Prescribing opioids in primary care: avoiding perils and pitfalls.
Millions of Americans have chronic pain for which chronic opioid therapy may be warranted. In light of recent abuse of these medications, clinicians must exercise caution and develop uniform approaches to prescribing. It is possible to assess for opioid risk and safely prescribe opioids.
Kathleen Broglio is a palliative care nurse practitioner at Columbia University Medical Center, an independent consultant, pain palliative care, and adjunct faculty at Pace University, New York, N.Y. B. Eliot Cole is a director of education at Nevada Psychiatric Association, Las Vegas, Nev. and a psychiatric locum tenems.
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D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy* / Q000451:nursing*; D006801:Humans; D009722:Nurse Practitioners; D009730:Nursing Assessment; D017410:Practice Guidelines as Topic; D057184:Practice Patterns, Nurses'; D059017:Primary Care Nursing; D018570:Risk Assessment
D000701:Analgesics, Opioid