title: Pain Management in the Individual with Serious Illness and Comorbid Substance Use Disorder.
abstract: Pain is a common occurrence in individuals with serious illnesses. Effective pain management can be complicated when the individual has a comorbid substance use disorder. Comprehensive pain assessment includes opioid risk screening to provide safe and effective pain management. An appropriate, safe treatment plan includes the use of "universal precautions" commonly used in managing chronic pain.
authors: Visiting Nurse Service of New York, Hospice and Palliative Care, 1250 Broadway, 7th Floor, New York, NY 10001, USA.
authors: Anne F
authors: AF
authors: Walsh
authors: Section of Palliative Medicine, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA. Electronic address: kathleen.broglio@me.com.
authors: Kathleen
authors: K
authors: Broglio
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D059350:Chronic Pain / Q000175:diagnosis* / Q000188:drug therapy*; D015897:Comorbidity; D006801:Humans; D004091:Hydromorphone / Q000627:therapeutic use*; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000150:complications*; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement / Q000379:methods; D014481:United States
chemical_list: D000701:Analgesics, Opioid; D004091:Hydromorphone
keywords: Advanced disease; Drug addiction; Hospice; Pain management; Palliative care; Serious illness; Substance use disorder