Open AccessAberrant Drug‐Related Behaviors: A Qualitative Analysis of Medical Record Documentation in Patients Referred to an HIV /Chronic Pain Clinic
Author(s) -
Merlin Jessica S.,
Turan Janet M.,
Herbey Ivan,
Westfall Andrew O.,
Starrels Joanna L.,
Kertesz Stefan G.,
Saag Michael S.,
Ritchie Christine S.
Publication year - 2014
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/pme.12533
Subject(s) - documentation , medicine , chronic pain , addiction , opioid , medical record , drug , pain medicine , human immunodeficiency virus (hiv) , family medicine , psychiatry , anesthesiology , computer science , programming language , receptor
Background Due to rising rates of opioid addiction and overdose among individuals on chronic opioid therapy, aberrant drug‐related behaviors ( ADRBs ) are an important and challenging issue. Our objective was to qualitatively investigate the documentation of ADRBs in the medical record. Methods Manually abstracted provider notes from an HIV primary care clinic were analyzed using content analysis methods. Results Categories of ADRBs identified included patients requesting opioids, obtaining nonprescribed opioids, and becoming emotional about opioids. We also identified several types of provider language used when documenting ADRBs , including purely descriptive language and emotional language such as labeling, frustration, and concern, and responses such as setting conditions for opioid prescription and action‐oriented language. Conclusions The impact of including emotional language in the medical record is unknown. Development of instruments that can be used to facilitate ADRB documentation, as well as evidence‐based approaches to addressing ADRBs , is needed.