Legacy patients are so-called because their opioid use behaviors express past, aggressive opioid prescribing by a clinician. Managing their pain and dependence justly is ethically complex.
AMA J Ethics. 2020;22(8):E651-657. doi:
10.1001/amajethics.2020.651.
Jennifer D. Byrne, LCSW, CADC, Katie S. Clancy, MSW, and Isabell Ciszewski, LCSW
Social work perspectives on whether prescribers should authorize opioid refills emphasize the importance of multidisciplinary approaches to patient self-determination.
AMA J Ethics. 2020;22(8):E658-663. doi:
10.1001/amajethics.2020.658.
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.
AMA J Ethics. 2020;22(8):E695-701. doi:
10.1001/amajethics.2020.695.
Thalia Arawi, PhD, Ghassan S. Abu-Sittah, MBChB, and Bashar Hassan
Decolonization of curricula in health professions is key to preparing clinicians to respond with care and competence to vulnerabilities and disease burden exacerbated by conflict.
AMA J Ethics. 2022;24(6):E489-494. doi:
10.1001/amajethics.2022.489.
Dr Ghassan S. Abu-Sittah joins Ethics Talk to discuss his article, coauthored with Dr Thalia Arawi and Bashar Hassan: “Everyone Is Harmed When Clinicians Aren’t Prepared”
Carlos Martinez joins Ethics Talk to discuss his article, coauthored with Drs Lauren Carruth, Hannah Janeway, Lahra Smith, Katharine M. Donato, Carlos Piñones-Rivera, James Quesada, and Seth Holmes: “How Should Clinicians Express Solidarity with Asylum Seekers at the US-Mexico Border?”
Dr José G. Pérez-Ramos joins Ethics Talk to discuss his article, coauthored with Drs Adriana Garriga-López and Carlos E. Rodríguez-Díaz: “How Is Colonialism a Sociostructural Determinant of Health in Puerto Rico?”