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- Anessa M Foxwell, Tanya Uritsky, and Salimah H Meghani.
- Department of Medicine, Palliative Care Program, Hospital of the University of Pennsylvania, Philadelphia, PA. Electronic address: anessa.foxwell@uphs.upenn.edu.
- Semin Oncol Nurs. 2019 Jun 1; 35 (3): 322-326.
ObjectiveTo review current opioid guidelines, public policy, and legal challenges that can threaten optimal management of cancer pain.Data SourcesNational guidelines, professional web sites, journal articles, essays.ConclusionRecent opioid legislation and increasing scrutiny from regulatory agencies have created multiple barriers for providers and patients to achieve pain control. These challenges include prescription limitations and practitioner fear of litigation, which can result in the under-prescribing or refusal to prescribe opioids.Implications For Nursing PracticeTo provide excellent care, nurses must understand current policies affecting delivery of pain care to oncology patients and serve as patient advocates in the evolving policy debates.Copyright © 2019 Elsevier Inc. All rights reserved.
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