Chronic noncancer pain management: Integration of a nurse-led program in primary care.
| Autor: | Assefa M; Research Project Coordinator at the Children's Aid Society in Toronto, Ont, and was a master's degree student in the Interdisciplinary School of Health Sciences at the University of Ottawa in Ontario at the time of the study., LeClerc I; Registered nurse in the Bruyère Academic Family Health Team at Bruyère Continuing Care in Ottawa., Muggah E; Family physician in the Bruyère Academic Family Health Team at Bruyère Continuing Care and Associate Professor in the Department of Family Medicine at the University of Ottawa., Deonandan R; Associate Professor in the Interdisciplinary School of Health Sciences at the University of Ottawa., Godbout C; Research collaborator in the Department of Physical Medicine and Rehabilitation at the Bruyère Research Institute in Ottawa., Finestone HM; Professor in the Division of Physical Medicine and Rehabilitation at the University of Ottawa, Director of Stroke Rehabilitation Research at Bruyère Continuing Care, a physiatrist in the Physical Medicine and Rehabilitation program at Élisabeth Bruyère Hospital, and a consultant at the Ottawa Hospital Rehabilitation Centre. |
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| Jazyk: | angličtina |
| Zdroj: | Canadian family physician Medecin de famille canadien [Can Fam Physician] 2023 Mar; Vol. 69 (3), pp. e52-e60. |
| DOI: | 10.46747/cfp.6903e52 |
| Abstrakt: | Problem Addressed: Chronic noncancer pain is often excessively managed with medications (most notably opioids) instead of nonpharmacologic options or multidisciplinary care-the gold standards. Objective of Program: To offer an effective alternative to pharmacologic management of chronic noncancer pain in primary care. Program Description: Patients 18 years of age or older with chronic noncancer pain were referred by family physicians or nurse practitioners in a family health team (outpatient, multidisciplinary clinic) in Ottawa, Ont. A registered nurse used the Pain Explanation and Treatment Diagram with patients, taught self-management skills (related to habits [smoking, consumption of alcohol, diet], exercise, sleep, ergonomics, and psychosocial factors), and referred patients to relevant resources. Conclusion: A nurse-led chronic pain program, initiated without extra funding, was successfully integrated into a primary care setting. Among the participating patients in the pilot project, outcomes related to pain intensity, pain interference with daily living, and opioid use were encouraging. This program could serve as a model for improving chronic noncancer pain management in primary care. (Copyright © 2023 the College of Family Physicians of Canada.) |
| Databáze: | MEDLINE |
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