American Society for Pain Management nursing position statement: pain management in patients with substance use disorders
- PMID: 22929604
- PMCID: PMC3741053
- DOI: 10.1016/j.pmn.2012.07.001
American Society for Pain Management nursing position statement: pain management in patients with substance use disorders
Abstract
The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations.
Copyright © 2012 International Nursing Society on Addiction (IntNSA) and the American Society for Pain Management Nursing (ASPMN). Published by Elsevier Inc. All rights reserved.
Comment in
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Will recent murder charges filed against physicians for opioid-related deaths affect pain management?Pain Manag Nurs. 2012 Sep;13(3):125-6. doi: 10.1016/j.pmn.2012.07.003. Pain Manag Nurs. 2012. PMID: 22929599 No abstract available.
References
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- American Academy of Pain Medicine (AAPM) Patient’s bill of rights. 2001 Retrieved January 31, 2012, from http://www.aapainmanage.org/literature/Forms/PatientBillOfRights.pdf.
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- American Psychiatric Association (APA) Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000.
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- APA. Retrieved April 18, 2012, from http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=431.
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- American Society of Addiction Medicine (ASAM) Definition of addiction. Retrieved January 31, 2012, from http://www.asam.org/for-the-public/definition-of-addiction.
Suggested Readings
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- American Academy of Pain Medicine (AAPM), American Pain Society (APS), & American Society of Addiction Medicine (ASAM) Glenview, IL: American Pain Society; 2001. Definitions related to the use of opioids for the treatment of pain.
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- American Pain Society (APS), American Academy of Pain Management (AAPM) Clinical Guidelines for the use of Chronic Opioid Therapy: Evidence Review. 2010 Retrieved January 31, 2012, from http://www.ampainsoc.org/library/pdf/Opioid_Final_Evidence_Report.pdf.
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- American Society of Addiction Medicine. Public policy statement: Definition of addiction 2011. 2011 Retrieved January 31, 2012, from http://www.asam.org/docs/publicy-policy-statements/1definition_of_addict....
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- Arnstein PA, St. Marie BJ. Managing chronic pain with opioids: A call for change: Executive summary of a white paper by the Nurse Practitioner Healthcare Foundation. American Journal for Nurse Practitioners. 2010;14:11–12. 48–51.
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- Breitbart W. Suicide risk in cancer and AIDS patients. In: Chapman C, Foley K, editors. Current and emerging issues in cancer pain: Research and practice. New York: Raven; 1993. pp. 319–412.
References
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- Belgrade MJ, Schamber CD, Lindgren BR. The DIRE score: Predicting outcomes of opioid prescribing for chronic pain. Journal of Pain. 2006;7:671–681. - PubMed
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- Brown RL, Leonard T, Saunders LA, Papasouliotis O. A two-item conjoint screen for alcohol and other drug problems. Journal of the American Board of Family Practice. 2001;14:95–106. - PubMed
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- Compton P, Darakjian J, Miotto K. Screening for addiction in patients with chronic pain and “problematic” substance use: Evaluation of a pilot assessment tool. Journal of Pain and Symptom Management. 1998;16:355–363. - PubMed
