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Opioid-related Transitions for Chronic Pain Management: A Concept Analysis
Lisa R Carnago1, Tolu O Oyesanya2, Paula Tanabe3
1Duke University School of Nursing, Duke School of Medicine, Division of Rheumatology and Immunology, Durham, NC.
Summary
Opioid-related transitions (OrTs) in chronic pain management involve medication and care setting changes. Enhanced support and clear communication are crucial for patients and clinicians during these critical care shifts.
Area of Science:
- Pain Management
- Pharmacology
- Healthcare Transitions
Background:
- Transitions of care for patients on opioid therapy are not well understood.
- Opioid-prescribed patients face unique challenges during care transitions.
- Understanding these transitions is vital for managing chronic pain effectively.
Purpose of the Study:
- To define opioid-related transitions (OrTs).
- To characterize the attributes, antecedents, and consequences of OrTs.
- To enhance conceptual clarity surrounding opioid management during care changes.
Main Methods:
- Utilized Rodger's evolutionary method for concept analysis.
- Conducted a comprehensive literature search in September 2024.
- Included 61 articles in the analysis.
Main Results:
- Defined OrTs as transitions involving opioid medication, care settings, or practitioners for chronic pain.
- Highlighted the need for opioid-specific information, communication, and shared decision-making.
- Identified a need for improved care coordination support for patients and clinicians during OrTs.
Conclusions:
- This analysis provides conceptual clarity on OrTs, their components, and outcomes.
- Emphasizes the importance of patient and clinician experiences in chronic pain management during transitions.
- Recommends further research on patient/clinician experiences and nurse-led interventions in OrTs.
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