Undertreatment of Medical Inpatients With Narcotic Analgesics

Marks, Richard D.; Sachar, Edward J.

doi:10.1097/00132586-197312000-00017

Cited by 172 publications

(237 citation statements)

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“…Inadequate post-operative pain management has been reported for over 30 years in the UK (Marks & Sachar 1973;Fagerhaugh & Strauss 1977;Svensson et al 2000), with similar findings in Hong Kong (Chung & Lui 2003), Australia and Canada (VanDenKerkhof & Goldstein 2004) to name only a few. Specialist nurses working in hospital environments understand the complexity of the barriers to patients obtaining excellent pain relief.…”

Section: Improving the Patients' Pain Relief In Hospitalmentioning

confidence: 78%

Nurse Prescribing in Acute and Chronic Pain Management

Towell¹,

Christensen

2010

Advancing Nursing Practice in Pain Management

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Section: Improving the Patients' Pain Relief In Hospitalmentioning

confidence: 78%

Nurse Prescribing in Acute and Chronic Pain Management

Towell¹,

Christensen

2010

Advancing Nursing Practice in Pain Management

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“…Pain has been shown to lower functional effectiveness, decrease immune function, and delay recovery from injury and surgery [4,[42][43][44][45][46]. The need for effective analgesia is undeniable.…”

Section: Analgesic Efficacymentioning

confidence: 99%

Pain, psychologic status, and functional recovery among patients on daily opioids

Harden

1999

Current Review of Pain

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“…Fear of addiction or "opiophobia" is cited as one of the commonest reasons for poor management of cancer pain. Even though the incidence of opioid addiction in patients with pain is thought to be less than 1%, a great many studies have shown that health care professionals are unaware of this fact and are prey to exaggerated fears about the possibility of their patients becoming addicted [11,25,26]. Moreover, this fear can be exacerbated when patients come from an area where drug misuse is a common problem [1].…”

Section: Myths and Misconceptions About Opioidsmentioning

confidence: 99%

Organizational barriers in opioid use

Redmond

1997

Support Care Cancer

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Despite the fact that we have both the means and the knowledge to ameliorate most forms of pain effectively, a significant number of cancer patients still experience unacceptable levels of pain. This paper sets out to explore the nature of the various organizational barriers to effective pain management. There is ample evidence to demonstrate that both physicians and nurses lack knowledge regarding modern methods of pain control. This situation not only results in poor clinical decision making, but has also spawned a number of extraordinary myths and misconceptions about the use of opioids. Such myths and misconceptions often result in significant undermedication of the patient's pain. Problems can also exist with continuity of care--the patient may be seen by a number of different physicians across a number of different health care settings where no one person is willing to take responsibility for the overall management of the patient's pain. Further fragmentation can occur due to lack of communication between the hospital and the community care setting. This problem can be compounded by incomplete and inconsistent documentation of pain. An important and often overlooked problem relating to opioid use is the existence of bureaucratic regulations governing the supply, prescription and administration of opioids in many countries world wide. There appears to be a real fear that liberalizing many of these regulations will result in an increase in illicit drug use. This paper will conclude with a discussion on ways in which the above-mentioned organizational barriers can be overcome.

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Undertreatment of Medical Inpatients With Narcotic Analgesics

Cited by 172 publications

References 0 publications

Nurse Prescribing in Acute and Chronic Pain Management

Nurse Prescribing in Acute and Chronic Pain Management

Pain, psychologic status, and functional recovery among patients on daily opioids

Organizational barriers in opioid use

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