Dr Travis Rieder discusses his own experiences with opioids and the ethical challenges of “legacy patients,” and Dr Stephanie Zaza, president of the American College of Preventive Medicine, discusses the future of opioid research priorities.

For some patients whose survival is extended by disease-modifying interventions, little guidance about clinical and ethical complexities exist.

Word usage and intentional clarity will influence how patients feel about that Whipple pancreaticoduodenectomy surgery.

Differentiating between best palliative care options and the curative and palliative potential of surgery is key to developing dual intentional clarity.

A 3-step analgesic ladder was introduced in 1986 and needs change. Surgical interventions could reduce opioid use and motivate expansion of current pain management approaches.

Diagnostic utility of weight and body mass index is widely overestimated, and their use as health and wellness measures can be sources of iatrogenic harm. 

Uncertainty about which psychiatric interventions are palliative stems from psychiatry’s prioritization of symptom management regardless of diagnosis. 

For an adolescent patient with extreme anorexia nervosa, steps for expressing compassion during a force intervention need to be clear.

對於患有極度神經性厭食症的青少年患者，在強制干預期間表達同情心的步驟需要明確。

Para un paciente adolescente con anorexia nerviosa extrema, los pasos para expresar compasión durante una intervención forzada deben ser claros.