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Ethical decision making in pain management: a conceptual framework.

Ana Sofia Carvalho1,2,3, Sandra Martins Pereira1,2,3, António Jácomo1,2,3

  • 1Instituto de Bioética, Universidade Católica Portuguesa, Porto, Portugal.

Journal of Pain Research
|May 31, 2018
PubMed
Summary

Adequate pain management is an ethical obligation. Bioethics provides a framework to address undertreatment by improving physician-patient relationships, analgesic knowledge, and reconsidering opioid access regulations for better patient care.

Keywords:
bioethicsethical decision makingethics of carenarrative medicinepain managementpatient-centered care

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Area of Science:

  • Medical Ethics
  • Bioethics
  • Pain Management

Background:

  • Pain management presents significant ethical challenges, with many patients experiencing uncontrolled pain despite its recognition as a medical obligation.
  • Factors contributing to undertreatment include prioritizing pain care, inadequate physician-patient relationships, insufficient knowledge of analgesics, and fears surrounding addiction and end-of-life treatments.

Purpose of the Study:

  • To establish bioethics as a framework for addressing ethical issues in pain management.
  • To contextualize the problem of unrelieved pain through theoretical and practical bioethical reflection.

Main Methods:

  • The article analyzes pain management and undertreatment as ethical issues.
  • It explores various ethical frameworks applicable to pain management.
  • It discusses strategies for improving ethical decision-making in pain management.

Main Results:

  • The treatment of pain is an ethical imperative.
  • Educational institutions must provide comprehensive pain management training.
  • Restrictive regulations on opioid access for indicated pain relief are ethically problematic.

Conclusions:

  • Developing a robust ethical framework enhances the quality of pain care.
  • Integrating ethical considerations with the scientific and anthropological aspects of pain management leads to ethically sound practices.