Opioid addiction and misuse in adult and adolescent patients with cancer.

摘要: In the context of a therapeutic opioid epidemic, particularly in USA, where increasingly stringent screening for 'at risk' individuals and close monitoring prescription use is strongly recommended, issue misuse within cancer population must be addressed. Most patients with advanced will have pain requiring therapy at some stage during their disease course. majority, this provide good relief no short- or longer-term adverse sequelae. A subset present substance issues that influence management prescribing practice. The potential ethical limiting effective analgesia on basis addiction risk history acknowledged. Both judgemental 'relaxed' approach to such problematic. Ignoring situation not patient's best interest, but an undue focus aspect may damage relationships clinicians adversely affect holistic care. Clinical practitioners aware factors who are under palliative care consider prior commencing opioids. Clinicians able manage monitor those identified as having problem.