Volume 36 of Issue 4 | General hospital psychiatry
Authors: Taylor JL, McKibben RA, DeCamp M, Chisolm MS
Skilled clinical decision making in the diagnosis and treatment of chronic pain can create unique clinical and ethical challenges, particularly when opioid medications are involved. This report presents the case of a pregnant woman who sought treatment for an illicit opioid dependence, initiated by opioid analgesic treatment of chronic pain. While recognizing opioids' high level of effectiveness for pain relief, the case demonstrates the potential harms of opioid medications for particular patients. Using a framework informed by medical ethics, the report discusses how clinicians might assess the benefits and risks of opioid treatment by careful data gathering, knowledge of the evidence base and patient-centered, shared decision making.
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The Journal of biological chemistry
Authors: Grove LM, Southern BD, Jin TH, White KE, Paruchuri S, Harel E, Wei Y, Rahaman SO, Gladson CL, Ding Q, Craik CS, Chapman HA, Olman MA
American journal of kidney diseases : the official journal of the National Kidney Foundation
Authors: Driver TH, Katz R, Ix JH, Magnani JW, Peralta CA, Parikh CR, Fried L, Newman AB, Kritchevsky SB, Sarnak MJ, Shlipak MG
International journal of nephrology
Authors: Belcher JM, Sanyal AJ, Garcia-Tsao G, Ansari N, Coca SG, Shlipak MG, Parikh CR
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Authors: Rodkjaer L, Chesney MA, Lomborg K, Ostergaard L, Laursen T, Sodemann M
The American journal of gastroenterology
Authors: Price JC, Seaberg EC, Latanich R, Budoff MJ, Kingsley LA, Palella FJ, Witt MD, Post WS, Thio CL
Annals of internal medicine
Authors: Moyer VA
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Authors: Levi ME, Kumar D, Green M, Ison MG, Kaul D, Michaels MG, Morris MI, Schwartz BS, Echenique IA, Blumberg EA, AST ID Community of Practice
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
Authors: Ellis LM, Bernstein DS, Voest EE, Berlin JD, Sargent D, Cortazar P, Garrett-Mayer E, Herbst RS, Lilenbaum RC, Sima C, Venook AP, Gonen M, Schilsky RL, Meropol NJ, Schnipper LE
Molecular and cellular biology
Authors: Jadlowsky JK, Wong JY, Graham AC, Dobrowolski C, Devor RL, Adams MD, Fujinaga K, Karn J