Problematic Prescription Opioid Use in a Chronic Pain Treatment Facility: The Role of Emotional Processes

2018 ◽  
Vol 54 (3) ◽  
pp. 495-505 ◽  
Author(s):  
Lindsay M. S. Oberleitner ◽  
Mark A. Lumley ◽  
Emily R. Grekin ◽  
Kathryn M. Z. Smith ◽  
Amy M. Loree ◽  
...  
Author(s):  
Isis Burgos-Chapman ◽  
Louis A. Trevisan ◽  
Kevin Sevarino

This chapter reviews an under-recognized aspect of geriatrics. The elderly population is growing in number, as is the proportion of aging baby-boomers at high risk for pain medication misuse and opioid use disorders. Given the widespread use of opioids in pain management, one can expect that problems with opioid use will increase among the elderly in the coming years. We describe the magnitude of the problem and discuss the importance of risk-stratification to identify which older patients are at elevated risk to develop problems with opioids. We examine the role of opioids in chronic pain treatment and the pitfalls of their use in the elderly. Finally, we provide general guidelines for the treatment of pain medication misuse and/or an opioid use disorder in the elderly. Opioid medication misuse and use disorders should be on every practitioner’s radar as a possible reason for problems surfacing in the elderly patient.


2016 ◽  
Vol 2016 ◽  
pp. 1-19 ◽  
Author(s):  
Samantha R. Fashler ◽  
Lynn K. Cooper ◽  
Eric D. Oosenbrug ◽  
Lindsay C. Burns ◽  
Shima Razavi ◽  
...  

This study reviewed the published literature evaluating multidisciplinary chronic pain treatment facilities to provide an overview of their availability, caseload, wait times, and facility characteristics. A systematic literature review was conducted using PRISMA guidelines following a search of MEDLINE, PsycINFO, and CINAHL databases. Inclusion criteria stipulated that studies be original research, survey more than one pain treatment facility directly, and describe a range of available treatments. Fourteen articles satisfied inclusion criteria. Results showed little consistency in the research design used to describe pain treatment facilities. Availability of pain treatment facilities was scarce and the reported caseloads and wait times were generally high. A wide range of medical, physical, and psychological pain treatments were available. Most studies reported findings on the percentage of practitioners in different health care professions employed. Future studies should consider using more comprehensive search strategies to survey facilities, improving clarity on what is considered to be a pain treatment facility, and reporting on a consistent set of variables to provide a clear summary of the status of pain treatment facilities. This review highlights important information for policymakers on the scope, demand, and accessibility of pain treatment facilities.


Pain Medicine ◽  
2014 ◽  
Vol 15 (11) ◽  
pp. 1902-1910 ◽  
Author(s):  
Benjamin J. Morasco ◽  
Daniel O'Hearn ◽  
Dennis C. Turk ◽  
Steven K. Dobscha

2011 ◽  
Vol 30 (3) ◽  
pp. 185-194 ◽  
Author(s):  
Joseph A. Boscarino ◽  
Margaret R. Rukstalis ◽  
Stuart N. Hoffman ◽  
John J. Han ◽  
Porat M. Erlich ◽  
...  

2015 ◽  
Vol 33 (3) ◽  
pp. 308-324 ◽  
Author(s):  
Katie Smith ◽  
Michael Herman ◽  
Christopher Smith

Author(s):  
Aisling V. Henschel ◽  
Julianne C. Flanagan ◽  
Isabel F. Augur ◽  
Stephanie M. Jeffirs ◽  
Sudie E. Back

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Rachel A. Elphinston ◽  
Michele Sterling ◽  
Janni Leung ◽  
Paul D. Gray ◽  
Simone Scotti Requena ◽  
...  

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