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Monday, May 7, 2012
  Clinical Accuracy Spoken Here  

Pain Management with Opioids

Developing a higher tolerance for a drug and becoming physically dependent on the drug for pain relief does not mean that the patient is addicted.

Opioids, the major class of analgesics used in management of moderate-to-severe pain are effective, easily titrated and have a favorable benefit-to-risk ratio.

Morphine is the most commonly used opioid in cancer pain management. Methadone is a synthetic opioid which has had a revival in interest in the treatment of cancer pain.

Oral administration is preferred in patients with intact gastrointestinal tracts because it is convenient and usually inexpensive.

[Reference: Pain Management, Module D, Cancer Pain]
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  Excellence in Case Mgmt  

Ethics of Placebo Use for Pain

The use of placebos was once considered in practice. However, the American Pain Society and the American Geriatric Society (AGS) panel issued an admonition that patients not be given placebos for pain. In fact, the use of placebos in clinical practice is unethical. Placebos in any form, including inert oral medications, sham injections or any fraudulent procedure are only justified in specific research designs and with full patient consent.

[Reference: Pain Management, Module C, Chronic Pain]
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  Improving Patient Care...  

Decrease Pain To Increase Activity Tolerance

The goal of chronic pain management treatment is to improve function enabling individuals to:

  • Work
  • Attend school
  • Participate in other day-to-day activities

Patients and their physicians have a number of options for the treatment of pain. But bottom line – pain is treatable.

Consider multimodal (the use of more than one medication or class of medications) to achieve maximal efficacy, while minimizing potential side-effects through careful selection.

[Reference: Pain Management, Module C, Chronic Pain]]
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Tom RasmussenTom Rasmussen
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