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首页> 外文期刊>Experimental and clinical psychopharmacology >The interface between pain and drug abuse and the evolution of strategies to optimize pain management while minimizing drug abuse.
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The interface between pain and drug abuse and the evolution of strategies to optimize pain management while minimizing drug abuse.

机译：疼痛与药物滥用之间的关系，以及在最小化药物滥用的同时优化疼痛管理策略的演变。

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Pain management is facing continued undertreatment of pain despite a growing problem with prescription opioid abuse. This has created a tension among prescribers and feelings of helplessness with regards to what constitutes appropriate practice. This article provides a review of pain management efforts and focuses on two key areas of potential interest. First, the emergence of prescreening tools for identifying appropriate candidates for opioid therapy are introduced and discussed, including the Opioid Risk Tool (ORT), the Screener and Opioid Assessment for Patients with Pain (SOAPP), and the Pain Assessment and Documentation Tool (PADT). In addition to these screening efforts, a novel concept of "in and out of the box" prescribing is presented, focusing on five areas of concern for judging whether one's prescribing patterns are matching peer prescribing patterns. While more work needs to be done, the discussion of these areas should offer some questions for self analysis by physicians regarding their prescribing patterns. Overall, the authors must embrace the concept of rational pain management and assess patients for risk both before writing the first opioid prescription for them and thereafter. In addition, we must remember that good pain management should lead to some decreases in pain perception for the patient combined with a corresponding increase in ability to function. By reviewing these tools and proposed novel guidelines for in/out of the box prescribing and adopting them into practice as appropriate, the physician will take a significant step in providing effective pain management while minimizing risk of opioid misuse. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
机译：尽管处方阿片类药物滥用问题日渐严重，但疼痛管理仍面临持续的疼痛治疗不足。在什么构成适当的做法方面，这给开处方者带来了紧张感和无助感。本文提供了疼痛管理工作的综述，重点介绍了潜在的两个关键领域。首先，介绍并讨论了用于确定合适的阿片类药物候选药物的预筛查工具的出现，其中包括阿片类药物风险工具（ORT），疼痛患者的筛查和阿片类药物评估（SOAPP）以及疼痛评估和文献记录工具（PADT） ）。除了这些筛选工作外，还提出了“开箱即用”处方的新颖概念，重点关注五个方面的问题，即判断一个人的处方模式是否与同龄人的处方模式匹配。尽管还需要做更多的工作，但是对这些领域的讨论应该为医生提供有关其处方方式的自我分析问题。总的来说，作者必须接受合理的疼痛管理的概念，并在为患者开出第一个阿片类药物处方之前和之后对患者进行风险评估。此外，我们必须记住，良好的疼痛管理应使患者的疼痛知觉有所降低，同时相应地增加其功能能力。通过审查这些工具并提出开箱即用处方的新颖指导原则，并酌情采用它们，医生将在提供有效的疼痛管理的同时，将阿片类药物滥用的风险降至最低，迈出了重要的一步。 （PsycINFO数据库记录（c）2008 APA，保留所有权利）。

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