Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review
| Autor: | Maria Fernanda Muniz Ferrari, Érica Brandão de Moraes, Flavio Luiz Seixas, Donizete Vago Daher, João Batista Santos Garcia, Juliane de Macedo Antunes |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Risk Telemedicine Scoping Review education Chronic pain Review Article Telehealth CINAHL Cochrane Library 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Health care Humans Medicine Advanced and Specialised Nursing 030212 general & internal medicine Pandemics Aged Aged 80 and over Advanced and Specialized Nursing 030504 nursing SARS-CoV-2 business.industry COVID-19 Middle Aged medicine.disease Pain management Workflow Practice Guidelines as Topic Female Nursing Care Medical emergency 0305 other medical science business |
| Zdroj: | Pain Management Nursing |
| ISSN: | 1524-9042 |
| DOI: | 10.1016/j.pmn.2020.11.010 |
| Popis: | Background and objective The COVID-19 pandemic led to modify patient healthcare, with a high impact on patients with chronic pain. This comprehensive scoping review aims to map recommendations on the management of chronic pain patients during the COVID-19 pandemic and propose a workflow in the management of these patients. Methods The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library e LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer. Results We presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including 1 consensus, 5 guidances, 2 expert panels, 1 joint statement, 2 educational flyers, and 2 free comments. We considered for these studies new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk for their misuse. Non-pharmacological approaches and pain education should be maintained, considering the use of telehealth. Conclusions Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red). Highlights • Chronic pain management during COVID-19 includes adjustments to the patient care model. • This scoping review map the evidence of chronic pain during the COVID-19. • Telemedicine is useful in the care and monitoring of these patients during COVID-19. • We propose a workflow screening and intervention packages according to the severity. |
| Databáze: | OpenAIRE |
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