在护理 OUD 住院患者时，应如何评估短效阿片类药物的风险和益处？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2024-07-01 DOI:10.1001/amajethics.2024.512

Kathryn A Dong, Katherine M Duthie

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引用次数: 0

摘要

严重的阿片类药物戒断、患者主动出院的风险以及一些住院患者使用不受管制的药物，这些都促使我们在本病例评论中考虑临床和伦理问题。短效阿片类药物可用于控制住院患者的疼痛和阿片类药物使用障碍（OUD）戒断症状。在一些住院患者的护理计划中纳入循证干预措施，如纳洛酮试剂盒、药物使用设备和监督服用，可使这些患者更加安全，并降低其死亡风险。这些策略和其他策略符合临床医生的道德责任，即尽量减少对 OUD 住院患者的伤害，并使其获得最大益处。

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How Should Risks and Benefits of Short-Acting Opioids Be Evaluated in the Care of Inpatients With OUD?

Severe opioid withdrawal, risk of patient-initiated discharge, and some inpatients' use of unregulated substances prompt clinical and ethical questions considered in this commentary on a case. Short-acting opioids can be used to manage inpatients' pain and opioid use disorder (OUD) withdrawal symptoms. Including evidence-based interventions-such as naloxone kits, substance use equipment, and supervised consumption-in some inpatients' care plans may make those patients safer and reduce their risk of death. These and other strategies align with clinicians' ethical duties to minimize harms and maximize benefits for inpatients with OUD.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.