Related Experiment Video
Updated: Feb 21, 2026
09:38
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
13.2K
Treating Pain in an Established Patient: Sifting Through the Guidelines
Alan L Gordon1, Seamus L Connolly2
1Chief of Clinical Addiction Services, Butler Hospital; Clinical Associate Professor of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI.
Rhode Island Medical Journal (2013)
|October 3, 2017
Summary
The CDC Guideline for Opioid Prescribing offers guidance for chronic pain patients already on long-term opioid therapy. It advises against abrupt cessation or rapid tapering for these patients, ensuring continuity of care.
Area of Science:
- Pain Management
- Public Health
- Pharmacology
Background:
- The opioid epidemic in the U.S. necessitates updated prescribing guidelines.
- The Centers for Disease Control and Prevention (CDC) released a guideline for prescribing opioids for chronic pain.
- Existing guidelines primarily address new opioid therapy inductions, leaving a gap for long-term patients.
Purpose of the Study:
- To interpret and apply the CDC's 2017 Guideline for Prescribing Opioids for Chronic Pain to patients already on long-term opioid therapy.
- To provide physicians with practical strategies for managing chronic pain patients on existing opioid regimens.
- To clarify recommendations for patients receiving opioid maintenance therapy.
Main Methods:
- Analysis of the CDC Guideline for Prescribing Opioids for Chronic Pain.
- Distillation of key recommendations relevant to patients on long-term opioid therapy.
- Review of existing literature on opioid maintenance therapy and chronic pain management.
Main Results:
- The CDC Guideline supports avoiding abrupt cessation or rapid tapering for patients on long-term opioid therapy.
- Physicians can utilize CDC recommendations for managing opioid-dependent chronic pain patients.
- Careful interpretation of the guideline reveals applicability to established opioid therapy.
Conclusions:
- The CDC Guideline, while focused on new opioid therapy, contains valuable information for managing patients on long-term opioid treatment.
- Physicians should not hesitate to treat opioid-dependent patients with chronic pain using nuanced application of the guideline.
- Continued, careful management is recommended for patients already maintained on opioids for chronic pain.
Related Concept Videos
01:25Analgesia and Pain Management
2.2K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
2.2K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
438
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
438
01:26Peripheral Artery Disease IV: Nursing Management
422
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
422
01:20Angina V: Nursing Management
375
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
375
01:27Peripheral Artery Disease III: Interprofessional Care
398
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
398
01:29Chronic Pancreatitis II: Collaborative Care
404
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
404