Opioid Prescribing and Process Improvement Project: A Quality Improvement Initiative

Carnago, Lisa; O’Regan, Amy; Poley, Stephanie; Sheffield, Colin; Hughes, Jaime M; Knisely, Mitchell R.

doi:10.1016/j.nurpra.2023.104713

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…Opioid prescribing for patients with chronic pain has been complicated by the opioid epidemic (Keller et al, 2020) and associated opioid regulations. Opioid prescribing policies differ significantly from state to state and often within health systems (Carnago et al, 2023;Davis & Lieberman, 2021). Although the Centers for Disease Control and Prevention 2016 Guideline for Opioid Prescribing in Chronic Pain has had significant uptake in multiple settings, there have been reports of its recommendations being implemented inconsistently or inadequately for certain types of chronic pain (Coffin & Barreveld, 2022) and of misapplied dosage ceilings or abrupt tapering that could harm patients (Dowell et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology practice

Carnago,

Knisely,

Malek

2024

J Am Assoc Nurse Pract

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Dilemmas regarding opioid prescribing for chronic pain frequently occur within health care settings. The ethical principles of autonomy, beneficence, nonmaleficence, and justice, as well as the principles of care ethics, can assist in addressing these opioid-related dilemmas. The purpose of this clinical case study is to provide a case study highlighting an opioid prescribing dilemma and then identify opioid-related transition considerations; address ethical questions that nurse practitioners (NPs) may encounter in clinical practice when providing care for individuals living with chronic pain who may need or use a prescribed opioid medication; and draw on the ethical principles and care ethics to provide guidance for NPs who face these challenging issues.

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