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Shifting the Paradigm for Opioid Use Disorder: Changing the Language
Affiliation:1. Department of Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;2. Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland;3. Department of Internal Medicine, University of Utah, Salt Lake, Utah;4. Department of Internal Medicine, Temple University, Philadelphia, Pennsylvania;5. Department of Internal Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania;6. Department of Clinical Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania;7. Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota;8. Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania
Abstract:Morbidity and mortality associated with opioid use have been on the rise, exemplifying a major public health epidemic. Despite public health interventions, opioid-related morbidity and mortality have yet to plateau or decrease. One explanation for this phenomenon is the presence of barriers to evidence-based pharmacotherapies. Stigma has only recently been identified as a barrier to treatment. The purpose of this report is to evaluate the language used to describe opioid use disorder and associated pharmacologic treatment. Nurse practitioners must emerge as leaders in ensuring that patient-centered and nonstigmatizing language is used to improve patient outcomes.
Keywords:opioid use disorder  pharmacologic interventions
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