society of Consultant Pharmacists in Alexandria, Va., continues to engage with Drug Enforcement Agency leadership to try to improve access for geriatric patients. In addition, this past March the Centers for Disease Control and Prevention issued the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016, further impacting some long-term care providers’ ability to get effective pain medication for residents even though the guideline “is not intended for patients undergoing active cancer treatment, palliative care, or end-of-life care.” Between these two issues, providing effective pain management can be difficult, especially for new admissions to the nursing facility.
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