The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain
Abstract
The heightened interest in pain management is making the need for appropriate boundary setting within the clinician-patient relationship even more apparent. Unfortunately, it is impossible to determine before hand, with any degree of certainty, who will become problematic users of prescription medications. With this in mind, a parallel is drawn between the chronic pain management paradigm and our past experience with problems identifying the "at-risk" individuals from an infectious disease model. By recognizing the need to carefully assess all patients, in a biopsychosocial model, including past and present aberrant behaviors when they exist, and by applying careful and reasonably set limits in the clinician-patient relationship, it is possible to triage chronic pain patients into three categories according to risk. This article describes a "universal precautions" approach to the assessment and ongoing management of the chronic pain patient and offers a triage scheme for estimating risk that includes recommendations for management and referral. By taking a thorough and respectful approach to patient assessment and management within chronic pain treatment, stigma can be reduced, patient care improved, and overall risk contained.
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Cites
Drug Addiction, Dysregulation of Reward, and Allostasis
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Long-term opioid therapy: Assessment of consequences and risks
Savage, S. R. (1996) · Journal of Pain and Symptom Management · doi:10.1016/0885-3924(95)00202-2 · Cited by 176
Cited by
Pharmacological Management of Persistent Pain in Older Persons
(2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00699.x · Cited by 916
Interdisciplinary chronic pain management: Past, present, and future.
Gatchel, R. J., McGeary, D. D., McGeary, C. A., & Lippe, B. (2014) · American Psychologist · doi:10.1037/a0035514 · Cited by 856
Societal costs of prescription opioid abuse, dependence, and misuse in the United States
Birnbaum, H. G., White, A. G., Schiller, M., Waldman, T., Cleveland, J. M., & Roland, C. L. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01075.x · Cited by 644
Starrels, J. L., Becker, W. C., Alford, D. P., Kapoor, A., Williams, A. R., & Turner, B. J. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-152-11-201006010-00004 · Cited by 305
Opioid Guidelines in the Management of Chronic Non-Cancer Pain
Manchikanti, L. (2006) · Pain Physician · doi:10.36076/ppj.2006/9/2 · Cited by 277
Metadata
- Authors
- Gourlay, D. L., Heit, H. A., & Almahrezi, A.
- Venue
- Pain Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-03
- Volume
- 6
- Issue
- 2
- Pages
- 107-112
- ISSN
- 1526-2375 (ISSN-L)
- 1526-4637
- OpenAlex
- W2044783221
- Cited by
- 523
- References
- 4
- FWCI
- 17.14
- Type
- journal article
- Language
- en
- Open access
- closed
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- Gourlay, D. L., Heit, H. A., & Almahrezi, A. (2005). Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain. Pain Medicine. https://doi.org/10.1111/j.1526-4637.2005.05031.x
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
