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Pseudo-opioid-resistant pain

G C Evers1

  • 1Centre for Health Services and Nursing Research, Faculty of Medicine, Catholic University Leuven, Belgium.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|December 24, 1997
PubMed
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This study explains pseudo-opioid-resistant pain, where pain persists despite opioid treatment. It identifies factors like poor self-care, communication issues, and incorrect medication use as key contributors.

Area of Science:

  • Pain Management
  • Pharmacology
  • Patient Care

Background:

  • Opioid therapy is a cornerstone for managing persistent pain.
  • However, some patients experience persistent pain despite adequate opioid treatment, termed pseudo-opioid-resistant pain.
  • Understanding the underlying factors is crucial for effective pain management.

Observation:

  • Pseudo-opioid-resistant pain is defined as persistent pain reported by patients or families after initiating opioid therapy.
  • This phenomenon can stem from inadequate patient or family self-care related to opioid treatment.
  • Challenges include pain communication, treatment acceptance, and correct opioid administration.

Findings:

  • Key factors contributing to pseudo-opioid-resistant pain include misconceptions, knowledge deficits, lack of motivation, and insufficient performance capabilities.

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  • These issues impact self-care, family care, communication, and adherence to opioid therapy.
  • A comprehensive explanatory model for these aetiological factors is presented.

    • Implications:

    • The developed model aids in identifying and addressing the root causes of pseudo-opioid-resistant pain.
    • It provides a framework for research into pain management strategies.
    • Clinical practice can utilize this model for improved problem detection and patient care.