D E Joranson1, A M Gilson. 1. Pain and Policy Studies Group, University of Wisconsin Comprehensive Cancer Center, Madison 53705, USA.
Abstract
OBJECTIVES: To provide an overview of relevant federal and state policies, as well as recommendations for identifying and addressing barriers to the treatment of cancer and non-cancer pain. DATA SOURCES: Review of federal and state statutes and medical board guidelines. CONCLUSIONS: There has been an increase in pain-related policies since the mid 1980s, with recent years showing a significant amount of policy development and adoption. However, a variety of laws and policies contain provisions that have the potential to discourage the use of opioid analgesics for the relief of pain. IMPLICATIONS FOR NURSING PRACTICE: The evaluation and treatment of patients with cancer and non-cancer pain can be enhanced by a knowledge of the specific restrictions of controlled substances statutes and practice guidelines. In this way, there will be less chance for nurses to practice outside established legal parameters.
OBJECTIVES: To provide an overview of relevant federal and state policies, as well as recommendations for identifying and addressing barriers to the treatment of cancer and non-cancer pain. DATA SOURCES: Review of federal and state statutes and medical board guidelines. CONCLUSIONS: There has been an increase in pain-related policies since the mid 1980s, with recent years showing a significant amount of policy development and adoption. However, a variety of laws and policies contain provisions that have the potential to discourage the use of opioid analgesics for the relief of pain. IMPLICATIONS FOR NURSING PRACTICE: The evaluation and treatment of patients with cancer and non-cancer pain can be enhanced by a knowledge of the specific restrictions of controlled substances statutes and practice guidelines. In this way, there will be less chance for nurses to practice outside established legal parameters.
Authors: Zaina P Qureshi; M Rifat Haider; Rosa Rodriguez-Monguio; Nikki R Wooten; Ruslan V Nikitin; Sarah Ball; Kelly Barth; Ronit Elk; Ronnie Horner; Charles Bennett Journal: Cancer Ther Oncol Int J Date: 2017-02-22