A client who suffered multiple trauma in a motor vehicle accident is receiving care in an orthopedic trauma unit
The client has a documented history or opioid addiction and the hospital's advanced pain control team has become involved in his pain control plan. Which of the following are aspects of addiction? Select all that apply. A) Compulsive use of a particular drug
B) Presence of an unusually low pain threshold
C) The need to use opioids for purposes other than pain relief
D) The need for increasing size or frequency of opioid doses to achieve pain relief
E) The use of more than 30 mg of morphine or 15 mg of hydromorphone in a 24 hour period
A, C
Feedback:
The American Pain Society (2008) defines addiction as "a pattern of compulsive drug use characterized by a continued craving for an opioid and the need to use the opioid for effects other than pain relief." Drug tolerance is not synonymous with addiction and increased tolerance does not lead to addiction. Addiction is not defined in absolute terms of opioid doses and it is not related to a low pain threshold.
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