Pain Management and Risks Associated With Substance Use: Practice Recommendations

2021 ◽  
Author(s):  
Helen N. Turner ◽  
June Oliver ◽  
Peggy Compton ◽  
Deborah Matteliano ◽  
Timothy Joseph Sowicz ◽  
...  
Keyword(s):  
Substance Use ◽  
Pain Management ◽  
Practice Recommendations

Procedural Pain Management: Clinical Practice Recommendations American Society for Pain Management Nursing

2021 ◽  
Author(s):  
Sharon K. Wrona ◽  
Ann Quinlan-Colwell ◽  
Lucinda Brown ◽  
Rose G. Enricoso Jannuzzi
Keyword(s):  
Clinical Practice ◽  
Pain Management ◽  
Procedural Pain ◽  
Practice Recommendations ◽  
American Society

scholarly journals An ethical exploration of the narratives surrounding substance use and pain management at the end of life: a discussion paper

2019 ◽  
Vol 27 (5) ◽  
pp. 1344-1354
Author(s):  
Gary Witham ◽  
Gemma Yarwood ◽  
Sam Wright ◽  
Sarah Galvani
Keyword(s):  
Substance Use ◽  
Pain Management ◽  
End Of Life ◽  
Scientific Practice ◽  
Ethical Review ◽  
Opioid Use ◽  
Discussion Paper ◽  
Drug Seeking ◽  
Self Identity ◽  
Health And Social Care

This discussion article examines narrative positioning related to pain management for people who use substances at the end of life. We explore how dominant narrative genres associated with biomedicine, such as ‘restitution’ and narratives common within the context of drug services such as ‘recovery’ can hinder effective pain management within this population. We argue that these discourses can marginalise the ethical self-identity of patients who use substances at the end of life. It can also trouble health and social care professionals in supporting patients and generating counter-narratives that challenge those often associated with substance use. Stigma is a common experience for this population with stereotyping as ‘junkies’ and associated with criminality. They are positioned as drug-seeking, and this requires more surveillance at the end of life when opioid therapy is potentially more available and authorised. This can make it challenging to generate ‘companion’ stories that are positive and maintain moral adequacy. Dominant biomedical narrative genres often prevent the recognition of the fractured stories that people using substances can often present with. This can lead to narrative silencing and to the under treatment of pain. The person’s self-identity is invested in narratives of recovery, and opioid use symbolises their addicted past because for practitioners, this population is at clinical risk with the potential for drug seeking behaviours. Whilst not requiring formal ethical review this discussion paper was constructed in accordance with good scientific practice with the work of other researchers respected and cited appropriately.

Opioid use disorder and chronic pain: challenges for palliative care practice

2019 ◽  
Vol 25 (9) ◽  
pp. 453-457
Author(s):  
Brenda Peters-Watral
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Substance Use ◽  
Pain Management ◽  
Cancer Pain ◽  
Opioid Use Disorder ◽  
Care Practice ◽  
Care Providers ◽  
Opioid Use ◽  
Multiple Cancer

Along with a well-documented increase in opioid use disorder (OUD) and a rapidly escalating rate of fatal overdose in North America, inadequate management of chronic pain remains a pervasive problem. The increasing number of individuals living with OUD also experience multiple cancer risk factors, which are related to their substance use, while people with cancer diagnoses have similar risks of current or past addiction as the general population. Recent pain guidelines focus on chronic non-cancer pain and do not include recommendations for cancer pain management. Managing cancer pain at the end of life is more challenging in people with current or past substance use disorder (SUD), especially OUD. Addressing these challenges requires confronting stigmas and stereotypes, building knowledge among palliative care providers and assessing the risks and benefits of opioids for pain management on an individual basis in order to continue to provide the holistic care.

scholarly journals A randomized trial of a pain management intervention for adults receiving substance use disorder treatment

Addiction ◽  
2016 ◽  
Vol 111 (8) ◽  
pp. 1385-1393 ◽  
Author(s):  
Mark A. Ilgen ◽  
Amy S. B. Bohnert ◽  
Stephen Chermack ◽  
Carly Conran ◽  
Mary Jannausch ◽  
...  
Keyword(s):  
Substance Use ◽  
Pain Management ◽  
Randomized Trial ◽  
Substance Use Disorder ◽  
Substance Use Disorder Treatment ◽  
Management Intervention ◽  
Disorder Treatment

Substance use history is associated with lower opioid use for emergency department pain management

2021 ◽  
Author(s):  
Skyler Chouinard ◽  
J. Priyanka Vakkalanka ◽  
Mimi Williams ◽  
Joshua Radke
Keyword(s):  
Emergency Department ◽  
Substance Use ◽  
Pain Management ◽  
Opioid Use
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