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https://www.rpr.lib.ok.us/taxonomy/term/6807/all
enResponding to Unsafe Opioid Use: Abandon the Drug, Not the Patient
https://www.rpr.lib.ok.us/resource/responding-unsafe-opioid-use-abandon-drug-not-patient
<div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Date Added: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2021-03-24T00:00:00-05:00">March 24, 2021</span></div>
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<div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix">
<div class="field-label">Journal/Publication: </div>
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<div class="field-item even">Journal of General Internal Medicine</div>
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<div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Publication Date: </div>
<div class="field-items">
<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2020-10-09T00:00:00-05:00">October 9, 2020</span></div>
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<div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix">
<div class="field-label">Issue: </div>
<div class="field-items">
<div class="field-item even">3</div>
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<div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix">
<div class="field-label">Volume: </div>
<div class="field-items">
<div class="field-item even">36</div>
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<div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix">
<div class="field-label">Pages: </div>
<div class="field-items">
<div class="field-item even">790-791</div>
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<div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix">
<div class="field-label">URL: </div>
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<div class="field-item even"><a href="https://pubmed.ncbi.nlm.nih.gov/33037590/" target="_blank">Responding to Unsafe Opioid Use: Abandon the Drug, Not the Patient</a></div>
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<div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Type: </div>
<div class="field-items">
<div class="field-item even">Best Local Practices</div>
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<div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Format: </div>
<div class="field-items">
<div class="field-item even">Article</div>
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<div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix">
<div class="field-label">DOI (1): </div>
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<div class="field-item even">10.1007/s11606-020-06281-4</div>
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<div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above">
<div class="field-label">Keywords </div>
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<div class="field-item even"><a href="/tags/opioid-use" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opioid Use</a></div>
<div class="field-item odd"><a href="/tags/opioids" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opioids</a></div>
<div class="field-item even"><a href="/tags/riseok" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">RISEOK</a></div>
<div class="field-item odd"><a href="/tags/opioid-related-disorders" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opioid-Related Disorders</a></div>
<div class="field-item even"><a href="/tags/2019-ncov" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">2019-nCOV</a></div>
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<div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix">
<div class="field-label">PMID (1): </div>
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<div class="field-item even">33037590</div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
<div class="field-items">
<div class="field-item even"><a href="/mesh/analgesics" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Analgesics</a></div>
<div class="field-item odd"><a href="/mesh/opioid" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opioid</a></div>
<div class="field-item even"><a href="/mesh/buprenorphine" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Buprenorphine</a></div>
<div class="field-item odd"><a href="/mesh/chronic-pain" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">chronic pain</a></div>
<div class="field-item even"><a href="/mesh/mental-health" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">mental health</a></div>
<div class="field-item odd"><a href="/mesh/opioid-related-disorders" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opioid-related disorders</a></div>
<div class="field-item even"><a href="/mesh/prejudice" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Prejudice</a></div>
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<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
<div class="field-items">
<div class="field-item even"><p> An argument for not firing patients for opioid misuse. James W. Mold, MD, MPH</p>
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<div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden">
<div class="field-items">
<div class="field-item even">Free full text</div>
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<div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden">
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<div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-0aee02dedee4922c07096ce80577052f">
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<div class="views-row views-row-1 views-row-odd views-row-first views-row-last">
<a href="https://pubmed.ncbi.nlm.nih.gov/33037590/" class="btn btn-primary" target="_blank">View</a> </div>
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<div class="field field-name-body field-type-text-with-summary field-label-hidden">
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<div class="field-item even" property="content:encoded"><p>Physicians have a legal and ethical duty to protect their patients and support them during times of clinical need; the decision to end a doctor-patient relationship should not be made lightly. However, in a recent survey of 794 primary care practices, 90% reported discharging patients in the previous two years, often for opioid-related issues.1 Disruptive or inappropriate behavior was the most common reason for discharge (81%), but 78% reported dismissing patients for violations of a chronic pain or controlled substance agreement. We find this practice worrisome, particularly since many controlled substance agreements use coercive and stigmatizing language that patients may reluctantly sign or have trouble understanding.2 Although violent, threatening, or disruptive behavior may be a valid reason to discharge patients in certain circumstances, opioid misuse should rarely rise to this threshold</p>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
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<div class="field-item even">Tobin, Daniel G., Holt, Stephen R., Doolittle, Benjamin R.</div>
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Wed, 24 Mar 2021 05:00:00 +0000Devin Evans1536 at https://www.rpr.lib.ok.us