Session 1: Living With Pain: America’s Opioid Dilemma
Video taken from the channel: Johns Hopkins University
Chapter II: High Dose Opioids for Chronic Non-Cancer Pain
Video taken from the channel: Andrew Kolodny
Myths and Hysteria Surrounding the Use of Opioids for Non-cancer Pain
Video taken from the channel: Pharmacy Times TV
Cancer Pain Management And Living Meaningfully | Sandra H. Sacks, MD, MEd
Video taken from the channel: UCLA Health
More Opioids for Cancer Patients, Part I
Video taken from the channel: Johns Hopkins Medicine
Stigmas to access and use opioids for cancer pain management generate useless suffering
Video taken from the channel: European Society for Medical Oncology
Pain management in cancer patients
Video taken from the channel: MD Anderson Cancer Center
But when I take my opioids, the pain decreases. I can move again. I can breathe again. I can handle my full-time job. I can go to the park with my 8 year old son.
I can manage my pain. So when I went to the pharmacist in my hometown in California and the pharmacist again refused to fill my opioid prescription, I was frustrated and angry. Not. When I’m having a good day, my pain is a 5 or 6 out of 10 on the pain scale. Some days, my pain escalates to an 8 or 9 and I can’t function.
But when I take my opioids, the pain decreases. I can move again. I can breathe again. I can handle my full-time job.
I can go to the park with my 8 year old son. I can manage my pain. While media coverage surrounding opioid misuse in the cancer patient population is sparse, research does indicate that cancer patients are not immune to addiction. It is also clear that opioid prescribing rates among cancer patients are substantially higher than those of other patients.
But opioid overdoses and substance abuse problems do occur in a small subset of cancer patients, and clinicians at The University of Texas MD Anderson Cancer Center have implemented a system for detecting and managing issues that might arise from opioid abuse in cancer patients with chronic pain. SM: One of the biggest challenges is that we know very little about how patients manage their cancer pain. We know that opioids are widely prescribed, but we also know that there is poor adherence to prescribed opioids.
Other treatments such as acupuncture are not consistently covered by health insurance or lack data on clinical effectiveness. According to a recent clinical practice guideline for chronic pain management in cancer survivors, published by the American Society of Clinical Oncology, careful assessment of the pain and its effect on function, and of the possible risks associated with use of an opioid, are the first step. When opioids are considered, providers should assess every patient for risk factors for addiction. Opioids for Cancer Pain.
Opioids (narcotics) are used with or without non-opioids to treat moderate to severe pain. They are often a necessary part of a pain relief plan for cancer patients. These medicines are much like natural substances (called endorphins) made by the body to control pain. They were once made from the opium poppy, but today many are man-made in a lab.
Guidelines have been developed to support oncologists when prescribing the long-term use of opioids for cancer survivors. The challenges surrounding the use of opioids, and the need for safe and effective alternative analgesics, are leading to intense interest in the potential benefits of cannabis for cancer-related. Cancer patients are a challenge for pain management because both the disease and its treatments — including radiation, chemotherapy and surgery — are usually very painful. Eighty percent of patients with advanced-stage cancer experience pain. For those patients, taking opioids like Vicodin is virtually a necessity, and doctors need to listen carefully when patients ask for more.
The US Centers for Disease Control and Prevention (CDC) wants to make it clear: its guideline on the use of opioids for the treatment of chronic pain is not intended to apply to pain related to cancer treatment, palliative care, or end-of-life care.
List of related literature:
|from Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume|
|from Quick Review of Pharmacology|
|from Textbook of Medical Oncology|
|from Essentials of Interventional Cancer Pain Management|
|from Lippincott Q&A Review for NCLEX-RN|
|from Miller’s Anesthesia, 2-Volume Set E-Book|
|from Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems|
|from Manual of Medical-Surgical Nursing Care E-Book: Nursing Interventions and Collaborative Management|
|from Peripheral Nerve Entrapments: Clinical Diagnosis and Management|
|from Varcarolis’ Foundations of Psychiatric-Mental Health Nursing E-Book: A Clinical Approach|