Opioid-Induced Hyperalgesia: Clinical Implications for Advanced Practice Nurses in Oncology

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 GLANCE

• Understanding 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.