Please enable JavaScript.
Coggle requires JavaScript to display documents.
Consolidated Brainstorm List (Psychological (Algorithm/Cognitive therapy…
Consolidated Brainstorm List
Social
Social campaign for responsible doctors, normalize pain, change instant-gratification mindset
“Eastern” medicine mindset education for physicians and patients
Predictors
Risk stratification tool that incorporates EMR/EHR, opioid history, genetics to give an “addiction” score for each drug
:check:
Survey score of all predictive markers for accurate prescription (i.e family history, physical/sexual abuse)
Measure physical indicators of stress: galvanic skin test, cortisol levels
Emotional pain quantifiers that allow doctors to deconvolve pain types for more accurate treatment
Quantify/calculate the bioavailability/drug metabolism of opioids with gut microbiota
Painkilling effects via bacteria in microbiome as more personalized prescription
Synergistic effect of probiotic supplements to reduce opioid ramping/tolerance
Identify addiction markers via the gut microbiome
Quantitative
Measure pain areas in the brain to quantify pain perception and effects of opioids
Measure receptor numbers to correlate with tolerance rates, giving us a threshold before switching to other opioid
Measure differential activation of different opioid receptors
Measure placebo levels compared to pain levels simultaneously
Opioid tolerance to dose tool (ex. max dose for given tolerance)
Brain scans to make more accurate pain diagrams
“Practice” drug that tells us about patient’s ability to metabolize opioids
Active monitoring of patients’ tolerance levels and opioid levels (ie. medical device)
Drug Scheduling
Optimize schedule for weaning and switching between different opioids
Optimize ramping up of opioid dosage
Synergistic drugs to supplement pain relief to reduce ramping of opioids
Opioid dose changes by pain level day to day
Controlled/sustained release of opioid via patch + primer
:check:
App to fill out complete pain info @ anytime, especially between visits/prescription
Self-destructive opioids (ie. permanent expiration date)
Feedback control of opioid delivery based on existing opioid level in body
Patient has various sizes of deliverable opioids
Self-destructing pill box
:check:
Database Leverage
A streamlined tool that shows physicians directly what drugs were prescribed by other doctors
Easier to use complete patient visiting database
Patient-centered decision making (input using risk factors and other panels (i.e. genetics), etc, graph/predictor generated via algorithm showing what patient outcome will look like if choosing certain paths)
Psychological
Algorithm/Cognitive therapy app to provide synergistic effects with stress relief
Hypnosis to understand/change the pain levels of the patient for more precise treatment plan
Patients communicate pain via ouija board
Art communication of pain to facilitate pain relief
Mandatory CBT before prescription to lower initial dose of first opioid
App/hotline to talk to pain psychologists; care management between visits
Mandatory mental health well-being exercise before accessing locked opioid
VR for meditation + pain psychology
Meditation to reduce galvanic skin response
Deconvolve emotional pain from physical pain to identify what pain needs to be treated by opioid and what pain needs to be treated with alternative therapies
Pop-up psychiatry stands in problem areas
Anxiolytic drugs and opioids to treat underlying/comorbid issues that elevate total amount of opioids needed
Neural Quantification/Big Data
PET scan with relative opioid receptor counts
Neural stimulation to reduce pain
Identification of neuropathic, chronic, acute shooting etc. pain types for more accurate treatment
Encourage brain waves indicative of lower pain levels through biofeedback using VR or other simulated experience
EEG track pain to optimize opioid delivery/dosage
Brain plasticity and TMS to encourage brain repair in damaged areas
Upregulate expression of opioid receptors in brain
A targeted opioid delivery system to pain areas of the brain but not reward areas