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首页> 外文期刊>Pain practice: the official journal of World Institute of Pain >Who Will Prescribe? A Proposal for Specialized Opioid Management Clinics
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Who Will Prescribe? A Proposal for Specialized Opioid Management Clinics

机译：谁会开?阿片类药物管理诊所

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摘要

There is currently no uniform system of providing care for patients with chronic nonmalignant pain who require ongoing opioid maintenance therapy. Some patients receive care in a general practice setting, while others are managed in pain clinics where opioid management is only one of many services provided. Current events involving increased abuse and diversion of opioid medications suggest the need for improved case management and coordination when opioids are used for chronic nonmalignant pain. Based on the model of anticoagulation clinics, the author proposes the development of specialized opioid management clinics. These clinics would: 1) evaluate patient-specific risks and benefits of therapy; 2) supervise the mechanics of opioid prescribing; 3) provide systematic and secure monitoring of patient adherence to therapy; 4) assess goals of therapy and progress towards them; 5) coordinate opioid treatment with other pain-related treatment; 6) supply education to patients, family members and caregivers about the appropriate use of opioids; 7) maintain communication with other caregivers and pharmacists; and 8) provide regular psychological assistance and support for patients.
机译：目前还没有统一的系统提供照顾患者慢性良性的疼痛他们需要持续的阿片类药物维持治疗。一些患者接受护理的惯例设置,而另一些则在疼痛诊所管理阿片类药物管理的只有一个在哪里提供的服务。增加阿片类药物的滥用和转移药物治疗建议需要改进的情况当使用阿片类药物管理和协调慢性良性的痛苦。抗凝治疗的诊所,作者提出了专门的阿片类药物管理的发展诊所。针对病人的治疗的风险和益处;2)监督机制的阿片类药物处方;3)提供系统和安全监控患者坚持治疗;治疗和进展;阿片类药物治疗和其他疼痛治疗;家庭成员和护理人员适当使用阿片类药物;与其他照顾者和沟通药剂师;援助和支持的病人。

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