Cancer pain management in the chemically dependent patient Book Section
| Authors: | Passik, S. D.; Dhingra, L. K.; Kirsh, K. L. |
| Editors: | Bruera, E. D.; Portenoy, R. K. |
| Article/Chapter Title: | Cancer pain management in the chemically dependent patient |
| Abstract: | (from the chapter) There is a potential risk for substance use problems in cancer patients managed in the palliative care setting, the severity of which varies significantly across subgroups. The potential for substance use problems in cancer patients may be manifested in various case scenarios: Patients may increase their dosages of prescribed drugs without informing their physicians, or use their analgesics to treat symptoms other than those intended; other patients helpfully present to the palliative care team with a known history of, or current addiction to, illicit drugs or prescription medications. Accordingly, efforts to appropriately identify, assess, and clinically manage substance-related problems are critical to the optimal treatment of cancer patients in the palliative care setting. In this chapter, we discuss these important issues and describe how clinicians can assert control over opioid prescriptions by closely monitoring drug use and by using specific strategies to structure drug therapy. By implementing these strategies and methods, clinicians can help address substance use problems in cancer patients while ensuring that pain and other symptoms are not under treated. (PsycINFO Database Record (c) 2015 APA, all rights reserved). |
| Keywords: | cancer pain management; chemically dependent patients; substance use problems; palliative care setting |
| Book Title: | Cancer Pain: Assessment and Management |
| ISBN: | 978-0-521-87927-9 |
| Publisher: | Cambridge University Press |
| Publication Place: | New York, NY |
| Date Published: | 2010-01-01 |
| Start Page: | 423 |
| End Page: | 432 |
| Language: | English |
| ACCESSION: | Book: 2015-19335-022 |
| PROVIDER: | Ovid Technologies |
| PROVIDER: | psycinfo |
| DOI/URL: | |
| Notes: | Book Chapter: 22 -- Source: PsycINFO |
MSK Authors
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122Passik
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