Ethical issues in the management of chronic nonmalignant pain.

Author: HeinbergL J, PappagalloM

Paper Details 
Original Abstract of the Article :
Chronic pain represents a challenge to patients, families, employers, and the physicians who care for these individuals. Opioids remain the mainstay of the analgesic medications for the treatment of both acute and chronic pain. Controlled release preparations of morphine, oxycodone, fentanyl and lon...See full text at original site
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引用元:
https://doi.org/10.1055/s-2008-1040930

データ提供:米国国立医学図書館(NLM)

Navigating the Ethical Desert of Chronic Pain Management

Chronic pain is a tricky camel to ride. It can be a real burden for patients, families, and even the doctors trying to help. Opioids are often the go-to solution for both acute and chronic pain, but using them for non-cancer pain is a topic that’s been kicked around like a tumbleweed in a desert storm. This study aims to bring some clarity to the ethical dilemma of using opioids for chronic non-cancer pain, kind of like finding a refreshing oasis in a vast and dry desert.

A Deeper Look at the Opioid Debate: Breaking Down Misconceptions

This research digs deep into the nuances of opioid use for chronic pain, separating the facts from the myths. The study reveals that misconceptions about addiction, dependence, and tolerance have been clouding the picture. It also debunks the myth that chronic opioid therapy inevitably leads to personality changes, depression, and cognitive decline, like a mirage in the desert that disappears upon closer inspection. It highlights the importance of proper opioid titration and management of side effects, which is like finding the right balance of water and sand for a sturdy camel caravan.

Navigating the Oasis: A Holistic Approach to Chronic Pain Management

The authors emphasize the importance of a comprehensive approach to pain management. They propose a protocol for optimal patient care that includes things like consent forms, behavioral contracts, and consequences of noncompliance. This is like creating a safe and well-structured oasis with clear rules and guidelines. The study stresses the importance of psychological evaluation before starting long-term opioid therapy, which is like ensuring a camel caravan is well-equipped and prepared for the journey ahead.

Dr.Camel's Conclusion

The study sheds light on the complexities of chronic pain management and the importance of responsible opioid use. This research highlights the need for a multifaceted approach that includes not only medications but also psychological support, behavioral interventions, and careful monitoring. It’s like a map through a vast desert, guiding us toward a more compassionate and effective way to navigate the challenges of chronic pain.

Date :
  1. Date Completed 1997-11-06
  2. Date Revised 2005-11-16
Further Info :

Pubmed ID

9311061

DOI: Digital Object Identifier

10.1055/s-2008-1040930

SNS
PICO Info
in preparation
Languages

English

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