Specifically designed to address the needs of all specialists involved in the care of chronic pain patients, this source clarifies the ethical and legal issues associated with the diagnosis, assessment, and care of patients suffering from long-term pain. Divided into five comprehensive sections, this source covers a variety of topics to help the chronic pain clinician gain perspective on the interaction between ethics, the law, and the provision of medical services.
| Preface |
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v | |
| Contributors |
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xiii | |
| Section I: Ethical/Philosophical Issues |
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1. Pain, the Patient, and the Practice of Pain Medicine: The Importance of a Core Philosophy and Virtue-Based Ethics |
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1 | (14) |
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2. Ethical Dilemmas of Chronic Pain from a Patient's Perspective |
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15 | (18) |
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3. Life and Death Considerations in Chronic Pain: Secular and Theological Ethical Considerations |
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33 | (10) |
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4. The Demise of the Multidisciplinary Chronic Pain Management Clinic: Bioethical Perspectives on Providing Optimal Treatment When Ethical Principles Collide |
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43 | (20) |
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| Section II: Disparities in Treatment |
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5. Ethical Challenges in Caring for Children with Chronic Pain |
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63 | (16) |
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Patricia A. McGrath and Danielle A. Ruskin |
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6. Ethical Considerations in the Management of Chronic Pain in Older Adults |
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79 | (16) |
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7. Racial, Ethnic, and Sociodemographic Disparities |
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95 | (16) |
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| Section III: Legal and Ethical Issues in the Pharmacological Treatment of Chronic Pain |
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8. Chronic Opioid Therapy: The Argument for Opioid Therapy to Treat Persistent Noncancer Pain |
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111 | (10) |
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9. Chronic Opioid Therapy: The Argument for Caution |
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121 | (22) |
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10. Current Legal Issues Regarding the Use of Controlled Substances for the Treatment of Pain |
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143 | (22) |
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11. The Solution to the Medicinal Cannabis Problem |
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165 | (30) |
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| Section IV: Medicolegal Issues |
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12. Ethical Issues in Pain Management: Disability Assessment and Determination |
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195 | (12) |
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13. Pain Management and Managed Care: Managing the System |
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207 | (16) |
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14. Ethical Issues in Testimony Regarding Chronic Pain Management |
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223 | (20) |
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| Section V Ethical Issues in Standards of Care and Research |
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15. Ethical Issues in the Psychological Assessment of Chronic Pain Patients |
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243 | (16) |
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C. David Tollison and Donald W. Hinnant |
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16. Ethical Issues in the Medical Assessment and Subsequent Treatment of Chronic Pain |
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259 | (18) |
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17. Clinical Practice Guidelines: Practical and Ethical Issues in Their Development and Implementation |
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277 | (18) |
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18. Ethical Issues in Chronic Pain Research |
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295 | (12) |
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Robert J. Gatchel, Perry N. Fuchs, and Colin Allen |
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| Index |
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307 | |
MICHAEL E. SCHATMAN, PH.D., is a Consulting Clinical Psychologist, Redmond, Washington. Acknowledged for his expertise in the evaluation, legal consultation and development of multidisciplinary pain management clinics, Dr. Schatman has published a variety of articles and textbook chapters related to ethical issues in the care of chronic pain patients. A member of the American Psychological Association, the American Pain Society, and the American Society of Pain Educators, and a Diplomate of the American Academy of Pain Management, Dr. Schatman serves on the editorial advisory board of the journal Practical Pain Management. He is currently working on a textbook focused on the development and management of multidisciplinary chronic pain management clinics in an effort to save these clinically cost-effective and cost-efficient treatment facilities from extinction.
