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Chemical abuse and pain management

B St Marie1

  • 1Department of Internal Medicine at Park Nicollet Medical Center in Minneapolis, USA.

Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
|September 1, 1996
PubMed
Summary

Nurses require guidance on pain management for patients with chemical dependence. These patients often need higher narcotic doses for effective postoperative pain control due to tolerance.

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Area of Science:

  • Nursing
  • Pharmacology
  • Pain Management

Background:

  • Chemical dependence and related terms like addiction and tolerance are defined.
  • Clinical observations indicate that chemically dependent patients require increased narcotic analgesia.
  • Existing literature offers theoretical frameworks for understanding these clinical findings.

Purpose of the Study:

  • To provide nurses with enhanced direction for modifying pain management strategies.
  • To address the specific needs of individuals with current chemical abuse.
  • To establish a foundational understanding of terms relevant to pain management in this population.

Main Methods:

  • Literature review to explore theories behind observed clinical phenomena.
  • Definition of key terms related to chemical dependence and tolerance.
  • Clinical practice guidelines for nurses.

Main Results:

  • Chemically dependent patients demonstrate a higher requirement for narcotic analgesia.
  • Tolerance and cross-tolerance significantly impact pain management efficacy.
  • Understanding theoretical underpinnings is crucial for effective clinical practice.

Conclusions:

  • Nurses must adapt pain management plans for patients with chemical dependence.
  • Increased narcotic dosages are often necessary for adequate pain relief.
  • A clear understanding of dependence and tolerance is essential for safe and effective patient care.

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