Katie Fitzgerald Jones is a palliative and addiction NP and researcher in the VA Boston Healthcare System. Kathleen Broglio is associate professor of medicine in the Geisel School of Medicine at Dartmouth, Hanover, NH. J. Janet Ho is a palliative and addiction medicine physician at the University of California, San Francisco. William E. Rosa is assistant attending behavioral scientist, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York City. Contact author: Katie Fitzgerald Jones,
Am J Nurs. 2023 Aug 1;123(8):56-61. doi: 10.1097/01.NAJ.0000947480.74410.06.
Opioid use disorder (OUD) is an important comorbidity to assess and manage in people with cancer. In this article, the authors discuss strategies for safe opioid management in individuals with OUD and cancer-related pain using a composite case example. They highlight core approaches to pain management, including motivational interviewing, harm reduction, and evidence-based treatments, as well as advocacy for person-centered end-of-life care.
阿片类药物使用障碍(OUD)是癌症患者需要评估和管理的重要合并症。本文作者通过一个综合病例示例,讨论了在患有 OUD 和与癌症相关的疼痛的个体中安全管理阿片类药物的策略。他们强调了疼痛管理的核心方法,包括动机访谈、减少伤害和基于证据的治疗,以及倡导以人为本的临终关怀。