Expert Decision Making on Opioid Treatment

by Jane Ballantyne, David J. Tauben

Overview

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.

Product Details

ISBN-13:	9780199768882
Publisher:	Oxford University Press
Publication date:	02/26/2013
Pages:	156
Product dimensions:	7.80(w) x 5.00(h) x 0.20(d)

About the Author

Jane Ballantyne,Professor of Education and Research, Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington, United States

David J. Tauben, Clinical Associate Professor, Department of Anesthesia and Pain Medicine, University of Washington School of Medicine, Seattle, Washington, United States

Table of Contents

1. Pain without a Pathoanatomic Diagnosis
Catherine F. Stannard

2. Opioid Therapy of Chronic Pain in Persons with known Substance Use Disorder
Seddon R. Savage and Julie Franklin Sorensen

3. Screening before Embarking: How to Screen for Addiction Risk in Opioid Prescribing
Robert N. Jamison, Edward Michna, and Juliana Serraillier

4. Functional Pain Syndromes
Claudia Sommer and Nurcan Üçeyler

5. Chronic Opioid Therapy in Childhood and Adolescence
Stephen C. Brown, Lisa Isaac, Patricia A. McGrath, and Jennifer Tyrrell

6. Debilitating Pain
Eija Kalso

7. Chronic Cancer Pain
Shane Brogan and Perry G. Fine

8. Pain After Trauma (including PTSD)
William C. Becker and Robert D. Kerns

9. Opioid Therapy in Chronic Painful Disease
Daniel Krashin and Andrea M. Trescot

10. United States Workers Compensation and Disability
James P. Robinson

11. Using Measurement-based Tools to Improve Pain Care
David Tauben

12. Not a Suitable Candidate: Saying No
Jane Ballantyne