Chronic Pain with Multiple Co-Morbidities: Using Measurement-based Tools
University of Washington, Seattle
John D. Loeser CoEPE
Department of Anesthesia and Pain Medicine
Department of Medicine
School of Nursing
At the end of this presentation learners will be able to:
- Assess chronic pain using multi-dimensional measurement-based tools
- List four patient-reported outcome domains (“4As”)to monitor over time in the management of persons with chronic pain including:
- Analgesia (pain intensity and pain relief)
- Activities of daily living (pain interference with sleep, physical, social and emotional function)
- Adverse effects from treatment
- Aberrant drug taking behaviors
- Discuss benefits an inter-professional treatment plan
Target Audiences
3rd year medical students; 3rd and 4th year nursing students; 2nd-3rd year pharmacy; 2nd year PA; 3rd-4th dentistry; Senior social work.
Description
The purpose of this case is to demonstrate the use of multidimensional patient-reported outcome tools to facilitate an interprofessional treatment plan.
This case portrays:
The purpose of this case is to demonstrate the use of multidimensional patient-reported outcome tools to facilitate an interprofessional treatment plan.
- This case portrays:
- Chronic back pain
- High levels of interference with sleep and physical function from pain
- Depression and anxiety
- High pain levels in spite of high doses of opioids
- Multiple bio-psychosocial problems
- Use of measurement based patient-reported outcome tools
- Development of a a safe and effective interprofessional pain management plan
Acknowledgements
- Tauben
- Doorenbos
- Gordon
- Loeser
Date of Publication
IASP Pain Clinical Updates December 2012
Disclaimer
This curriculum resource was supported with funding from the NIH Pain Consortium, which approves the educational value of the information provided. The authors listed on this resource are responsible for its content, and questions may be directed to their Center of Excellence in Pain Education (url). The NIH Pain Consortium provides these evidence-based curriculum resources on pain management as a service to academic medical, dental, nursing, pharmacy and other health professional schools.
This resource is for educational purposes and is not intended as medical practice guidelines. Evidence-based practices may have changed since the publication of the resource.