Knowing How to Play the Game: Hospitalized Substance Abusers’ Strategies for Obtaining Pain Relief

Morgan, Betty D.

doi:10.1016/j.pmn.2005.12.003

Cited by 34 publications

(52 citation statements)

References 49 publications

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“…utilfredsstillende smertelindring til pasienter i sykehus er imidlertid godt dokumentert (7), noe som forsterkes når pasienten har eller har hatt et rusmisbruk (11,8). det er også vist at smertelindring til opioidavhengige er suboptimal eller ikke-eksisterende (6,9).…”

Section: Introduksjonunclassified

“…det er også vist at smertelindring til opioidavhengige er suboptimal eller ikke-eksisterende (6,9). mangelfulle kunnskaper om hvordan opioidavhengighet påvirker smertebehandling har vist seg å vaere en vesentlig årsak til utilstrekkelig smertelindring (8,10,7). i tillegg til at opioidavhengige pasienter gis utilfredsstillende smertebehandling, blir de også stigmatisert og smertene blir underdiagnostisert (31,12,13).…”

Section: Introduksjonunclassified

“…Opioidavhengige pasienter har derimot ofte dårlig erfaring med smertelindring og abstinensbehandling på sykehus, og kan ha en forventning om å bli stigmatisert og mistrodd (5, 6,8,20). Både akutt og langvarig smerte er en kompleks sensorisk og følelses-messig opplevelse som ikke bare må vurderes ut fra biologiske faktorer, men også ut fra psykologiske, sosiale og kulturelle faktorer.…”

Section: Introduksjonunclassified

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Smertebehandling av rusmisbrukere innlagt i sykehus

Andenæs

Undall³

et al. 2012

Sykepleien

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Section: Introduksjonunclassified

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Smertebehandling av rusmisbrukere innlagt i sykehus

Andenæs

Undall³

et al. 2012

Sykepleien

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“…The fact of drug user patients or suspected of use receiving fewer analgesics is common sense and has been cited by several authors (17)(18)(19) . However, in the present study, this fact proved to be unfounded.…”

Section: Discussionmentioning

confidence: 99%

“…The characteristic behavior of drug user patients, with repetitive and insistent requests and manifestations of anxiety and irritability may also influence the decision to give or not the analgesic 'if necessary' (5,18,20) , since such behavior is difficult to manage.…”

Section: Discussionmentioning

confidence: 99%

Opioid analgesic administration in patients with suspected drug use

Kreling

Pimenta

2017

Rev. Bras. Enferm.

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Objective: To identify the prevalence of patients suspected of drug use according to the nursing professionals' judgement, and compare the behavior of these professionals in opioid administration when there is or there is no suspicion that patient is a drug user. Method: A cross-sectional study with 507 patients and 199 nursing professionals responsible for administering drugs to these patients. The Chi-Square test, Fisher's Exact and a signifi cance level of 5% were used for the analyzes. Results: The prevalence of suspected patients was 6.7%. The prevalence ratio of administration of opioid analgesics 'if necessary' is twice higher among patients suspected of drug use compared to patients not suspected of drug use (p = 0.037). Conclusion: The prevalence of patients suspected of drug use was similar to that of studies performed in emergency departments. Patients suspected of drug use receive more opioids than patients not suspected of drug use. Descriptors: Opioid Analgesics; Drug Abuse; Nursing; Pain; Patients. RESUMO Objetivo: Identifi car a prevalência de pacientes com suspeita de uso de drogas conforme opinião de profi ssionais de enfermagem e comparar a conduta desses profi ssionais na administração de opioides quando há ou não suspeita de que o paciente seja usuário de drogas. Método: Estudo transversal com 507 pacientes e 199 profi ssionais de enfermagem responsáveis pela administração de medicamentos a esses pacientes. Para as análises foram utilizados os testes de Qui-Quadrado, Exato de Fisher e um nível de signifi cância de 5%. Resultados: A prevalência de pacientes suspeitos foi 6,7%. A razão de prevalência de administração de analgésicos opioides "se necessário" é duas vezes maior entre os pacientes suspeitos em relação aos não suspeitos (p=0,037). Conclusão: A prevalência de suspeitos foi semelhante à de estudos realizados em departamentos de emergência. Os suspeitos de serem usuários de drogas recebem mais opioides do que os não suspeitos. Descritores: Analgésico Opióide; Abuso de Drogas; Enfermagem; Dor; Pacientes. RESUMEN Objetivo: Identifi car la prevalencia de pacientes con sospecha de uso de drogas de acuerdo con la opinión de los profesionales de enfermería y comparar el comportamiento de estos profesionales en la administración de opioides cuando hay o no hay sospecha de que el paciente sea un consumidor de drogas. Método: Estudio transversal con 507 pacientes y 199 enfermeras responsables de la administración de medicamentos a estos pacientes. Para el análisis se utilizó la prueba de Chi-cuadrado, la prueba exacta de Fisher y un nivel de signifi cación del 5%. Resultados: La prevalencia de pacientes con sospecha de uso de drogas fue del 6,7%. La razón de prevalencia de la administración de analgésicos opioides 'si es necesario' es dos veces mayor entre los pacientes con sospecha de uso de drogas en comparación a las personas sin sospecha de uso de drogas (p = 0,037). Conclusión: La prevalencia de los sospechosos fue similar a los estudios llevados a cabo en los servicios de urgenc...

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Problematizing Pain: Medical, Social and Commercial Approaches to Pain

Dertadian

2018

A Fine Line

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Knowing How to Play the Game: Hospitalized Substance Abusers’ Strategies for Obtaining Pain Relief

Cited by 34 publications

References 49 publications

Smertebehandling av rusmisbrukere innlagt i sykehus

Smertebehandling av rusmisbrukere innlagt i sykehus

Opioid analgesic administration in patients with suspected drug use

Problematizing Pain: Medical, Social and Commercial Approaches to Pain

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