Optimal Pain Management 

 

Best Practice

 

Approach to the challenge of pain  

Prevention

Assessment & Diagnosis 

Self care 

Multi-modal treatment options 

Access to treatment

Implementation & Monitoring

Reasearch and Innovation 

 

 

 

Prevention
This section will provide an overview of ways to prevent acute pain and the transition to chronic pain 
 
Injury Prevention 
 
Work Place
 
Sports
 
Falls
 
Medical:
  • Dental
  • Surgical
 
Acute Pain
 

"Every effort should be made to prevent illnesses and injuries that lead to pain, the progression of acute pain to a chronic condition, and the development of high-impact chronic pain." 

The National Pain Strategy 

 

 

How to Prevent Physical Pain

 

Prevent Back Pain healthfinder.gov 

 

Daily moves to prevent low back pain Harvard Medical School

 

11 Ways to Keep Back Pain Away - WebMD

 

Assessment & Diagnosis 

 

This section provides an overview of various pain assessment tools.

 

Pain assessment in the clinical setting

 

Patient Focused Logs 

 

"Identify pain assessment and pain management, including safe opioid prescribing, as an organizational priority (LD.04.03.13)." 

 

The Joint Commission hospital accreditation manual

Self Care
Self care and lifestyle modifications  can be helpful for addressing intensity of chronic pain.   

S-E-E-D-S.  

The first “S” stands for sleep.

The first “E” stands for exercise.  

The next “E” stands for eating.  

The “D” stands for pain diary.

The final “S” stands for stress reduction.  

 

 
 

National Pain Strategy Emphasizes Improved Self Care and Education To Help Reduce Pain-related Disability

 

 

 

 

 

Multi-modal Treatment Options 
 

Multidisciplinary approach to chronic pain that focuses on the patient’s medical condition, co-morbidities, and various aspects of care including:

 

Pharmacologic

Medications. Different classes depending on patient medical conditions and history.

Opioid base pain management 

Medical Cannabis 

 

Nonpharmacologic pain management

Complementary and integrative health.

Acupuncture, yoga, tai chi, meditation.

Behavioral health/psychological interventions 

Coping skills, cognitive behavioral therapy

Spiritual based approaches.

 

Restorative movement therapies 
Physical and occupational therapy, massage therapy, aqua therapy.

 

Interventional procedures 

Different types of minimally invasive procedures can be important for both acute and chronic pain.


 

People experiencing pain would have timely access to patient-centered care that meets their biopsychosocial needs and takes into account individual preferences, risks, and social contexts, including dependence and addiction.

 

The National Pain Strategy

 

 

 

 

Systems providing pain management 

Integrated Approach: Biopsychosocial and slautogenic approaches

 
Access to Treatment 
Coordination of Care 
  • Self Care
  • Outpatient Care
  • Inpatient Treatment: Hospital Pain Management 

"Leadership engagement in the oversight of pain management supports safe and effective practice and sustainable improvements across the various disciplines and departments involved in pain assessment, pain management and opioid prescribing."

The Joint Commission 

 

Hospital Pain Management 

 

 

Implementation & Monitoring
 
Hospital Pain Management 
 
Reasearch and Innovation