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Papers of the Week

Papers: 24 Aug 2019 - 30 Aug 2019

2019 Sep

Ann Palliat Med



Early palliative care and the opioid crisis: ten pragmatic steps towards a more rational use of opioids.


Gaertner J, Boehlke C, Simone CB, Hui D
Ann Palliat Med. 2019 Sep; 8(4):490-497.
PMID: 31431028.


In palliative care, opioids and other controlled drugs are among the most commonly used and important medications. Opioids are associated with significant risk of dependence and misuse. In many developed countries, there is an epidemic of prescription opioid misuse and overdose deaths. Palliative care has a critical role educating patients about the safe use of opioids, providing universal screening and close monitoring, and prescribing opioids appropriately balancing the risks and benefits. This is particularly important in the era of early palliative care, when patients have much longer survival and potentially greater risk of misuse while on chronic opioid therapy. Here, we provided a critical appraisal of opioid use in the context of opioid crisis and early palliative care. We also present a pragmatic 10-step approach for the judicious use of opioids.