Abstract : Opioid therapy has been shown to decrease pain intensity restore levels of function and improve qua
more
Abstract : Opioid therapy has been shown to decrease pain intensity restore levels of function and improve quality of life for adults with chronic pain. Even so opioids are rarely used as a long-term treatment option and the prescription of opioid analgesics for managing chronic nonmalignant pain has remained a highly debated treatment modality. This ongoing debate has resulted in a stigma being associated with both the treatment modality and those individuals receiving it. As a result of these stigmas a multitude of barriers have arisen for those individuals using opioids to control their chronic nonmalignant pain. Limited qualitative research exists that reflects patients perspectives regarding the stigmatization and barriers that they encounter when using this treatment option. This paper reports part II of the results of a phenomenologic study that investigated the experience of 22 adults receiving opioid therapy for chronic nonmalignant pain with a focus on associated stigmas and barriers to treatment. Overall the data reflected that these individuals encounter much stigma surrounding their pain management regimen and that the routine course of maintaining that regimen is fraught with barriers. These barriers arise from family the health care system and society at large. Awareness of the life-enhancing benefits of opioid therapy in adults with chronic nonmalignant pain as well as the stigma and barriers that they encounter will enable clinicians to intervene appropriately and to act as advocates on behalf of adults using chronic opioid therapy.(c) 2010 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.PMID 20510843 PubMed - indexed for MEDLINEMeSH Terms SubstancesMeSH TermsAdaptation PsychologicalAdultAgedAged 80 and overAnalgesics Opioid/adverse effects*Attitude of Health PersonnelAttitude to Health*Chronic DiseaseFamily/psychologyFemaleFriends/psychologyHealth Knowledge Attitudes PracticeHealth Services AccessibilityHumansLong-Term Care/psychology*MaleMiddle AgedNursing Methodology ResearchPain/drug therapy*Pain/etiologyPain/nursingPain/psychology*Patient AdvocacyQualitative ResearchStereotypingSubstance-Related Disorders/etiologyTime FactorsUnited StatesSubstancesAnalgesics OpioidLinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCONursing ConsultOhioLINK Electronic Journal CenterOvid Technologies Inc.Swets Information ServicesOther Literature SourcesCOS Scholar UniverseEducationNew England Research Institutes Inc.MedicalPain - MedlinePlus Health Information Supplemental Content Related citations Chronic opioid therapy for nonmalignant pain the patients perspective. Part I--life before and after opioid therapy. Pain Manag Nurs. 2009 Chronic opioid therapy for nonmalignant pain the patients perspective. Part I--life before and after opioid therapy.Vallerand A Nowak L. Pain Manag Nurs. 2009 Sep 10(3)165-72. Response phases in methadone treatment for chronic nonmalignant pain. Pain Manag Nurs. 2006 Response phases in methadone treatment for chronic nonmalignant pain.Arnaert A Ciccotosto G. Pain Manag Nurs. 2006 Mar 7(1)23-30. Opioids for chronic nonmalignant pain. Attitudes and practices of primary care physicians in the UCSF/Stanford Collaborative Research Network. University of California San Francisco. J Fam Pract. 2001 Opioids for chronic nonmalignant pain. Attitudes and practices of primary care physicians in the UCSF/Stanford Collaborative Research Network. University of California San Francisco.Potter M Schafer S Gonzalez-Mendez E Gjeltema K Lopez A Wu J Pedrin R Cozen M Wilson R Thom D et al. J Fam Pract. 2001 Feb 50(2)145-51. Opioids and the management of chronic severe pain in the elderly consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine fentanyl hydromorphone methadone morphine oxycodone). Pain Pract. 2008 Opioids and the management of chronic severe pain in the elderly consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine fentanyl hydromorphone methadone morphine oxycodone).Pergolizzi J Böger RH Budd K Dahan A Erdine S Hans G Kress HG Langford R Likar R Raffa RB et al. Pain Pract. 2008 Jul-Aug 8(4)287-313. Epub 2008 May 23. Review An update on the role of opioids in the management of chronic pain of nonmalignant origin. Curr Opin Anaesthesiol. 2007 Review An update on the role of opioids in the management of chronic pain of nonmalignant origin.Højsted J Sjøgren P. Curr Opin Anaesthesiol. 2007 Oct 20(5)451-5. See reviews... See all... Recent activity Clear Turn Off Turn On Chronic opioid therapy for nonmalignant pain the patients perspective. Part II... Chronic opioid therapy for nonmalignant pain the patients perspective. Part II--Barriers to chronic opioid therapy.Pain Manag Nurs. 2010 Jun 11(2)126-31. Epub 2010 Apr 22 . PubMed Your browsing activity is empty. Activity recording is turned off. Turn recording back on See more... You are here NCBI gt Literature gt PubMed Write to the Help Desk Simple NCBI Directory Getting Started NCBI Education NCBI Help Manual NCBI Handbook Training amp Tutorials Resources Chemicals amp BioassaysData amp SoftwareDNA amp RNADomains amp StructuresGenes amp ExpressionGenetics amp MedicineGenomes amp MapsHomologyLiteratureProteinsSequence AnalysisTaxonomyTraining amp TutorialsVariation Popular PubMed Nucleotide BLAST PubMed Central Gene Bookshelf Protein OMIM Genome SNP Structure Featured GenBank Reference Sequences Map Viewer Genome Projects Human Genome Mouse Genome Influenza Virus Primer-BLAST Sequence Read Archive NCBI Information About NCBI Research at NCBI NCBI Newsletter NCBI FTP Site NCBI on Facebook NCBI on Twitter NCBI on YouTube NIH DHHS USA.gov Copyright | Disclaimer | Privacy | Accessibility | Contact National Center for Biotechnology Information U.S. National Library of Medicine 8600 Rockville Pike Bethesda MD 20894 USA
less