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Please use this identifier to cite or link to this item: http://hdl.handle.net/11055/816
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dc.contributor.authorHolliday Sen_US
dc.contributor.authorHayes Cen_US
dc.contributor.authorDunlop Aen_US
dc.date.accessioned2018-12-14T02:05:44Z-
dc.date.available2018-12-14T02:05:44Z-
dc.date.issued2013-
dc.identifier.citation42(3):104-11en_US
dc.identifier.urihttp://hdl.handle.net/11055/816-
dc.description.abstractBACKGROUND: Managing pain requires time and effort to attend to its biopsychosocial characteristics. This requires proper planning and a whole-of-practice approach. OBJECTIVE: This article describes how to prepare your practice for quality chronic pain care, and details a non-judgemental and effective management approach, including the minimisation of opioid harms. DISCUSSION: It is helpful to have a consistent, whole-of-practice approach when a patient new to the practice presents with a compelling case for opioids. Assessing patients with chronic pain includes a full medical history and detailed examination according to a biopsychosocial approach and applying 'universal precautions' to make a misuse risk assessment. A management plan should consider a range of non-opioid modalities, with a focus on active rather than passive strategies. Integrated multidisciplinary pain services have been shown to improve pain and function outcomes for patients with complex chronic pain issues, but access is often limited. Time-limited opioid use is recommended with initial and regular monitoring, including pain and function scores, urine toxicology, compliance with regulatory surveillance systems and assessment for adverse reactions and drug related aberrant behaviours. When ceasing prescribing, opioids should be weaned slowly, except in response to violence or criminal activity.en_US
dc.subjectanalgesics, opioiden_US
dc.subjectchronic painen_US
dc.subjectopioid-related disordersen_US
dc.subjectpain managementen_US
dc.subjectrisk assessmenten_US
dc.subjectuniversal precautionsen_US
dc.titleOpioid use in chronic non-cancer pain--part 2: prescribing issues and alternatives.en_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitleAustralian family physicianen_US
dc.type.studyortrialEditorialen_US
dc.contributor.anzcaHayes, Cen_US
Appears in Collections:Scholarly and Clinical

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