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Avoiding Opioid Abuse While Managing Pain: A Guide for Practitioners

by Lynn R. Webster, MD, and Beth Dove

Prescription opioids are dangerous in the hands of drug abusers, but they are also beneficial or even lifesaving for millions of people who otherwise would live with chronic pain. Clinicians who prescribe opioids are often caught between their professional obligation to relieve suffering and their desire to avoid contributing to the nonmedical consumption of controlled substances.

Primary care physicians, nurse practitioners and other first-contact clinicians are uniquely positioned to make a difference at the beginning of medical treatment. Research indicates that a patient with chronic pain or a substance- use disorder is far more likely to seek treatment from a family doctor than from a specialist. That reality creates an opportunity for front-line clinicians to maximize the chances for success when patients begin opioid therapy.

This book was written to help all interested parties (eg, clinicians who treat pain, drug and medical-practice regulators, law-enforcement authorities and pharmacists) to sort out the clinical, regulatory, and ethical issues associated with the prescribing of opioid analgesics and to reduce the risk of medication misuse, abuse, and diversion. The information presented here is based on the work of numerous experts in the fields of pain management and addiction medicine. If knowledge is power, then this information is intended to instill the power and confidence needed for clinicians to safely treat their patients’ pain and restore their dignity and lost quality of life.

"Chronic pain is a growing problem and yet in many cases goes undertreated due to fear and a lack of training, and knowledge from those in the trenches treating such patients. This book fills in those gaps of education and training and provides the practitioner with the know-how and confidence needed to tackle the abuse and diversion associated with prescribing opioids and ensure that the same medications are available for the patients who greatly benefit from them."

-- E. Hall, review on Amazon.com

"On one's own, it could take weeks to access and read the many documents consulted for this book or, much better, one can invest several hours studying the 8 chapters in which Webster and Dove have already done the hard work of assembling the best resources available and interpreting them in a concise and, most important, useful fashion."

-- Pain Treatment Topics review

". . . A very timely topic, of considerable interest not only to pain medicine specialists but of great clinical relevance to primary care physicians engaged in the treatment of patients suffering from persistent pain conditions."

-- Medscape review

6 x 9", 208 pgs. Sftbd. ISBN 9780962481482. Item # SRP148.

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ID #: SRP148
Price: $24.95
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