Essays on Neuropathic Pain

Ray WA, Chung CP, Murray KT, Hall K, Stein C. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain Wayne A. Ray, PhD1; Cecilia P. Chung, MD, MPH2; Katherine T. Murray, MD2,3; Kathi Hall, BS1; C. Michael Stein, MB, ChB2,3 [+] Author Affiliations JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

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Abstract ABSTRACT | INTRODUCTION | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES Importance  Long-acting opioids increase the risk of unintentional overdose deaths but also may increase ...

Section 1

Part A: Assessment Cause Hank’s pain comes from a two-year-old surgery and radiotherapy for his left lung mesothelioma. Objective Data Hank is alert, oriented and can respond to questions in an appropriate manner. Hank’s skin appears pale with slight perspiration. The VAS assessment kit shows an intensity score of 2/10. Furthermore, Hank demonstrates distress on movement with visible restrictions on trunk movements. Finally, Hank’s chest is clear though with reduced air entry.

Subjective Data

Hank explains that he has a constant burning pain localized in his left chest area. He states that the pain has been continuous since ...