Smith Robert George
Shoe String Podiatry, Ormond Beach, FL.
Wounds. 2020 Jun;32(6):146-151.
Opioids are an effective form of analgesia for pain treatment during wound treatment. Overprescribing of opioid agents has become detrimental to the public health of the United States. One of the most difficult challenges for any wound care prescriber is to balance the potential benefits versus the potential risks of opioid prescribing. Addressing the opioid crisis requires an interprofessional team approach. The utilization of an opioid stewardship program provides the necessary framework to identify gaps in the quality and development in the implementation of a change of long-standing opioid culture and practice. These programs address opioid prescribing, treatment for opioid use disorder, educational initiatives, and the use of information technology. A few acronyms have been created to assist providers to guide them when prescribing opioids. The purpose of this article is to explore the central theme of responsible opioid pain management. It will introduce, define, and defend with clinical-based evidence a proposed acronym, "MORPHINE," to assist and help shape prescription opioid strategies used for wound care treatment. Implications for practicing wound care specialists need to acknowledge the potential harm that prescribing opioids may cause to their patients.
阿片类药物是伤口治疗期间疼痛治疗的一种有效镇痛形式。阿片类药物的过度处方已对美国公众健康造成损害。对于任何伤口护理开方者而言，最艰巨的挑战之一是平衡阿片类药物处方的潜在益处与潜在风险。应对阿片类药物危机需要跨专业团队协作。阿片类药物管理计划的运用提供了必要框架，以识别长期存在的阿片类药物文化和实践变革实施过程中的质量差距及发展情况。这些计划涉及阿片类药物处方、阿片类药物使用障碍治疗、教育举措以及信息技术的使用。已经创建了一些首字母缩略词来帮助医疗服务提供者在开具阿片类药物处方时进行指导。本文的目的是探讨负责任的阿片类药物疼痛管理的核心主题。它将基于临床证据介绍、定义并捍卫一个提议的首字母缩略词“MORPHINE”，以协助并塑造用于伤口护理治疗的处方阿片类药物策略。伤口护理专科医生在实践中需要认识到开具阿片类药物可能对其患者造成的潜在危害。
