Aberrant Drug‐Related Behaviors: A Qualitative Analysis of Medical Record Documentation in Patients Referred to an HIV/Chronic Pain Clinic. Issue 10 (19th August 2014)

• Record Type: Journal Article
• Authors: Merlin, Jessica S.; Turan, Janet M.; Herbey, Ivan; Westfall, Andrew O.; Starrels, Joanna L.; Kertesz, Stefan G.; Saag, Michael S.; Ritchie, Christine S.
• Is Part Of: Pain medicine. Volume 15:Issue 10(2014)
• Page Start: 1724
• Page End: 1733
• Publication Date: 2014-08-19
• Subjects: Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesics -- Periodicals; Pain -- Periodicals; Pain Management -- Periodicals; Douleur -- Périodiques; Douleur -- Traitement -- Périodiques; Analgésiques -- Périodiques; Analgésique; Soulagement de la douleur; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.047205
• DOI: 10.1111/pme.12533
• Languages: English
• ISSNs: 1526-2375

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pme12533-sec-0001" sec-type="section"> <title>Background</title> <p>Due to rising rates of opioid addiction and overdose among individuals on chronic opioid therapy, aberrant drug‐related behaviors (ADRBs) are an important and challenging issue. Our objective was to qualitatively investigate the documentation of ADRBs in the medical record.</p> </sec> <sec id="pme12533-sec-0002" sec-type="section"> <title>Methods</title> <p>Manually abstracted provider notes from an HIV primary care clinic were analyzed using content analysis methods.</p> </sec> <sec id="pme12533-sec-0003" sec-type="section"> <title>Results</title> <p>Categories of ADRBs identified included patients requesting opioids, obtaining nonprescribed opioids, and becoming emotional about opioids. We also identified several types of provider language used when documenting ADRBs, including purely descriptive language and emotional language such as labeling, frustration, and concern, and responses such as setting conditions for opioid prescription and action‐oriented language.</p> </sec> <sec id="pme12533-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The impact of including emotional language in the medical record is unknown. Development of instruments that can be used to facilitate ADRB documentation, as well as evidence‐based approaches to addressing ADRBs, is needed.</p> </sec> </abstract>