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Comprehensive Pain Management Plan
Clinical Pearls
Create a treatment plan that is individualized to patient’s particular needs
What are patient’s goals of therapy (eg, restore function to perform a particular activity, reduce pain to a targeted level, improve sleep, etc.)?
Consider
Biophysical approaches
Pharmacologic or nonpharmacologic therapies
Physical/occupational therapy
Home exercise program
Psychological interventions
To address mood disturbances, coping skills, sleep disturbance
Social issues
Family/social relations
Work issues
Evaluation of activities of daily living and management plan
Involvement of caregiver (support person) in treatment
Nutritional and weight management counseling
Tools and resources for dealing with pain (eg, patient education)
Avoiding/managing opioid-related side effects
Tools
American Pain Society/American Academy of Pain Medicine Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain (2009)
American Pain Society/American Academy of Pain Medicine Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain (2009) --- Summary slides
American Geriatrics Society Guidelines: Pharmacological Management of Persistent Pain in Older Persons
American Geriatrics Society Guidelines: Pharmacological Management of Persistent Pain in Older Persons---Summary slides
American Chronic Pain Association Consumer Guide to Pain Medication and Treatments 2011
Cardiac Safety Recommendations for Use of Methadone