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Appropriate Management of Pain
Journal of Law, Medicine & Ethics 24(4)

S. Albertson, "Readings from Endings and Beginnings" 24(4) J.J. LAW, MED. & ETHICS 294 (1996) [PDF]

C.K. Cassel, "Narratives on Pain and Comfort: Dr. M's Story" 24(4) J. LAW, MED. & ETHICS 290 (1996) [PDF]

J. Gabb, "Narratives on Pain and Comfort: Casey's Story" 24(4) J. LAW, MED. & ETHICS 292 (1996) [PDF]

C.S. Hyman, "Pain Management and Disciplinary Action: How State Medical Boards Can Remove Barriers to Effective Treatment" 24(4) J. LAW, MED. & ETHICS 338 (1996) [PDF]
Outlines four practical steps through which boards of medicine can improve pain management provided in their jurisdictions.

S.H. Johnson, "Disciplinary Actions and Pain Relief: Analysis of the Pain Relief Act" 24(4) J. LAW, MED. & ETHICS 319 (1996) [PDF]
Provides analysis and rationale for Pain Relief Act prepared by the Project on Legal Constraints on Access to Effective Pain Relief.

D.E. Joranson, A.M. Gilson, "Improving Pain Management Through Policy Making and Education for Medical Regulators" 24(4) J. LAW, MED. & ETHICS 344 (1996) [PDF]
Provides a critical review of trends in state medical regulatory policy concerning controlled substances for intractable pain.

Bernard Lo, Karen H. Rothenberg, Michael Vasko, "Appropriate Management of Pain: Addressing the Clinical, Legal, and Regulatory Barriers," 24(4) J. LAW, MED. & ETHICS, 285 (1996) [PDF]

L. Conant, A. Lowney, "The Role of Hospice Philosophy of Care in Nonhospice Settings" 24(4) J. LAW, MED. & ETHICS 365 (1996) [PDF]
Argues that the hospice philosophy of care should be an integral part of the overall palliative goals of medicine.

R.J. McQuillan, "Narratives on Pain and Comfort: Mary's Story" 24(4) J. LAW, MED. & ETHICS 288 (1996) [PDF]

D.J. Pisano, "Controlled Substances and Pain Management: Regulatory Oversight, Formularies, and Cost Decisions" 24(4) J. LAW, MED. & ETHICS 310 (1996) [PDF]
Examines role of federal and state oversight of controlled substances as well as how pharmacy makes product selections and cost-based decisions.

R.K. Portenoy, "Opioid Therapy for Chronic Nonmalignant Pain: Clinicians' Perspective" 24(4) J. LAW, MED. & ETHICS 286 (1996) [PDF]
Examines evidence supporting traditional view of opioid therapy in managing chronic nonmalignant pain, and concludes that some patient populations can sustain analgesia without significant adverse effects.

L.F. Post, J. Blustein, E. Gordon, N.N. Dubler, "Pain: Ethics, Cultures, and Informed Consent to Relief" 24(4) J. LAW, MED. & ETHICS 348 (1996) [PDF]
Argues for a richer notion of informed consent to encompass the moral imperative to treat pain.

R. Purtilo, "Narratives on Pain and Comfort," 24(4) J. Law, Med. & Ethics 287 (1996) [PDF]
Four narratives examine the personal aspects and impact of pain from the patient’s, the provider’s, and the family’s perspective.

D.L. Ralston, "Pain Management: Texas Legislative and Regulatory Update" 24(4) J. LAW, MED. & ETHICS 328 (1996) [PDF]
Examines, since enacting the Intractable Pain Treatment Act in 1989, how the Texas State Board of Medical Examiners and state legislators have sought to improve pain management through rules governing practice and pain education.

R.S. Shapiro, "Health Care Providers' Liability Exposure for Inappropriate Pain Management" 24(4) J. LAW, MED. & ETHICS 360 (1996) [PDF]
Examines implications of two court decisions involving pain management and considers courts’ potential use of practice guidelines, state statutes, and changing institutional practices to assess suits for negligent provision of pain relief.

Project on Legal Constraints on Access to Effective Pain Relief "The Pain Relief Act" 24(4) J. LAW, MED. & ETHICS 317 (1996) [PDF]