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Avoiding Opioid Abuse While Managing Pain
A Guide for Practitioners


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.

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Sample pages in PDF
Table of contents
Introduction
Foreword
Sample Pages 69-70
Press Release
Book Information



A much-needed and long overdue guide for clinicians who prescribe opioids, written by leading pain expert Lynn R. Webster, MD, and Beth Dove of Lifetree Pain Clinic.

Sorts out the clinical, regulatory, and ethical issues associated with the prescribing of opioid analgesics.

Includes step-by-step protocols for assessing patients for the risk of opioid abuse as well as for legally protecting the opioid prescriber.




About the Authors

Lynn Webster, MD, lectures widely on the subject of preventing opioid abuse and criminal diversion in chronic pain patients. Dr.Webster is board certified in anesthesiology and pain management and is certified in addiction medicine. In his private practice, he treats chronic pain patients, many of whom have complex diagnoses. He also treats opioid-addicted patients.

Medical writer and researcher Beth Dove works full time with Dr. Webster. Her technical writing has appeared in Pain Medicine, the Journal of Opioid Management, Practical Pain Management and many other publications and textbook chapters.




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© Copyright Lifetree Pain Clinic 2006

 

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