Denenberg Risa, Curtiss Carol P
Risa Denenberg is an NP who provides care to patients with chronic pain at Jamestown Family Health Clinic, Sequim, WA. The author and planners have disclosed no potential conflicts of interest, financial or otherwise. Carol P. Curtiss is a clinical nurse specialist and consultant in pain management and an adjunct clinical instructor at Tufts University School of Medicine, Boston. She has been a paid speaker and has produced educational materials for the biotechnology company Genentech. Contact author: Risa Denenberg,
Am J Nurs. 2016 Jul;116(7):26-38. doi: 10.1097/01.NAJ.0000484931.50778.6f.
: Over the past two decades, the use of opioids to manage chronic pain has increased substantially, primarily in response to the recognized functional, emotional, and financial burden associated with chronic pain. Within this same period, unintentional death related to prescription opioids has been identified as a public health crisis, owing in part to such factors as insufficient professional training and medication overprescription, misuse, and diversion. The authors discuss current best practices for prescribing opioids for chronic pain, emphasizing patient assessment and essential patient teaching points regarding safe medication use, storage, and disposal.
在过去二十年中，使用阿片类药物治疗慢性疼痛的情况大幅增加，主要是为了应对与慢性疼痛相关的公认的功能、情感和经济负担。在同一时期，与处方阿片类药物相关的意外死亡已被认定为一场公共卫生危机，部分原因是专业培训不足、药物过度处方、滥用和转移等因素。作者讨论了目前为慢性疼痛开具阿片类药物的最佳做法，强调了患者评估以及关于安全用药、储存和处置的基本患者教育要点。
