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Pain Management and Substance Use Disorders
Journal article   Open access   Peer reviewed

Pain Management and Substance Use Disorders

Timothy Joseph Sowicz, Peggy Compton, Deborah Matteliano, June Oliver, Stephen Strobbe, Barbara St. Marie, Helen N. Turner and Marian Wilson
Pain management nursing, Vol.23(6), pp.691-692
12/2022
DOI: 10.1016/j.pmn.2022.08.015
PMCID: PMC9772122
PMID: 36202737
url
https://www.ncbi.nlm.nih.gov/pmc/articles/9772122View
Open Access

Abstract

The American Society for Pain Management Nursing and the International Nurses Society on Addictions hold the position that persons with co-occurring pain and substance use disorder have the right to be treated with dignity and respect, and receive evidence-based, high-quality assessment and management for both conditions using an integrated, holistic, multidimensional approach. Non-opioid and nonpharmacological approaches to pain management are recommended. Opioids should not be withheld from anyone if necessary to treat pain, and a team-based approach, including pain and addiction specialists, should be utilized when possible. Pain management should include interventions aimed at minimizing the risk for relapse or escalation of problematic substance use, and actively involve the person and their support persons in the plan of care. Institutions should establish policies and procedures that support this position statement.

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