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Compassionate Care for People with Cancer and Opioid Use Disorder.
Katie Fitzgerald Jones1, Kathleen Broglio, J Janet Ho
1Katie Fitzgerald Jones is a palliative and addiction NP and researcher in the VA Boston Healthcare System. Kathleen Broglio is associate professor of medicine in the Geisel School of Medicine at Dartmouth, Hanover, NH. J. Janet Ho is a palliative and addiction medicine physician at the University of California, San Francisco. William E. Rosa is assistant attending behavioral scientist, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York City. Contact author: Katie Fitzgerald Jones, jonesafq@bc.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Managing opioid use disorder (OUD) in cancer patients requires integrated strategies. This article outlines safe opioid management approaches, including motivational interviewing and harm reduction, for cancer pain.
Area of Science:
- Oncology
- Addiction Medicine
- Palliative Care
Background:
- Opioid use disorder (OUD) presents a significant challenge in cancer care.
- Effective management of OUD is crucial for patients experiencing cancer-related pain.
Purpose of the Study:
- To discuss strategies for safe opioid management in cancer patients with OUD.
- To highlight core pain management approaches and person-centered end-of-life care.
Main Methods:
- Utilized a composite case example to illustrate management strategies.
- Reviewed approaches including motivational interviewing, harm reduction, and evidence-based treatments.
Main Results:
- Safe opioid management is achievable in cancer patients with OUD.
- Integrated strategies can effectively address both pain and OUD.
Conclusions:
- A multidisciplinary approach is essential for managing OUD in cancer patients.
- Person-centered care, including end-of-life care, should be prioritized.
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