The Journal for Nurse Practitioners
Volume 4, Issue 8 , Pages 604-609 , September 2008

Walking the Tightrope: Chronic Pain and Substance Abuse

  • Donna G. Benedict

      Affiliations

    • Donna G. Benedict, MSN, NP, was a nurse clinician at the Center for Pain Management at Allegiance Health for 10 years and has recently joined the Diabetes Center at Allegiance Health in Jackson, MI.

References 

  1. Drug Enforcement Agency  . Promoting Pain Relief and Preventing Abuse of Pain Medications: A Critical Balancing Act. Joint Statement of DEA and 21 Health Organizations . Available at: www.aacpi.org/regulatory/consensus.pdf 2001; Accessed January 23, 2008.
  2. Federation of State Medical Boards of the United States (FSMB)  . May 2004. Model Policy for the use of Controlled Substances for the Treatment of Pain . Available at: www.fsmb.org/pdf/2004_grpol_Controlled_Substances.pdf Accessed January 23, 2008;
  3. Shurman J , Sack J , Shurman G , et al.   Share the risk model . Pract Pain Manage . 2006;6(5):10–18
  4. Stacey BR . Management of peripheral neuropathic pain . Am J Phys Med Rehabil . 2005;84(Suppl 3):S4–S16
  5. Jackson KC . Pharmacotherapy for neuropathic pain . Pain Pract . 2006;6(1):27–33
  6. Katz NP , Adams EH , et al.   Challenges in the development of prescription opioid abuse-deterrent formulations . Clin J Pain . 2007;31:648–660 8,
  7. Portenoy RD , Payn R . Acute and chronic pain . In:  Lowinson JH ,  Ruiz P ,  Millman RB editor. Comprehensive textbook of substance abuse . 3rd ed.. Baltimore: Williams and Wilkins; 1997;p. 564; Table 57
  8. Gourlay D , Heit H . Universal precautions in pain medicine: the treatment of chronic pain with or without the disease of addiction . Medscape Neurol Neurosurg . 2005;7(1): Posted April 28, 2005.
  9. Brown RL , et al.   A two-item conjoint screen for alcohol and other drug problems . J Am Board Fam Physicians . 2001;14(2):95–104
  10. Sleepiness Scale . Available at: www.cdha.nshealth.ca/sleeplab/epworthSleepinessScale.pdf Accessed November 2007.
  11. Compton P . The role of urine toxicology in chronic opioid analgesic therapy . Pain Manage Nurs . 2007;8(4):166–172
  12. Reisfield G , et al.   Opiates and opioids: what a difference a name makes . J Opioid Manage . 2007;3(4):179–180

 In compliance with national ethical guidelines, the author reports no relationships with business or industry that would pose a conflict of interest.

PII: S1555-4155(08)00246-8

doi: 10.1016/j.nurpra.2008.04.018

The Journal for Nurse Practitioners
Volume 4, Issue 8 , Pages 604-609 , September 2008