Opioïdafhankelijke patiënt met twee voorschrijvers

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Název: Opioïdafhankelijke patiënt met twee voorschrijvers
Autoři: Kruijtbosch, Martine, Jansen-Groot Koerkamp, Elsemiek, van Thiel, Ghislaine, Numans, Mattijs, Heringa, Mette, Bouvy, Marcel
Zdroj: Nederlands Tijdschrift voor Geneeskunde. 2023(167)
Informace o vydavateli: Bohn Stafleu van Loghum, 2023.
Rok vydání: 2023
Témata: Analgesics, Fentanyl/adverse effects, Physicians', General Practitioners, Oxycodone/therapeutic use, Humans, Opioid/therapeutic use, Practice Patterns, Opioid-Related Disorders
Popis: Opioid use has risen again in the past year, partly due to overtaken operations. Some of the patients undergoing surgery already chronically use opioids. A fentanyl dependent patient enters the pharmacy with a oxycodone prescription from the orthopedist. The pharmacist doubts whether the orthopedist has the intention to continue the fentanyl use. The patient does not want the pharmacist to contact the orthopedist or the general practitioner who prescribes the fentanyl. The pharmacist experiences a dilemma with multiple handling options and reflects on them based on the professional values that are under pressure. What is the right action to take? A general practitioner and a medical ethicist reflect on the dilemma. The pharmacist experiences daily dilemmas regarding multiple prescribers for one patient. Prescribers can enhance medication safety by indicating on the prescription that they are aware of current treatments and whether a new medicine is a replacement or an addition to the therapy.
Druh dokumentu: Article
Jazyk: Dutch; Flemish
ISSN: 1876-8784
0028-2162
Přístupová URL adresa: https://research-portal.uu.nl/en/publications/3c47b8de-69a0-4e33-a56f-a6d50140d0f6
Přístupové číslo: edsair.dris...02462..af39e1ca799c2a0fe6554766d5022a62
Databáze: OpenAIRE
Popis
Abstrakt:Opioid use has risen again in the past year, partly due to overtaken operations. Some of the patients undergoing surgery already chronically use opioids. A fentanyl dependent patient enters the pharmacy with a oxycodone prescription from the orthopedist. The pharmacist doubts whether the orthopedist has the intention to continue the fentanyl use. The patient does not want the pharmacist to contact the orthopedist or the general practitioner who prescribes the fentanyl. The pharmacist experiences a dilemma with multiple handling options and reflects on them based on the professional values that are under pressure. What is the right action to take? A general practitioner and a medical ethicist reflect on the dilemma. The pharmacist experiences daily dilemmas regarding multiple prescribers for one patient. Prescribers can enhance medication safety by indicating on the prescription that they are aware of current treatments and whether a new medicine is a replacement or an addition to the therapy.
ISSN:18768784
00282162