When a patient displays aberrant behaviors, should clinicians assume they are abusing their opioid?

Knowledge Library published on April 26, 2013 in Practice
Download Transcript Download Audio
Lynn R. Webster, MD, FACPM, FASAM
Medical Director
CRILifetree
Co-Founder, LifeSource
Salt Lake City, Utah
Hi. I am Lynn Webster, medical director of CRILifetree Clinical Research in Salt Lake City. Aberrant behaviors are just an indication that somebody has not followed the prescription the way that they have been instructed, but it does not mean that the individual has an addiction or that they should not necessarily receive their pain medications. However, it does mean that when we see an aberrant behavior, we need to find out why. We have to investigate why that aberrant behavior has appeared, maybe it is somebody who is not following the instructions because they are self-medicating; their pain is not adequately treated. On the other hand, they may be trying to use the medicine to treat a comorbid medical health disorder, and that would be problematic. So the key here is aberrant behaviors need to be investigated. You need to document in your medical record why you believe that aberrant behavior occurred and what you are planning to do about it.
Last modified: February 1, 2013
Related Items by Category
Will patients build a tolerance to opioid-induced constipation (OIC) over time?
Knowledge Library published on July 19, 2013 in Practice
What are some of the risk factors for developing opioid-induced constipation (OIC)?
Knowledge Library published on July 12, 2013 in Practice
Do the new agents for opioid-induced constipation (OIC) have any adverse effects?
Knowledge Library published on June 28, 2013 in Practice
What are the current standards of care or guidelines in opioid-induced constipation (OIC)?
Knowledge Library published on June 21, 2013 in Practice
How do you assess opioid-induced constipation (OIC)?
Knowledge Library published on June 14, 2013 in Practice
Can these PDMPs be accessed across states?
Knowledge Library published on May 24, 2013 in Practice
Are all the PDMPs operationally the same?
Knowledge Library published on May 10, 2013 in Practice
Should everyone have a treatment agreement regardless of their assessed risk level?
Knowledge Library published on May 3, 2013 in Practice
How often should the database be accessed? After each prescription or periodically?
Knowledge Library published on April 12, 2013 in Practice
What about the chronic pain patient who is hospitalized for some acute event or episode?
Knowledge Library published on April 5, 2013 in Practice
Related Items by Author
What recommended tools are short, easy to administer & assist in predicting opioid use disorder?
Lynn R. Webster, MD, FACPM, FASAM
Knowledge Library published on March 29, 2013 in Assess & Monitor
Do all substance abusers present with the same behaviors and abuse patterns?
Lynn R. Webster, MD, FACPM, FASAM
Knowledge Library published on December 7, 2012 in Practice
What can be done to reduce deaths related to prescription medications?
Lynn R. Webster, MD, FACPM, FASAM
Knowledge Library published on March 9, 2012 in Safety/ADRs/SEs
What critical educational points should be covered to teach safe use to the patient?
Lynn R. Webster, MD, FACPM, FASAM
Knowledge Library published on February 10, 2012 in Safety/ADRs/SEs