Learning Objectives

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:

1. Assess chronic pain using multi-dimensional measurement-based tools
2. List four patient-reported outcome domains (“4As”)to monitor over time in the management of persons with chronic pain including:
   1. Analgesia (pain intensity and pain relief)
   2. Activities of daily living (pain interference with sleep, physical, social and emotional function)
   3. Adverse effects from treatment
   4. Aberrant drug taking behaviors
3. 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.