CE: Implementing Guidelines for Treating Chronic Pain with Prescription Opioids.
CE: Implementing Guidelines for Treating Chronic Pain with Prescription Opioids.
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CE：使用处方阿片类药物治疗慢性疼痛的实施指南。
DOI：
10.1097/01.naj.0000605344.99391.78
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Morasco,BenjaminJ
中科院分区：
文献类型：
--
作者：
Maloy,PatriciaE;Iacocca,MeganO;Morasco,BenjaminJ
慢性疼痛主要源于肌肉骨骼状况和严重的头痛，在美国是一个日益严重的问题，多达43%的成年人受到影响。尽管关于阿片类药物长期疗效和长期使用的潜在风险的数据有限，但人们经常开阿片类药物来治疗慢性疼痛。2017年，超过4.7万人死于阿片类药物过量，涉及非法阿片类药物(如海洛因)、非法制造的阿片类药物、转移的阿片类药物、处方阿片类药物或其某种组合。尽管全国范围内的阿片类药物危机促使疾病控制和预防中心(CDC)发布了一份指南，概述了向慢性疼痛患者(与癌症活动期或姑息和临终护理无关)开阿片类药物的安全做法，但阿片类药物的滥用仍然是一个严重的问题。从历史上看，医生一直负责实施阿片类药物安全措施，但初级保健环境中的护士越来越多地被依赖将这些措施作为其执业的一部分。在本文中，我们讨论了疾控中心指南中概述的五种工具的使用：处方阿片类药物治疗协议、尿药筛选、处方药监测计划数据库、吗啡毫克当量的计算和纳洛酮试剂盒。初级保健护士可以使用这些工具来促进接受阿片类药物治疗的慢性疼痛患者的阿片类药物安全。
Chronic pain, stemming primarily from musculoskeletal conditions and severe headaches, is a growing problem in the United States, affecting as many as 43% of adults. Opioids are frequently prescribed to manage chronic pain despite limited data on their long-term efficacy and the potential risks of long-term use. In 2017, more than 47,000 people died as a result of an opioid overdose involving illicit opioids (such as heroin), illicitly manufactured opioids, diverted opioids, prescription opioids, or some combination thereof. Although it’s been more than three years since the nationwide opioid crisis prompted the Centers for Disease Control and Prevention (CDC) to release a guideline outlining safe practices for prescribing opioids to patients with chronic pain (unrelated to active cancer or palliative and end-of-life care), opioid misuse remains a significant concern. Historically, physicians have been tasked with the primary responsibility for implementing opioid safety measures, but nurses in the primary care setting are being increasingly relied on to incorporate these measures as part of their practice. In this article, we discuss the use of five tools outlined in the CDC guideline: prescription opioid treatment agreements, urine drug screening, prescription drug monitoring program databases, calculation of morphine milligram equivalents, and naloxone kits. Primary care nurses can use these tools to promote opioid safety among patients receiving opioid therapy for chronic pain.
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负责任、安全、有效的阿片类药物处方治疗慢性非癌症疼痛：美国介入疼痛医师协会 (ASIPP) 指南。
影响因子：
3.7
作者：
L. Manchikanti;A. Kaye;N. Knezevic;Heath B. McAnally;K. Slavin;A. Trescot;S. Blank;V. Pampati;S. Abdi;J. Grider;A. Kaye;Kavita N. Manchikanti;Harold J. Cordner;C. Gharibo;Michael E. Harned;Sheri L. Albers;S. Atluri;S. Aydin;S. Bakshi;R. Barkin;Ramsin M. Benyamin;M. Boswell;R. Buenaventura;Aaron Calodney;David L. Cedeño;Sukdeb Datta;T. Deer;B. Fellows;V. Galan;V. Grami;Hans C. Hansen;Standiford Helm Ii;R. Justiz;D. Koyyalagunta;Y. Malla;A. Navani;Kent H. Nouri;R. Pasupuleti;N. Sehgal;S. Silverman;Thomas T Simopoulos;V. Singh;D. Solanki;P. Staats;R. Vallejo;Bradley W. Wargo;Art Watanabe;J. Hirsch
通讯作者：
J. Hirsch
CE：适当使用阿片类药物治疗慢性疼痛
DOI：
--
发表时间：
2016
期刊：
The American Journal of Nursing
影响因子：
--
作者：
R. Denenberg;C. Curtiss
通讯作者：
C. Curtiss
对于接受长期阿片类药物治疗的患者，尿液药物检测结果异常后，治疗发生变化。
影响因子：
--
作者：
Morasco,BenjaminJ;Krebs,ErinE;Cavanagh,Renee;Hyde,Stephanie;Crain,Aysha;Dobscha,StevenK
通讯作者：
Dobscha,StevenK
影响因子：
3.7
作者：
Kaplovitch E;Gomes T;Camacho X;Dhalla IA;Mamdani MM;Juurlink DN
通讯作者：
Juurlink DN
影响因子：
3.1
作者：
Rennick, Amanda;Atkinson, Timothy;Fudin, Jeffrey
通讯作者：
Fudin, Jeffrey