The marginalization of chronic pain patients on chronic opioid therapy

Pain Physician

Volumn 12, Issue 3, 2009, Pages 493-498

  Peppin, John F ^a,b,c  

^a The Pain Treatment Center of the Bluegrass   (United States)

^b UNIVERSITY OF KENTUCKY   (United States)

^c Hospice of the Bluegrass   (United States)

Author keywords

Barriers; Bias; Chronic pain; Marginalization; Opioids

Indexed keywords

BACLOFEN; CELECOXIB; GABAPENTIN; HYDROCODONE BITARTRATE PLUS PARACETAMOL; KETOROLAC; METHADONE; MORPHINE; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; OXYCODONE; VENLAFAXINE;

ABDOMINAL MASS; ACUTE KIDNEY TUBULE NECROSIS; ADULT; AGED; ANAMNESIS; ARTICLE; BRAIN METASTASIS; CASE REPORT; CHRONIC DRUG ADMINISTRATION; CHRONIC PAIN; CONSCIOUSNESS DISORDER; DIABETES MELLITUS; DIAPHORESIS; DIARRHEA; DISEASE EXACERBATION; DISEASE SEVERITY; DRUG DOSE INCREASE; DRUG EFFICACY; DRUG OVERDOSE; DRUG SAFETY; DRUG WITHDRAWAL; FEMALE; HUMAN; HYPERTENSION; KIDNEY FAILURE; KIDNEY FUNCTION; LONG TERM CARE; LOW BACK PAIN; LOW DRUG DOSE; MAJOR DEPRESSION; MALE; NAUSEA; NAUSEA AND VOMITING; PANCREAS CANCER; PSYCHOSOCIAL CARE; REHABILITATION; SIDE EFFECT; STOMACH PARESIS; TACHYCARDIA; VOMITING; WEIGHT REDUCTION; CHRONIC DISEASE; DOCTOR PATIENT RELATION; DRUG ADMINISTRATION; DRUG INCOMPATIBILITY; ETHICS; HEALTH CARE QUALITY; INTOXICATION; INTRACTABLE PAIN; MALPRACTICE; MIDDLE AGED; OPIATE ADDICTION; PATHOPHYSIOLOGY; PATIENT CARE; PSYCHOLOGICAL ASPECT; REVIEW; STATISTICS;

AGED; AGED, 80 AND OVER; ANALGESICS, OPIOID; CHRONIC DISEASE; DRUG ADMINISTRATION SCHEDULE; DRUG INCOMPATIBILITY; FEMALE; HUMANS; MALE; MALPRACTICE; MIDDLE AGED; OPIOID-RELATED DISORDERS; OVERDOSE; PAIN, INTRACTABLE; PATIENT CARE TEAM; PHYSICIAN-PATIENT RELATIONS; QUALITY OF HEALTH CARE;

EID: 69849086449     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (27)

1. Nelson R. Decade of pain control and research gets into gear in USA. Lancet 2003; 362:1129.
2. Raymong J, Underwood A. Taking a new look at pain. Newsweek 2003; May 19, 2003(CXLI):44-52.
3. Gureje O, Von Korff M, Simon GE, Gater R. Persistent pain and well-being: AWorld Health Organization Study in Primary Care. JAMA 1998; 280:147-151. (Pubitemid 28498386)
4. Ferrell BR. The role of ethics committees in responding to the moral outrage of unrelieved pain. Bioethics Forum 1997; 13:11-16.
5. Weinstein SM, Laux LF, Thornby JI, Lorimor RJ, Hill CS Jr, Thorpe DM, Merrill JM. Physicians' attitudes toward pain and the use of opioid analgesics: Results of a survey from the Texas Cancer Pain Initiative. South Med J 2000; 93:479-487. (Pubitemid 30366226)
6. Rich BA. A legacy of silence: Bioethics and the culture of pain. J Med Humanit 1997; 18:233-259.
7. American College of Physicians ah-CoME. American College of Physicians Ethics Manual, Part I: History of medical ethics, the physician and the patient, the physician's relationship to other physicians, the physician and society. Annals of Internal Medicine 1984; 101:129-137.
8. Ferrell B, Cronin N, Warfield C. The role of patient-controlled analgesia in the management of cancer pain. J Pain Sympt Manage 1992; 7:149-154.
9. Hoffmann DE. Pain management and palliative care in the era of managed care: Issues for health insurers. J Law Med Ethics 1998; 26:267-289.
10. Cleeland CS. Strategies for improving cancer pain management. J Pain Symptom Manage 1993; 8:361-364. (Pubitemid 23239218)
11. Grossman SA, Sheidler VR, Swedeen K, Mucenski J, Piantadosi S. Correlation of patient and caregiver ratings of cancer pain. J Pain Symptom Manage 1991; 6:53-57.
12. Proulx K, Jacelon C. Dying with dignity: The good patient versus the good death. Am J Hosp Palliat Care 2004; 21:116-120. (Pubitemid 38560949)
13. Moseley L. Unraveling the barriers to reconceptualization of the problem in chronic pain: The actual and perceived ability of patients and health professionals to understand the neurophysiology. The Journal of Pain 2003; 4:184-189. (Pubitemid 36676950)
14. Dar R, Beach CM, Barden PL, Cleeland CS. Cancer pain in the marital system: A study of patients and their spouses. J Pain Symptom Manage 1992; 7:87-93.
15. Rich BA. An ethical analysis of the barriers to effective pain management. Cambridge Quarterly of Healthcare Ethics 2000; 9:54-70.
16. Peppin JF. ( Bioethics and pain. In: Boswell MV & Cole BE (eds). Weiner's Pain Management: A Practical Guide for Clinicians, Seventh Edition. CRC Press, Taylor & Francis Group, Boca Raton, Florida, 2005; 1377-1392.
17. Merriam Webster On Line Dictionary, http://12.129.203.38/dictionary/ marginalization
18. Giordano J. The good patient: Responsibilities and obligations of the patientphysician relationship. Prac Pain Management 2007; 7:58-65.
19. Wurzman R, Jonas W, Giordano J. Pain and depression: Potential and possibility for putative spectrum disorders. Pain Practitioner 2008; 17(3).
20. Green CR, Wheeler JRC, Marchant B, LaPorte F, Guerrero E. Analysis of the physician variable in pain management Pain Medicine 2001; 2:317-327 (Pubitemid 34092756)
21. Morrison RS, Magaziner J, McLaughlin MA, Orosz G, Silberzweig SB, Koval KJ, Siu AL. The impact of post-operative pain on outcomes following hip fracture. Pain 2003; 103:303-311. (Pubitemid 36638818)
22. Lynch EP, Lazor MA, Gellis JE, Orav J, Goldman L, Marcantonio ER. The impact of postoperative pain on the development of postoperative delirium. Anesth Analg 1998; 86:781-785. (Pubitemid 28177731)
23. Perry SW. Pain on a burn unit. General Hospital Psychiatry 1984; 6:308-316.
24. Perry SW. Irrational attitudes toward addicts and narcotics. Bulletin New York Academy Medicine 1985; 61:706-727.
25. http://meld.medbiq.org/meld-library/healthcare-ed-orgs/ currmit-intro-salas.htm
26. Weinstein SM, Laux LF, Thornby JI, Lorimor RJ, Hill CS, Thorpe DM, Merrill JM. Medical Students' attitudes toward pain and the use of opioid analgesics: implications for changing medical school curriculum, South Med J 2000; 93:472-478.
27. Flexner, A. Medical education in the United States and Canada: A report to the Carnegie Foundation for the Advancement of Teaching. Bulletin 4. Carnegie Foundation for the Advancement of Teaching, New York, New York, 1910.