Opioid-Induced Hyperalgesia: Clinical Implications for Advanced Practice Nurses in Oncology

• Published in: Clinical journal of oncology nursing Vol. 21; no. 3; pp. 294 - 296
• Main Authors: Guastella, Ann, Latchman, Jessica, Tofthagen, Cindy S
• Format: Journal Article
• Language: English
• Published: United States Oncology Nursing Society 01.06.2017
• Subjects: Addictions; Advanced Practice Nursing - standards; Analgesics - adverse effects; Analgesics - therapeutic use; Analgesics, Opioid - adverse effects; Analgesics, Opioid - therapeutic use; Cancer; Care and treatment; Clinical outcomes; Complications and side effects; Diagnostic tests; Dosage and administration; Drug dosages; Drug therapy; Humans; Hyperalgesia; Hyperalgesia - chemically induced; Hyperalgesia - nursing; Narcotics; Nursing; Oncology; Opioids; Pain; Pain - drug therapy; Pain management; Palliative care; Practice Guidelines as Topic; Side effects; Substance abuse treatment; United States; pain; cancer; opioid-induced hyperalgesia; analgesia; opioid
• ISSN: 1092-1095; 1538-067X
• DOI: 10.1188/17.CJON.294-296

Opioid-induced hyperalgesia (OIH) is a key factor in the clinical management of patients experiencing pain. However, limited knowledge exists regarding the specific mechanisms involved in OIH and its treatment. A thorough assessment is usually required, and clinical diagnosis is mainly determined by exclusion in medical practice. Patients who are taking opioids should receive ongoing, comprehensive assessment by a clinician. Early identification of OIH will lead to improved patient outcomes.
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