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Caring for the Patient with Substance Use Disorder at the End of Life 

Caring for the Patient with Substance Use Disorder at the End of Life
Chapter:
Caring for the Patient with Substance Use Disorder at the End of Life
Author(s):

Peggy Compton

, Yu-Ping Chang

, and Salimah Meghani

DOI:
10.1093/med/9780190862374.003.0042
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date: 18 October 2019

With the changing face of treatments for cancer and other advanced diseases, patients are living for longer periods of time, which creates new challenges in treating pain and potential addiction issues on a longer term basis. Identifying substance use disorder in patients with advanced disease can be challenging, and old conceptions of addiction such as tolerance and physical dependence, need to be reexamined. Patients with advanced disease and comorbid substance use disorder can be difficult to manage but can be successfully treated with careful documentation, planning, and a therapeutic approach. The patient with advanced disease and comorbid substance use disorder may have two conditions in need of concurrent treatment: one of drug addiction and one of pain.

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