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Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology

Opioids are commonly used in the context of oncology to treat cancer‐related pain. In the context of increased awareness of nonmedical use of opioids, including misuse and opioid use disorder among individuals with cancer, oncologists may find themselves having difficult conversations with patients...

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Detalles Bibliográficos
Autores principales: Sager, Zachary, Childers, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795161/
https://www.ncbi.nlm.nih.gov/pubmed/31152081
http://dx.doi.org/10.1634/theoncologist.2019-0277
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author Sager, Zachary
Childers, Julie
author_facet Sager, Zachary
Childers, Julie
author_sort Sager, Zachary
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description Opioids are commonly used in the context of oncology to treat cancer‐related pain. In the context of increased awareness of nonmedical use of opioids, including misuse and opioid use disorder among individuals with cancer, oncologists may find themselves having difficult conversations with patients regarding the use of opioids. We offer a review of pertinent literature and a conversation framework for providers to use, as well as key communication strategies for clinicians. Building on the therapeutic alliance between provider and patient, emphasizing the importance of nonabandonment, and using a benefit‐to‐harm framework, we hope clinicians find they are more able to navigate these challenging but important conversations with patients. IMPLICATIONS FOR PRACTICE. Providers may find it difficult and uncomfortable to discuss nonmedical use of opioids with patients. To the authors’ knowledge, no previous articles discuss ways to communicate about nonmedical use of opioids in the oncology setting. This work borrows from other specialties and offers a communication framework and key communication strategies to help clinications communicate more effectively with patients who may have an opioid use disorder or may be using their prescribed opioids for reasons other than their pain.
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spelling pubmed-67951612019-10-20 Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology Sager, Zachary Childers, Julie Oncologist Cancer Care and the Opioid Crisis Opioids are commonly used in the context of oncology to treat cancer‐related pain. In the context of increased awareness of nonmedical use of opioids, including misuse and opioid use disorder among individuals with cancer, oncologists may find themselves having difficult conversations with patients regarding the use of opioids. We offer a review of pertinent literature and a conversation framework for providers to use, as well as key communication strategies for clinicians. Building on the therapeutic alliance between provider and patient, emphasizing the importance of nonabandonment, and using a benefit‐to‐harm framework, we hope clinicians find they are more able to navigate these challenging but important conversations with patients. IMPLICATIONS FOR PRACTICE. Providers may find it difficult and uncomfortable to discuss nonmedical use of opioids with patients. To the authors’ knowledge, no previous articles discuss ways to communicate about nonmedical use of opioids in the oncology setting. This work borrows from other specialties and offers a communication framework and key communication strategies to help clinications communicate more effectively with patients who may have an opioid use disorder or may be using their prescribed opioids for reasons other than their pain. John Wiley & Sons, Inc. 2019-05-31 2019-10 /pmc/articles/PMC6795161/ /pubmed/31152081 http://dx.doi.org/10.1634/theoncologist.2019-0277 Text en © AlphaMed Press 2019
spellingShingle Cancer Care and the Opioid Crisis
Sager, Zachary
Childers, Julie
Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title_full Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title_fullStr Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title_full_unstemmed Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title_short Navigating Challenging Conversations About Nonmedical Opioid Use in the Context of Oncology
title_sort navigating challenging conversations about nonmedical opioid use in the context of oncology
topic Cancer Care and the Opioid Crisis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795161/
https://www.ncbi.nlm.nih.gov/pubmed/31152081
http://dx.doi.org/10.1634/theoncologist.2019-0277
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