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Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology
Lisa Carnago1,2, Mitchell R Knisely2, Janet Malek3,4
1Division of Rheumatology & Immunology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Abstract:
Dilemmas regarding opioid prescribing for chronic pain frequently occur within health care settings. The ethical principles of autonomy, beneficence, nonmaleficence, and justice, as well as the principles of care ethics, can assist in addressing these opioid-related dilemmas. The purpose of this clinical case study is to provide a case study highlighting an opioid prescribing dilemma and then identify opioid-related transition considerations; address ethical questions that nurse practitioners (NPs) may encounter in clinical practice when providing care for individuals living with chronic pain who may need or use a prescribed opioid medication; and draw on the ethical principles and care ethics to provide guidance for NPs who face these challenging issues.
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Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

