Journal article
Patient Perspectives on Opioids: Views of Inpatient Veterans with Chronic Pain
Pain medicine (Malden, Mass.), Vol.20(6), pp.1141-1147
06/01/2019
DOI: 10.1093/pm/pny136
PMID: 30020506
Abstract
To elucidate perspectives on opioids and opioid use from hospitalized veterans with comorbid chronic pain using qualitative methods.
This was an analysis of individual qualitative interviews. The semistructured interview guide was developed by a hospitalist with clinical expertise in pain treatment with guidance from a medical anthropologist. Interviews aimed to understand participants' experiences of chronic pain.
A Midwestern Veterans Health Administration inpatient hospital unit.
Nineteen inpatient veterans with a history of chronic pain or antecedent opioid use.
Recently admitted veterans were screened for chronic pain diagnosis on admission and antecedent opioid use. Eligible veterans were approached to participate in an in-person interview during their hospitalization.
The following themes were identified in relation to opioid use: other patients as the problem (by misusing opioids resulting in broad limits to opioid access), empathy for providers (perceived to be working under prescribing constraints), and opioids as a last resort.
Although participants were not specifically questioned about opioid medications, discussion of opioids was prevalent in discussions of chronic pain. Findings suggest the potential utility of engaging hospitalized veterans in conversations about opioids and alternative pain management strategies.
Details
- Title: Subtitle
- Patient Perspectives on Opioids: Views of Inpatient Veterans with Chronic Pain
- Creators
- Katherine Hadlandsmyth - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IowaKenda R Stewart - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IowaMonica B Paez - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IowaMelissa Steffen - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IowaMolly Meth - Department of Psychiatry and Human Behavior, Brown Alpert Medical School, Providence, Rhode IslandHeather Schacht Reisinger - Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USAHilary J Mosher - Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Pain medicine (Malden, Mass.), Vol.20(6), pp.1141-1147
- Publisher
- England
- DOI
- 10.1093/pm/pny136
- PMID
- 30020506
- ISSN
- 1526-2375
- eISSN
- 1526-4637
- Grant note
- name: Rural Health Resource Center; DOI: 10.13039/100000738, name: Department of Veterans Affairs
- Language
- English
- Date published
- 06/01/2019
- Academic Unit
- Psychiatry; Center for Social Science Innovation; Anesthesia; Internal Medicine
- Record Identifier
- 9984007159402771
Metrics
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