Ethical perspectives: opioid treatment of chronic pain in the context of addiction
| Autor: | Samar A. Jasser, Clorinda G. Margolis, Mitchell J M Cohen, Patrick D. Herron |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Narcotics medicine.medical_specialty Psychotherapist media_common.quotation_subject Decision Making Double Effect Principle Pain Context (language use) Diabetes Complications Principle-Based Ethics Quality of life (healthcare) Neoplasms Diabetes Mellitus Medicine Humans Ethics Medical Medical prescription Psychiatry media_common business.industry Addiction Beneficence Chronic pain Middle Aged medicine.disease Opioid-Related Disorders Anesthesiology and Pain Medicine Opioid Chronic Disease Personal Autonomy Neurology (clinical) Clinical Medicine business medicine.drug |
| Zdroj: | The Clinical journal of pain. 18 |
| ISSN: | 0749-8047 |
| Popis: | The authors apply eight ethical domains of analysis to the question of treatment of chronic pain with opioids in patients with histories of substance use disorders: autonomy, nonmaleficence, beneficence, justice, medical condition, patient preference, quality of life, and consideration of specific individual or sociocultural issues. These eight domains are drawn from principle-based and case-based ethical perspectives. The domains are developed by review of available literature and through application to a specific presented case. Factors that interfere with rational, ethical decision-making regarding opioid pain management are identified. Chronic pain and substance use disorders share a history of stigmatization, underdiagnosis, and undertreatment. Using the presented case as a point of departure, the authors discuss principles for prescription of opioids for treatment of chronic noncancer pain in the setting of history of substance use disorders. |
| Databáze: | OpenAIRE |
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