Current through Register Vol. 35, No. 18, September 24, 2024
A.
Definitions beginning with "A":
(1)
"acute pain", means the
normal, predicted physiological response to a noxious chemical or thermal or
mechanical stimulus, typically associated with invasive procedures, trauma or
disease and generally time limited;
(2)
"addiction", is a
neurobehavioral syndrome with genetic and environmental influences that results
in psychological dependence on the use of substances for their psychic effects.
It is characterized by behaviors that include one or more of the following:
impaired control over drug use; compulsive use; continued use despite harm; and
craving. Physical dependence and tolerance are normal physiological
consequences of extended opioid therapy for pain and should not by themselves
be considered addiction.
B.
Definitions beginning with "B":
[RESERVED]
C.
Definitions beginning with "C":
(1)
"chronic pain" means pain
that persists after reasonable efforts have been made to relieve the pain or
its cause and that continues, either continuously or episodically, for longer
than three consecutive months. "Chronic pain" does not, for the purpose of the
Pain Relief Act requirements, include pain associated with a terminal condition
or with a progressive disease that, in the normal course of progression, may
reasonably be expected to result in a terminal condition;
(2)
"clinical expert" means a
person who, by reason of specialized education or substantial relevant
experience in pain management, has knowledge regarding current standards,
practices and guidelines.
D.
Definitions beginning with "D":
"drug abuser" means a person who takes a drug or drugs for other than
legitimate medical purposes.
E.
Definitions beginning with "E": [RESERVED]
F.
Definitions beginning with "F":
[RESERVED]
G.
Definitions beginning with "G": [RESERVED]
H.
Definitions beginning with "H":
[RESERVED]
I.
Definitions beginning with "I": [RESERVED]
J.
Definitions beginning with "J":
[RESERVED]
K.
Definitions beginning with "K": [RESERVED]
L.
Definitions beginning with "L":
[RESERVED]
M.
Definitions beginning with "M": [RESERVED]
N.
Definitions beginning with "N":
"nursing facility" means a long term care facility in
which the patient is a current fulltime resident and whose medications are
solely administered and managed by the facility.
O.
Definitions beginning with
"O":
(1)
"opioid
analgesic" means buprenorphine, butorphanol, codeine, hydrocodone,
hydromorphine, levorphanol, meperidine, methadone, morphine, nalbuphine,
oxycodone, oxymorphone, pentazocine and propoxyphene as well as their brand
names, isomers and combinations;
(2)
"opioid antagonist" means a
drug approved by the federal food and drug administration that when
administered negates or neutralizes in whole or in part the pharmacological
effects of an opioid analgesic in the body, including naloxone and such other
medications approved by the board of pharmacy for the reversal of opioid
analgesic overdoses.
P.
Definitions beginning with "P":
(1)
"pain" means an unpleasant
sensory and emotional experience associated with inflammation or with actual or
potential tissue damage, or described in terms of such inflammation and damage,
which could include acute, persistent or chronic pain;
(2)
"physical dependence" means
a state of adaptation that is manifested by a drug-specific withdrawal syndrome
that can be produced by abrupt cessation, rapid dose reduction, decreasing
blood level of the drug, administration of an antagonist, or a combination of
these;
(3)
"prescription
monitoring program (PMP)" means a centralized system to collect,
monitor, and analyze electronically, for controlled substances, prescribing and
dispensing data submitted by pharmacies and dispensing practitioners. The data
are used to support efforts in education, research, enforcement and abuse
prevention.
Q.
Definitions beginning with "Q": [RESERVED]
R.
Definitions beginning with "R":
[RESERVED]
S.
Definitions beginning with "S": [RESERVED]
T.
Definitions beginning with
"T":
(1)
"therapeutic
purpose" means the use of pharmaceutical and non-pharmaceutical
treatments and the spectrum of available modalities that conforms substantially
to accepted guidelines for pain management.
(2)
"tolerance" means a state of
adaptation in which exposure to a drug induces changes that result in a
diminution of one or more of the drug's effects over time.
U.
Definitions beginning with "U":
[RESERVED]
V.
Definitions beginning with "V": [RESERVED]
W.
Definitions beginning with "W":
[RESERVED]
X.
Definitions beginning with "X": [RESERVED]
Y.
Definitions beginning with "Y":
[RESERVED]
Z.
Definitions beginning with "Z": [RESERVED]