Legal aspects of the management of chronic pain.
OBJECTIVE
To review the legal provisions which control the prescription of opioid analgesics in Australia, and to summarise the areas in which practitioners who treat patients with chronic pain may expect to become involved with the legal system.


METHODS
The relevant legislation was reviewed, and a selective review was undertaken of literature dealing with the legal aspects of pain and suffering which may form a basis for personal injury claims. Case law which deals with issues of consent to treatment was also examined.


RESULTS
Statutory requirements which control the prescription of opioids were summarised. Leading cases on patient consent were discussed to clarify for the practitioner the principles which the Courts use in the assessment of the validity of the consent given by patients for treatment. The assessment of the pain patient involved in litigation was briefly discussed.


CONCLUSIONS
The prescription and administration of opioid analgesics must be in accordance with the legislative provisions. Treatment options must be discussed and explained to patients so that valid consent can be obtained. Patients' questions must be answered in full, and documentation in the clinical record is required.
Mendelson
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G
Monash University, Clayton, Vic.
Mendelson
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D
D001315:Australia; D002908:Chronic Disease; D004335:Drug and Narcotic Control / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D008318:Malpractice / Q000331:legislation & jurisprudence; D008875:Middle Aged; D009294:Narcotics / Q000009:adverse effects / Q000627:therapeutic use*; D009407:Nerve Block / Q000009:adverse effects; D010146:Pain / Q000188:drug therapy* / Q000523:psychology; D010147:Pain Measurement; D010166:Palliative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology; D013119:Spinal Cord Injuries / Q000209:etiology
D009294:Narcotics