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AnnotatedBibliographyforPainManagement1.docx

Running head: ANNOTATED BIBLIOGRAPHY 1

ANNOTATED BIBLIOGRAPHY 2

Annotated Bibliography

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Thesis Statement

The ability of clinicians to keep patients in check has proven to be a challenge, especially with concerns regarding the legitimacy and physical functions affecting overall pain management in patients with an addiction problem.

Annotated Bibliography

Chou, R., Cruciani, R. A., Fiellin, D. A., Compton, P., Farrar, J. T., Haigney, M. C., ... & Mehta, D. (2014). Methadone safety: a clinical practice guideline from the American Pain Society and College on Problems of Drug Dependence, in collaboration with the Heart Rhythm Society. The Journal of Pain, 15(4), 321-337.

Discrepancies surrounding the safety of methadone as a treatment measure for chronic pain have raised questions particularly due to the prevalence of deaths that result from the methadone overdose. Consequently, the American Pain Society in collaboration with College on Problems of Drug Dependence has prepared this report with the aim of creating a clinical practice guideline to ensure safer prescription of methadone in pain treatment. Moreover, the findings have culminated in recommendations that include the use of electrocardiography to identify patients who are likely to succumb to methadone-associated arrhythmia and education and counseling of patients on methadone safety.

Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.

More often than not, primary care clinicians experience challenges in regards to management of chronic pain amongst patients with a history of addiction. Additionally, there is a widespread limitation of the long-term efficacy of opioids in pain management. Opioid use is also associated with grave risks that comprise of the possibility of an overdose and the advent of opioid use disorder. As a result, this journal article focuses on highlighting the ideal recommendations on the administration of Chronic Opioid Therapy (COT) as perceived by the Center for Disease Control and Prevention (CDC). Further, this research focuses on the consideration of non-opioid therapy as an alternative including the assessment of the treatment goals of a patient and the correct procedures for administering opioid dosage.

Milton, J. (2013). Caring for patients with chronic pain: pearls and pitfalls. The Journal, 113(8), 620.

Indeed, chronic non-malignant pain has been the subject of debate in public health in the U.S. Hence; this paper focuses on defining chronic pain based on the biopsychosocial model which concentrates on the psychological and biological makeup of patients and how they interact with their cultural and social environment. Although such an approach is based on the pathology of chronic pain, the physician also plays significant role through management and assessment of patient safety during therapy. Moreover, the clinicians are expected to be conversant with the evaluation tools that are applied in the scrutiny of the risk of opioid use. The fundamental comprehension of chronic pain pathophysiology and an even structure towards patient care is essential in satisfying the needs of both physicians and patients.

Vowles, K. E., McEntee, M. L., Julnes, P. S., Frohe, T., Ney, J. P., & van der Goes, D. N. (2015). Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis. Pain, 156(4), 569-576.

The use of opioids in chronic pain management presents complexities in the sense that patients are susceptible to derive both harm and benefits from the drugs administered. Thus, this review offers an expanded information in regards to the rates of problematic opioid use in chronic pain. Some of the identified factors that contribute to the problematic use of opioids include the different patterns of drug use and the prevalence rates following the proliferation of prescriptions amongst patients.