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Adherence in Pain Medicine: Ethical Considerations 

Adherence in Pain Medicine: Ethical Considerations
Chapter:
Adherence in Pain Medicine: Ethical Considerations
Author(s):

Michael E. Schatman

and Oscar J. Benitez

DOI:
10.1093/med/9780190600075.003.0007
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date: 12 April 2021

This chapter reviews adherence to treatment options in pain medicine from the clinician’s point of view. Adherence is discussed in the context of principle-based ethics through the four tenets of autonomy, nonmaleficence, beneficence, and justice. Treatment adherence for pain medicine on the part of the clinician transcends mere compliance with opioid prescriptions and policies. Adherence is addressed as a broad-based approach that can be clinically appropriate when principle-based ethics are followed. The shortage of clinical therapists and the corresponding role of clinical psychologists are discussed. Ways to find a balance between the issues of abuse and underprescribing are also addressed.

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