TY - JOUR
T1 - Pain Management and Risks Associated With Substance Use
T2 - Practice Recommendations
AU - Turner, Helen N.
AU - Oliver, June
AU - Compton, Peggy
AU - Matteliano, Deborah
AU - Sowicz, Timothy Joseph
AU - Strobbe, Stephen
AU - St. Marie, Barbara
AU - Wilson, Marian
N1 - Funding Information:
The authors would like to acknowledge Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN for her contributions early in the development of the manuscript.
Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2022/4
Y1 - 2022/4
N2 - Assessing and managing pain while evaluating risks associated with substance use and substance use disorders continues to be a challenge faced by health care clinicians. The American Society for Pain Management Nursing and the International Nurses Society on Addictions uphold the principle that all persons with co-occurring pain and substance use or substance use disorders have the right to be treated with dignity and respect, and receive evidence-based, high quality assessment, and management for both conditions. The American Society for Pain Management Nursing and International Nurses Society on Addictions have updated their 2012 position statement on this topic supporting an integrated, holistic, multidimensional approach, which includes nonopioid and nonpharmacological modalities. Opioid use disorder is used as an exemplar for substance use disorders and clinical recommendations are included with expanded attention to risk assessment and mitigation with interventions targeted to minimize the risk for relapse or escalation of substance use. Opioids should not be excluded for anyone when indicated for pain management. A team-based approach is critical, promotes the active involvement of the person with pain and their support systems, and includes pain and addiction specialists whenever possible. Health care systems should establish policies and procedures that facilitate and support the principles and recommendations put forth in this article.
AB - Assessing and managing pain while evaluating risks associated with substance use and substance use disorders continues to be a challenge faced by health care clinicians. The American Society for Pain Management Nursing and the International Nurses Society on Addictions uphold the principle that all persons with co-occurring pain and substance use or substance use disorders have the right to be treated with dignity and respect, and receive evidence-based, high quality assessment, and management for both conditions. The American Society for Pain Management Nursing and International Nurses Society on Addictions have updated their 2012 position statement on this topic supporting an integrated, holistic, multidimensional approach, which includes nonopioid and nonpharmacological modalities. Opioid use disorder is used as an exemplar for substance use disorders and clinical recommendations are included with expanded attention to risk assessment and mitigation with interventions targeted to minimize the risk for relapse or escalation of substance use. Opioids should not be excluded for anyone when indicated for pain management. A team-based approach is critical, promotes the active involvement of the person with pain and their support systems, and includes pain and addiction specialists whenever possible. Health care systems should establish policies and procedures that facilitate and support the principles and recommendations put forth in this article.
UR - http://www.scopus.com/inward/record.url?scp=85121976730&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85121976730&partnerID=8YFLogxK
U2 - 10.1016/j.pmn.2021.11.002
DO - 10.1016/j.pmn.2021.11.002
M3 - Article
C2 - 34965906
AN - SCOPUS:85121976730
SN - 1524-9042
VL - 23
SP - 91
EP - 108
JO - Pain Management Nursing
JF - Pain Management Nursing
IS - 2
ER -