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All Ethics and Legal Articles

A discussion on how to provide adequate pain relief while avoiding potential legal complications in prescribing controlled substances.
On overview of the legal, regulatory, and ethical issues relating to pain treatment.
Over the past years, I have focused this column on how the nature of pain—as a symptom, disorder and manifest illness—gives rise to both certain moral responsibilities of care and ethical, legal and social issues, questions and problems that affect the pain patient, clinician and profession and the practice of pain management.
In his song, “No One is to Blame,” singer Howard Jones laments that “…insecurity is the thing that won’t get lost”.1 Given the ambiguities of illness and often tenuous technical and economic landscape of medical practice, many patients and physicians are faced with insecurity.
Pharmacologic Pain Care— From Epistemology to Ethics Pharmacologic management of chronic pain remains problematic in that it often evokes questions and issues at the practical intersection of biomedical science, ethics and law.
In chronic pain (intractable pain) management, protocols for the use of medical interventions should be frequently assessed, revised, and followed by reflective evaluation and prudent governance to establish guidelines and policies. Article discusses ethics of pain treatments.
Article includes a discussion of realizing the “promise” of pain management and palliative care. Considerations for practice, ethics, and policy are also highlighted.
Article highlights neurotechnology, evidence, and ethics, including the stewardship and the good in research and practice for chronic pain.
A New Year: Facing Durable Challenges and Tasks In this issue of Practical Pain Management, Prof. Peter Moskovitz addresses the complexities, issues, and problems that arise in, and from, the diagnosis and treatment of complex regional pain syndrome (CRPS).1 As Prof.
Article gives an overview of a retrospective observational study of patients with unresolved wrist pain, which noted improvements in many quality of life parameters after Hackett-Hemwall dextrose prolotherapy.
Article highlights neuroscience, neurophilosophy, and neuroethics of pain, pain care, and policy. Includes discussion of program, purpose, and process in pain management.
Assessing the experience of pain: making the subjective objectively appreciable.
Information, Consent, Autonomy, and Agency
Essay on healthcare reform in America: As Congress continues to modify health care legislation in the Fall of 2009, they should (if not must) consider funding a deeper and wider scope of pain care options, including the apt use of new techniques and technologies and the re-constitution of multi-disciplinary pain care facilities.
From Science and Philosophy to Ethics Over the past years, I have tried to illustrate how the problem(s) of pain, and intricacies of pain care, reflect profound philosophical issues and questions that are important to both the anthropologic applications of medicine, and the ethics necessary to navigate the moral terrain of medical practice.
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