TY - JOUR KW - Acute Pain/drug therapy KW - Buprenorphine/administration & dosage KW - Centers for Disease Control and Prevention (U.S.) KW - Female KW - Humans KW - Male KW - Methadone/administration & dosage KW - Opioid-Related Disorders/diagnosis/epidemiology KW - Pain Management/methods KW - Practice Guidelines as Topic KW - Prognosis KW - Treatment Outcome KW - United States AU - C. Dever A1 - AB - Opioid drugs, including prescription as well as heroin, have come to the national spotlight due to the unprecedented rate of overdose and addiction. The Centers for Disease Control and Prevention (CDC) has termed this problem as an "epidemic" that has reached record numbers of deaths in 2014. Approximately half of these deaths are the result from prescribed opioids. Also on the rise are the numbers of individuals who are diagnosed with chronic pain and are treated with opioids, methadone and buprenorphine. Individuals currently taking opioids for chronic pain confound the treatment of acute pain after traumatic injury. Goals of treatment include effective pain relief, prevention of opioid withdrawal, and managing the associated behavioral and psychological factors with drug addiction and dependence. The CDC has put forth guidelines on how to treat chronic pain but has yet to provide recommendations on how to treat acute pain in this unique population. The purpose of this literature review is to provide resources to treat pain, given a tolerant opioid-dependent patient. AD - Christiana Care Health System, Wilmington, Delaware. BT - Journal of trauma nursing : the official journal of the Society of Trauma Nurses C5 - Opioids & Substance Use CP - 5 CY - United States DO - 10.1097/JTN.0000000000000309 IS - 5 JF - Journal of trauma nursing : the official journal of the Society of Trauma Nurses M1 - Journal Article N2 - Opioid drugs, including prescription as well as heroin, have come to the national spotlight due to the unprecedented rate of overdose and addiction. The Centers for Disease Control and Prevention (CDC) has termed this problem as an "epidemic" that has reached record numbers of deaths in 2014. Approximately half of these deaths are the result from prescribed opioids. Also on the rise are the numbers of individuals who are diagnosed with chronic pain and are treated with opioids, methadone and buprenorphine. Individuals currently taking opioids for chronic pain confound the treatment of acute pain after traumatic injury. Goals of treatment include effective pain relief, prevention of opioid withdrawal, and managing the associated behavioral and psychological factors with drug addiction and dependence. The CDC has put forth guidelines on how to treat chronic pain but has yet to provide recommendations on how to treat acute pain in this unique population. The purpose of this literature review is to provide resources to treat pain, given a tolerant opioid-dependent patient. PP - United States PY - 2017 SN - 1078-7496; 1078-7496 SP - 292 EP - 299 EP - T1 - Treating Acute Pain in the Opiate-Dependent Patient T2 - Journal of trauma nursing : the official journal of the Society of Trauma Nurses TI - Treating Acute Pain in the Opiate-Dependent Patient U1 - Opioids & Substance Use U2 - 28885516 U3 - 10.1097/JTN.0000000000000309 VL - 24 VO - 1078-7496; 1078-7496 Y1 - 2017 Y2 - Sep/Oct ER -