Understanding Pain Specialists Decision Making On Prescription Of Opioids For Chronic Non Cancer Pain
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Understanding Pain Specialists Decision Making On Prescription Of Opioids For Chronic Non Cancer Pain
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Author : Bernice Lee Li Qing
language : en
Publisher:
Release Date : 2019
Understanding Pain Specialists Decision Making On Prescription Of Opioids For Chronic Non Cancer Pain written by Bernice Lee Li Qing and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with categories.
Part 1 comprises a systematic review of the exploration of psychological variables in surveys on beliefs of physicians on opioids for chronic non-cancer pain. Fifteen papers met the study criteria and were reviewed. Psychological variables were studied in nine studies and are categorized into two themes - 'confidence and comfort' and 'trust and ambivalence'. Evidence for the influence of psychological variables on decision-making on opioid prescribing is poor. // Part 2 describes an empirical paper investigating the factors, including patients' and physicians' emotions, influencing the decision-making processes of pain specialists (N = 14) treating patients with chronic non-cancer pain using opioids. Thematic analysis yielded six themes: 1. Adhering to best practice; 2. Thorough understanding and application of expertise on opioids; 3. Paying attention to patient factors; 4. Maintaining doctor-patient relationship; 5. Clinicians' emotions have little bearing on decisions; and 6. Recognising limitations of current prescribing climate. The findings suggest that both patients' and clinicians' emotions have some influence on clinicians' decisions in the management of chronic pain. // Part 3 is a critical appraisal that discusses the challenges encountered during the research process, examines the underlying assumptions and concludes with reflections on conducting qualitative research.
Pain Management And The Opioid Epidemic
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2017-09-28
Pain Management And The Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-28 with Medical categories.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Expert Decision Making On Opioid Treatment
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Author : Jane Ballantyne
language : en
Publisher: Oxford University Press
Release Date : 2013-01-29
Expert Decision Making On Opioid Treatment written by Jane Ballantyne and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-29 with Medical categories.
Over the last several decades opioid treatment for chronic pain has become increasingly popular. From the sense that chronic pain had previously been undertreated, to drug companies anxious to sell new "designer" opioids, usage has increased several-fold. In its unfortunate history non-specialists were persuaded to prescribe opioids before they could possibly understand the complexity of the treatment. So great were the pressures to prescribe, opioids were prescribed indiscriminately. It became almost impossible to deny opioids without seeming inhumane. While carefully selected and managed opioid therapy can benefit certain patients, casual use fails in several respects. A vast educational effort is needed to help clinicians understand the complexities of opioid therapy. Expert Decision Making on Opioid Treatment explains to readers how to select patients, and subsequently manage and monitor, so as to achieve continued efficacy without losing control of pain and drug use. This book aims to provide clinicians with expert opinion on how to manage common scenarios involving opioid management of chronic pain. It will provide the reader not only with an easy reference to the management of common clinical scenarios where opioids are involved, but also with in depth analysis of the difficult issues surrounding a treatment that is both uniquely effective and potentially harmful.
Pain Management For People With Serious Illness In The Context Of The Opioid Use Disorder Epidemic
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-08-01
Pain Management For People With Serious Illness In The Context Of The Opioid Use Disorder Epidemic written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-01 with Medical categories.
The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.
Framing Opioid Prescribing Guidelines For Acute Pain
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-03-20
Framing Opioid Prescribing Guidelines For Acute Pain written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-20 with Medical categories.
The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Who Guidelines For The Pharmacological And Radiotherapeutic Management Of Cancer Pain In Adults And Adolescents
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Author : World Health Organization
language : en
Publisher:
Release Date : 1981
Who Guidelines For The Pharmacological And Radiotherapeutic Management Of Cancer Pain In Adults And Adolescents written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1981 with Cancer pain categories.
Acute Pain Medicine
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Author : Chester C. Buckenmaier
language : en
Publisher: Oxford University Press, USA
Release Date : 2019-05-14
Acute Pain Medicine written by Chester C. Buckenmaier and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-05-14 with Medical categories.
Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.
Behavioral And Psychopharmacologic Pain Management
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Author : Michael H. Ebert
language : en
Publisher: Cambridge University Press
Release Date : 2010-11-25
Behavioral And Psychopharmacologic Pain Management written by Michael H. Ebert and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-11-25 with Medical categories.
Pain is the most common symptom bringing a patient to a physician's attention. Physicians training in pain medicine may originate from different disciplines and approach the field with varying backgrounds and experience. This book captures the theory and evidence-based practice of behavioral, psychotherapeutic and psychopharmacological treatments in modern pain medicine. The book's contributors span the fields of psychiatry, psychology, anesthesia, neurology, physical medicine and rehabilitation, and nursing. Thus the structure and content of the book convey the interdisciplinary approach that is the current standard for the successful practice of pain management. The book is designed to be used as a text for training fellowships in pain medicine, as well as graduate courses in psychology, nursing, and other health professions.
Race Characteristics Of Physicians On The Ama Physician Masterfile 1992
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Author : Gerald I. Shkarovsky
language : en
Publisher:
Release Date : 1993
Race Characteristics Of Physicians On The Ama Physician Masterfile 1992 written by Gerald I. Shkarovsky and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with African American physicians categories.
Cancer Pain Management
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Author : Deborah B. McGuire
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1995
Cancer Pain Management written by Deborah B. McGuire and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Analgesia categories.
Cancer Pain Management, Second Edition will substantially advance pain education. The unique combination of authors -- an educator, a leading practitioner and administrator, and a research scientist -- provides comprehensive, authoritative coverage in addressing this important aspect of cancer care. The contributors, acknowledged experts in their areas, address a wide scope of issues. Educating health care providers to better assess and manage pain and improve patientsrsquo; and familiesrsquo; coping strategies are primary goals of this book. Developing research-based clinical guidelines and increasing funding for research is also covered. Ethical issues surrounding pain management and health policy implications are also explored.