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Perioperative Pain Management for the Chronic Pain Patient With Long-Term Opioid Use.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Jackman, Carina |
| Copyright Year | 2019 |
| Abstract | The burden of chronic pain in the United States is staggering. A National Health and Nutrition Examination Survey found that, in 2002, 14.6% of adults described localized or widespread chronic pain lasting greater than 3 months. Another survey in 2003 determined that 43% of adults in the United States suffer from musculoskeletal pain conditions of various durations. Perhaps this prevalence of chronic pain led to the current rising trend of prescription opioid medications. The Centers for Disease Control and Prevention (CDC) estimates that 9.6 million to 11.5 million adults (equivalent to 3%–4% of the adult U.S. population) received a prescription for long-term opioid therapy in 2005. The trend continued from 2007 to 2012, as opioid prescriptions per capita increased 7.3% ( Dowell, Haegerich, & Chou, 2016 ) Opioids continue to be prescribed routinely for managing chronic pain. The CDC now estimates that one in fi ve patients in the United States with noncancer pain is prescribed opioids in offi ce-based settings for pain complaints. Adults 40 years and older, women, and non-Hispanic whites are most likely to be prescribed opioids ( CDC, 2017 ). This widespread use of opioids has implications in the perioperative setting. Recently, a cross-sectional, observational study evaluated the prevalence and In the United States nearly one in four patients presenting for surgery reports current opioid use. Many of these patients suffer from chronic pain disorders and opioid tolerance or dependence. Opioid tolerance and preexisting chronic pain disorders present unique challenges in regard to postoperative pain management. These patients benefi t from providers who are not only familiar with multimodal pain management and skilled in the assessment of acute pain, but also empathetic to their specifi c struggles. Chronic pain patients often face stigmas surrounding their opioid use, and this may lead to underestimation and undertreatment of their pain. This article aims to review the challenges presented by these complex patients and provide strategies for treating acute postoperative pain in opioid-tolerant patients. Perioperative Pain Management for the Chronic Pain Patient With Long-Term Opioid Use |
| Starting Page | 164 |
| Ending Page | 165 |
| Page Count | 2 |
| File Format | PDF HTM / HTML |
| DOI | 10.1097/NOR.0000000000000548 |
| Alternate Webpage(s) | https://nursing.ceconnection.com/ovidfiles/00006416-201903000-00017.pdf |
| PubMed reference number | 30933041 |
| Alternate Webpage(s) | https://doi.org/10.1097/NOR.0000000000000548 |
| Journal | Medline |
| Volume Number | 38 |
| Issue Number | 2 |
| Journal | Orthopedic nursing |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
