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Updated: Aug 26, 2025
02:26
Intracranial Pharmacotherapy and Pain Assays in Rodents
Published on: April 9, 2019
5.3K
Pain Management and Substance Use Disorders.
Timothy Joseph Sowicz1, Peggy Compton2, Deborah Matteliano3
1University of Arizona College of Nursing, Assistant Professor, Tucson, Arizona.
Summary
Individuals with co-occurring pain and substance use disorder deserve dignified, evidence-based care. An integrated approach is recommended, prioritizing non-opioid and non-pharmacological pain management strategies.
Area of Science:
- Pain Management Nursing
- Addiction Nursing
- Integrated Care
Background:
- Co-occurring pain and substance use disorder present complex challenges in patient care.
- Existing approaches may not adequately address the integrated needs of these patients.
- Professional nursing organizations advocate for a unified approach to management.
Purpose of the Study:
- To outline a position statement for the integrated management of co-occurring pain and substance use disorder.
- To advocate for dignified, evidence-based, and holistic care for affected individuals.
- To provide recommendations for healthcare institutions and professionals.
Main Methods:
- Development of a position statement by professional nursing societies.
- Emphasis on evidence-based assessment and management strategies.
- Integration of pain and addiction expertise in a multidisciplinary team approach.
Main Results:
- Patients have a right to dignified and respectful treatment.
- An integrated, holistic, and multidimensional approach is recommended for both conditions.
- Prioritization of non-opioid and non-pharmacological pain management is advised.
- Opioids should not be withheld when necessary for pain relief.
- Minimizing relapse risk and involving patients and support persons in care planning are crucial.
Conclusions:
- Healthcare institutions must establish supportive policies and procedures.
- A team-based approach involving pain and addiction specialists is essential.
- Comprehensive pain management must address substance use disorder concerns and relapse prevention.
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