Opioids in Cancer Pain: Right or Privilege? | Zendy

Leanne K. Jackson | Zendy; Syed N. Imam | Zendy; Ursula K. Braun | Zendy

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Opioids in Cancer Pain: Right or Privilege?

Author(s) -

Leanne K. Jackson,

Syed N. Imam,

Ursula K. Braun

Publication year - 2017

Publication title -

journal of oncology practice

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.555

H-Index - 60

eISSN - 1935-469X

pISSN - 1554-7477

DOI - 10.1200/jop.2016.019216

Subject(s) - medicine , palliative care , cancer pain , psychiatry , substance abuse , medical prescription , cancer , privilege (computing) , opioid , opioid related disorders , health care , cancer treatment , intensive care medicine , family medicine , nursing , opioid epidemic , receptor , computer security , computer science , economics , economic growth

Opioid analgesia is a mainstay of the treatment of cancer pain. Treatment of pain in patients with cancer with an ongoing substance abuse disorder can be difficult. We report the ethical challenges of treating a patient with cancer with a concomitant substance abuse disorder in an outpatient palliative care setting. We present an analysis of ethical considerations for the palliative care physician and strategies to aid in the successful treatment of such patients. We argue that there are select patients with cancer for whom exclusion from treatment with opioid therapy is warranted if their health is endangered by prescription of these medications.

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