American Society for Pain Management Nursing Position Statement

Pain Management in Patients With Substance Use Disorders

June Oliver, MSN, CCNS, APN/CNS; Candace Coggins, MS, MA, RN-C, ACHPN, PMHNP-BC; Peggy Compton, RN, PhD, FAAN; Susan Hagan, MSN, ARNP-C, RN-BC; Deborah Matteliano, PhD, ANP, FNP, RN-BC; Marsha Stanton, PhD, RN; Barbara St. Marie, PhD, ANP, GNP, RN-BC; Stephen Strobbe, PhD, RN, NP, PMHCNS-BC, CARN-AP; Helen N. Turner, DNP, RN-C, PCNS-BC, FAAN


Pain Manag Nurs. 2012;13(3):169-183. 

In This Article

Abstract and Introduction


The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations.


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