Substance Use Disorder in Serious Illness-Substance Use Disorder in Serious Illness

Video Transcription

Video Summary

The panel discussion focused on managing pain in patients with substance use disorders in a palliative care setting. The panelists highlighted the importance of using a harm reduction framework to balance the potential benefits and harms of pain treatment. They discussed different strategies for treating pain in patients already on buprenorphine or methadone, highlighting the need for individualized approaches based on prognosis, function, and patient desires. The panel also addressed concerns about diversion and dishonesty, emphasizing the importance of building trust through open communication and setting boundaries. They suggested strategies such as urine drug testing, prescribing naloxone, and coordinating care with outpatient providers. Overall, the discussion emphasized the need for a collaborative and patient-centered approach to pain management in patients with substance use disorders.

Keywords

pain management

substance use disorders

palliative care

harm reduction

individualized approaches

trust building

open communication

urine drug testing

naloxone

patient-centered approach