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

Article

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 indépendant | 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 | 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 | 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...

Evaluating a pediatric palliative care electi...

Article | CRAWFORD, Claire | JOURNAL OF PALLIATIVE MEDICINE | n°1 | vol.27

Background: Hospice and palliative medicine is important in the education of pediatric residents. Little is known about if and how residents' learnings during a pediatric palliative care elective fulfill core competencies and Pedi...

Associations between measures of disability a...

Article | CHANG, Victoria A. | JOURNAL OF PALLIATIVE MEDICINE | n°1 | vol.27

Background: The modified Rankin Scale (mRS), which measures degree of disability in daily activities, is the most common outcome measure in stroke research. Quality of life (QoL), however, is impacted by factors other than disabil...

Preliminary findings of an adapted nurse-led ...

Article | LAYNE, Diana | JOURNAL OF PALLIATIVE MEDICINE | n°1 | vol.27

Context: Despite the increased number of people living with Alzheimer's disease and related dementias (PLWD), limited early palliative care interventions exist for this population. Adapting promising interventions for other progre...

Chargement des enrichissements...