Pain Management In The Post-Acute And Long-Term Care Setting

Published: November 2012
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  • Key Points 
  • Tables 
    • Atypical Opioid Oral Analgesics
    • Adjuvant Analgesic Medications
    • Topical Analgesics 
    • Approximate Equianalgesic Dosing and Usual Starting Doses for Selected Pure Opioid Agonists 
  • Steps
    • STEP 1: Is pain present?
    • STEP 2: Have the characteristics and likely causes of pain been adequately defined? 
    • STEP 3: Provide appropriate interim treatment for pain
    • STEP 4: Perform a pertinent history and physical examination
    • STEP 5: Are the cause(s) of pain identified?
    • STEP 6: Perform further diagnostic testing, as indicated
    • STEP 7: Have the probable cause(s) of pain been identified?
    • STEP 8: Obtain additional evaluation or consultation as necessary
    • STEP 9: Have the probable cause(s) of pain been identified?
    • STEP 10: Summarize the characteristics and causes of the patient’s pain and assess the impact of pain on function and quality of life
    • STEP 11: Adopt a patient-centered interdisciplinary care plan
    • STEP 12: Set goals for pain relief
    • STEP 13: Implement the care plan
    • STEP 14: Reevaluate the patient’s pain
    • STEP 15: Adjust treatment as necessary
    • STEP 16: Is pain controlled?
    • STEP 17: Monitor the facility’s performance in the management of pain 

 

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The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PA/LTC) settings.

Description

This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.

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