Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2012
ReviewGuided imagery for non-musculoskeletal pain: a systematic review of randomized clinical trials.
Our previous review of the literature concluded that there is encouraging evidence that guided imagery alleviates musculoskeletal pain, but the value of guided imagery in the management of non-musculoskeletal pain remains uncertain. ⋯ The evidence that guided imagery alleviates non-musculoskeletal pain is encouraging but remains inconclusive.
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J Pain Symptom Manage · Jul 2012
ReviewInformed consent in opioid therapy: a potential obligation and opportunity.
Most patients receiving opioids for the spectrum of pain disorders tolerate opioids well without major complications. However, a subset of this population encounters significant difficulties with opioid therapy (OT). These problems include protracted adverse effects, as well as misuse, abuse, and addiction, which can result in significant morbidity and mortality and make informed consent an important consideration. ⋯ There is a debate regarding the effectiveness of OTAs in reducing the risk of opioid misuse; however, most practitioners recognize that OTAs provide an opportunity to discuss the potential risks and benefits of OT and establish mutually agreed-on treatment goals, a clear plan of treatment, and circumstances for continuation and discontinuation of opioids. Informed consent is an important component of an OTA but not often the focus of consideration in discussions of OTAs. This article examines the principles, process, and content of informed consent for OT of pain in the context of OTAs.