Opioid-Induced Hyperalgesia: Clinical implications for advanced practice nurses in oncology

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Opioid-induced hyperalgesia (OIH) is a key factor in the clinical management of patients experiencing pain. However, limited knowledge exists regarding the specific mechanisms involved in OIH and its treatment. A thorough assessment is usually required, and clinical diagnosis is mainly determined by exclusion in medical practice. Patients who are taking opioids should receive ongoing, comprehensive assessment by a clinician. Early identification of OIH will lead to improved patient outcomes.AT A GLANCEUnderstanding OIH is essential to the clinical management of patients with cancer experiencing pain.Although a comprehensive assessment of pain is usually required, diagnosis of OIH primarily occurs through exclusion, with opioid rotation being the fundamental method of treatment.The early recognition and diagnosis of OIH is essential for treatment effectiveness and better patient results.

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