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Discharging the Non-compliant Pain Patient

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Pain Management and Palliative Care
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Abstract

This chapter will focus on how to address a patient who is non-compliant with the practice guidelines for safe opioid analgesic use and when/how to properly discharge them from the practice if necessary. Please keep in mind that practice guidelines cannot anticipate each individual patient’s situation and must be adapted to the individual situation using the clinician’s judgment.

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Abbreviations

GC/MS:

Gas chromatography/mass spectroscopy

References

  1. Webster L, Dove B. Avoiding opioid abuse: while managing pain. North Branch: Sunrise River Press; 2007. p. 21–50.

    Google Scholar 

  2. Manchikanti L, Trescot AM, Christo PJ, Falco FJE. Pain medicine & interventional pan management clinical aspects: pain relief in substance abusers. Paducah: American Society of Interventional Pain Physicians; 2011.

    Google Scholar 

  3. Owen GT, Burton AW, Schade CM, Passik S. Urine drug testing: current recommendations and best practices. Pain Physician. 2012;15:ES119–33.

    PubMed  Google Scholar 

  4. Katz N, Fanciullo GJ. Role of urine toxicology testing in the management of chronic opioid therapy. Clin J Pain. 2002;18:S76–82.

    Article  PubMed  Google Scholar 

  5. Foltz RL, Fentiman AF, Foltz RB. GC/MS assays for abused drugs in body fluids. NIDA Res Monogr. 1980;32:1–198.

    CAS  PubMed  Google Scholar 

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Correspondence to Anjuli Desai M.D. .

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Appendices

Appendix 1: Sample opioid contract. © Kimberly Sackheim 2015. All Rights Reserved

figure a

Appendix 2: Sample discharge letter. © Kimberly Sackheim 2015. All Rights Reserved

figure b

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Desai, A. (2015). Discharging the Non-compliant Pain Patient. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_9

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2461-5

  • Online ISBN: 978-1-4939-2462-2

  • eBook Packages: MedicineMedicine (R0)

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