Guidelines for Opioid Management of Pain
The construction of these proposed guidelines has been a dynamic process. With over 100 physician-specialists involved in the process— through the “Project on Pain and Chemical Dependency”—many drafts and revisions have occurred. The following version has been accepted by all participants with the knowledge that changes may be made in the future, as thinking and analysis evolves. The “LIST,” as this ongoing process is known, was begun by Dr. Russell Portenoy more than 20 years ago and brings together physicians and others vitally concerned with pain management. The members of this project feel strongly that the proposed principles provides enormous advantages over previous efforts, as it puts emphasis on “defining what is right, not what is wrong.”
The guidelines provide clear and unambiguous guidance in the treatment of intractable pain. They establish the Standard of Care for practitioners very specifically, so that there can be no confusion or uncertainty about the proper and effective care of intractable pain patients. They clearly establish the goals of intractable pain treatment and objective means of measuring clinical needs and accomplishments. They eliminate the ambiguities that have created a devastating chill of physicians, causing them to cease treating pain patients out of anxiety and perceived vulnerability. At the same, they assist law enforcement by clearly delineating proper practices and promote rational and evidence-based medicine.
Proposed Opioid Guidelines