Managing opioid use disorder in the setting of a terminal disease : opportunities and challenges

Article indépendant

SAGER, Zachary S. | BUSS, Mary K. | HILL, Kevin P. | DRIVER, Jane A. | SKARF, Lara M.

Opioids have long been a mainstay of symptom management in palliative care (PC), allowing patients with terminal illnesses to have an improved quality of life. Unfortunately, these same medications have contributed to the explosion of the opioid epidemic. This article explores the case of a patient with opioid use disorder (OUD) and pancreatic cancer. We share our experience of managing his symptoms and treating OUD in the setting of an outpatient PC clinic. We explore the challenges and joys of this case while reflecting on the need for more research investigating best practices for individuals where opioids serve as both a pain reliever and contributor to further suffering from their OUD.

https://www.liebertpub.com/doi/pdf/10.1089/jpm.2019.0101

Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 23»

Autres numéros de la revue «JOURNAL OF PALLIATIVE MEDICINE»

Consulter en ligne

Suggestions

Du même auteur

Managing opioid use disorder in the setting o...

Article | SAGER, Zachary S. | JOURNAL OF PALLIATIVE MEDICINE | n°2 | vol.23

Opioids have long been a mainstay of symptom management in palliative care (PC), allowing patients with terminal illnesses to have an improved quality of life. Unfortunately, these same medications have contributed to the explosio...

Post-traumatic stress disorder symptoms from ...

Article | SAGER, Zachary S. | JOURNAL OF PALLIATIVE MEDICINE | n°9 | vol.23

Background: Despite the association between chronic pain and post-traumatic stress disorder (PTSD), little is known about the longitudinal course of pain and PTSD during cancer treatment. Objectives: We examined the prevalence of ...

Post-traumatic stress disorder symptoms from ...

Article indépendant | SAGER, Zachary S. | JOURNAL OF PALLIATIVE MEDICINE | n°9 | vol.23

Background: Despite the association between chronic pain and post-traumatic stress disorder (PTSD), little is known about the longitudinal course of pain and PTSD during cancer treatment. Objectives: We examined the prevalence of ...

De la même série

Feasibility of a palliative care intervention...

Article indépendant | VERMA, Manisha | JOURNAL OF PALLIATIVE MEDICINE | n°3 | vol.36

Background: Patients with hepatocellular cancer (HCC) are at risk for poor quality of life (QoL) and high symptom burden, coupled with limited treatment options. Palliative care (PC) can play an important role in reducing the suff...

"You suffer from being interested" : a tribut...

Article indépendant | MILLER, Pringl | JOURNAL OF PALLIATIVE MEDICINE | n°12 | vol.31

I met Hank during my palliative medicine fellowship after his nurse Cynthia paged me to request a consult for existential suffering. When reviewing Hank's electronic medical record, it became evident he was dying and averse to spe...

Human-centered design development and accepta...

Article indépendant | FROMME, Erik K. | JOURNAL OF PALLIATIVE MEDICINE | n°5 | vol.28

Introduction: Home hospice medication management ideally addresses symptoms, reduces unnecessary medication use, and optimizes quality of life. Grounding decisions in goals of care is critical. How to ascertain and align patients'...

Top ten tips palliative care clinicians shoul...

Article indépendant | CHUNG, Jenny E. | JOURNAL OF PALLIATIVE MEDICINE | n°1 | vol.27

As of 2019, there are 4.2 million Filipino Americans (FAs) and 1.9 million Korean Americans (KAs) in the United States, largely concentrated in New York, California, Texas, Illinois, and Washington. In both populations, similar to...

Interventions for family caregivers of patien...

Article indépendant | ALSHAKHS, Sulaiman | JOURNAL OF PALLIATIVE MEDICINE | n°1 | vol.27

There is a need for understanding the breadth of interventions for caregivers of individuals receiving hospice care at home, given the important role caregivers play in caring and the negative outcomes (e.g., depression) associate...

Chargement des enrichissements...