Pain Management and Risks Associated With Substance Use: Practice Recommendations
AuthorTurner, Helen N.
Sowicz, Timothy Joseph
St. Marie, Barbara
AffiliationUniversity of Arizona College of Nursing
MetadataShow full item record
CitationTurner, H. N., Oliver, J., Compton, P., Matteliano, D., Sowicz, T. J., Strobbe, S., St. Marie, B., & Wilson, M. (2021). Pain Management and Risks Associated With Substance Use: Practice Recommendations. Pain Management Nursing.
JournalPain Management Nursing
Rights© 2021 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractAssessing and managing pain while evaluating risks associated with substance use and substance use disorders continues to be a challenge faced by health care clinicians. The American Society for Pain Management Nursing and the International Nurses Society on Addictions uphold the principle that all persons with co-occurring pain and substance use or substance use disorders have the right to be treated with dignity and respect, and receive evidence-based, high quality assessment, and management for both conditions. The American Society for Pain Management Nursing and International Nurses Society on Addictions have updated their 2012 position statement on this topic supporting an integrated, holistic, multidimensional approach, which includes nonopioid and nonpharmacological modalities. Opioid use disorder is used as an exemplar for substance use disorders and clinical recommendations are included with expanded attention to risk assessment and mitigation with interventions targeted to minimize the risk for relapse or escalation of substance use. Opioids should not be excluded for anyone when indicated for pain management. A team-based approach is critical, promotes the active involvement of the person with pain and their support systems, and includes pain and addiction specialists whenever possible. Health care systems should establish policies and procedures that facilitate and support the principles and recommendations put forth in this article.
Note12 month embargo; available online: 26 December 2021
VersionFinal accepted manuscript