Introduction 99 Pain, suffering, and other semantic points 100 The physician’s duty to relieve suffering 101 The international scope of undertreated pain 102 The barriers to effective pain relief 102 Pain and the courts 110 Cnclusions 112 References 112 The commonly identiﬁed barriers to pain relief are not merely clinical in nature, but have important ethical dimensions. Particularly in the United States, the ethical implications of undertreated pain have inﬂuenced the outcome of civil suits against healthcare institutions and professionals. In the United States, physicians may be vulnerable to criminal prosecution for drug trafﬁcking if their prescribing of controlled substances is determined not to have been a good faith effort to stay within the bounds of acceptable medical practice. Drug control laws and governmental regulations have created a hostile environment in which to care for patients with chronic pain. Recent reform initiatives seek to establish a balance in law and public policy between the need to prevent drug diversion and trafﬁcking and the need to insure that opioid analgesics are available to patients who would beneﬁt from them.
|Original language||English (US)|
|Title of host publication||Clinical Pain Management|
|Subtitle of host publication||Chronic Pain, Second Edition|
|Number of pages||16|
|State||Published - Jan 1 2008|
ASJC Scopus subject areas
- Health Professions(all)