Netvouz / docalex / tag / ethics

Chronic Pain in Veterans

docalex — Fri, 26 Oct 2007 02:26:45 GMT

Table of Contents: Introduction // Opiophobia and Opioignorance // Modern Understanding of Chronic Pain // Risk of Addiction in Opioid Therapy // Treatment and Outcomes // Undertreatment of Pain is a National Scourge // Footnotes

PRN in World of Pain - Videos

docalex — Mon, 03 Sep 2007 04:46:35 GMT

This is an addendum to my recent post: PRN on Video, which provided links to the three PRN related videos in the ‘See also’ section, above.

To these:

- Siobhan, Ronan, Dr. Cole and Dr. Siegle on Fox
- AP interview with veteran James Fernandez
- The Chilling Effect - documentary by S. Reynolds

I add this short video of Siobhan Reynolds speaking about her husband, Sean Greenwood, co-founder of the Pain Relief Network, and chronic pain patient who died, in agony, earlier this year. This clip is part of the Associated Press media package, ‘World of Pain.’

The Double Effect of Pain Medication - Separating Myth from Reality

docalex — Thu, 25 Oct 2007 22:10:25 GMT

Very good review of this important principle: ..alex... ABSTRACT - The principle of double effect is used to justify the administration of medication to relieve pain even though it may lead to the unintended, although foreseen, consequence of hastening death by causing respiratory depression. Although a review of the medical literature reveals that the risk of respiratory depression from opioid analgesic is more myth than fact and that there is little evidence that the use of medication to control pain hastens death, the belief in the double effect of pain medication remains widespread. Applying the principle of double effect to end-of-life issues perpetuates this myth and results in the undertreatment of physical suffering at the end of life. The concept