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Rounds in the General Hospital

Obstacles to the Prescription and Use of Opioids

Rachel S. Wallwork, BA; Fallon E. Chipidza, BA; and Theodore A. Stern, MD

Published: February 18, 2016

Article Abstract

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Have you ever wondered why physicians try to avoid prescribing opioids for patients with chronic pain? Have you ever struggled to decide whether prescribing opioids is appropriate or wondered how likely it is that one of your patients will become dependent following prescription of an opioid? If you have, then the following case vignette and discussion of patient, provider, and system factors that interfere with prescribing an opioid should prove useful.

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