Tag Archives: good

Effects of opioids on cognition in older adults

The effects of opioids on cognition in older adults with cancer and chronic non-cancer pain: A systematic review. – PubMed – NCBI – J Pain Symptom Manage. Oct 2019

CONTEXT:
Opioids are prescribed to manage moderate to severe pain and can be used with older adults; however, they may lead to several adverse effects, including cognitive impairment.

OBJECTIVE:
To identify, appraise and synthesise evidence on

  • i) the impact of opioids on cognition in older adults with cancer/chronic non-cancer pain, and
  • ii) screening tools/neuropsychological assessments used to detect opioid-induced cognitive impairment.

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Stanford Doc Says Opioids Necessary Sometimes

Here’s a very supportive Twitter posting from the leader of Stanford’s Pain Management efforts: Sean Mackey, MD, PhD.   (@DrSeanMackey) on Oct 22, 2019

This is a breath of fresh air! Coming from an influential leader in the pain management field at a high-status University, I have hope that it will get through to some of our tormentors.

1) I’d like to share this brief story about a patient who’s currently taking opioids.

2) We’ve been treating a patient at Stanford who has a lower extremity injury. He came to us on high-doses of opioids through fentanyl patches.  

His primary care doctor wanted him weaned off. He has tried every treatment imaginable.

And why did his primary doctor want him weaned off? The rest of this little story shows that there were no medical reasons to take the patient off opioids.  Continue reading