Publications by authors named "Morgan R Cowan"
"I Just Don't Feel Heard": A Case Study on Opioid Use Disorder and Pain Management.
J Pain Palliat Care Pharmacother
December 2023
Article Synopsis
- - The opioid epidemic demands a new approach for treating patients with opioid use disorder who experience acute pain, as many start using prescription opioids after injuries or pain episodes.
- - Patients without prior opioid exposure (opioid naive) who are prescribed opioids are at higher risk for developing chronic use compared to those who receive non-opioid alternatives.
- - This case report will detail one patient's experience with opioid use escalation, recovery efforts, discussions with her doctor about alternative pain management options, and the challenges faced in achieving effective pain relief, while also focusing on a shared decision-making process.
The treatment of acute pain over the years has changed with increasing alternative therapies and increased scrutiny of opioid prescriptions. Shared Decision Making (SDM) has become a vital tool in increasing patient engagement and satisfaction in treatment decisions. SDM has been successfully implemented in the management of pain in a variety of settings; however, information regarding the use of SDM for treating acute pain in patients with a history of opioid use disorder (OUD) remains scarce.
View Article and Find Full Text PDFCoronary microvascular function and blood flow responses during acute exercise are impaired in the aged heart but can be restored by exercise training. Coronary microvascular resistance is directly dependent on vascular smooth muscle function in coronary resistance arterioles; therefore, we hypothesized that age impairs contractile function and alters the phenotype of vascular smooth muscle in coronary arterioles. We further hypothesized that exercise training restores contractile function and reverses age-induced phenotypic alterations of arteriolar smooth muscle.
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