Intake Assessment of Problematic Use of Medications in a Chronic Noncancer Pain Clinic
| Autor: | Philip Peng, Andrew Smith, Lesley Gordon, Geoff A. Bellingham, David E. Evans, Paul S. Tumber, Larry M Picard, Doug L Gourlay, Leah Pink, Allan Gordon, Satnam S. Nijjar, Marilyn Galonski |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Outpatient Clinics Hospital Substance-Related Disorders Risk Assessment Risk Factors medicine Humans Hospitals Teaching Retrospective Studies lcsh:R5-920 business.industry Chronic pain Retrospective cohort study medicine.disease Analgesics Opioid Alcoholism Anesthesiology and Pain Medicine Pain Clinics Neurology Universal precautions Ambulatory Physical therapy Original Article Chronic Pain lcsh:Medicine (General) business Risk assessment Opioid analgesics Intake assessment |
| Zdroj: | Pain Research and Management, Vol 17, Iss 4, Pp 276-280 (2012) |
| ISSN: | 1203-6765 |
| Popis: | BACKGROUND: The present article outlines the process of instituting an assessment of risk of problematic use of medications with new patients in an ambulatory chronic noncancer pain (CNCP) clinic. It is hoped that the authors’ experience through this iterative process will fill the gap in the literature by setting an example of an application of the ‘universal precautions’ approach to chronic pain management.OBJECTIVES: To assess the feasibility and utility of the addition of a new risk assessment process and to provide a snapshot of the risk of problematic use of medications in new patients presenting to a tertiary ambulatory clinic treating CNCP.METHODS: Charts for the first three months following the institution of an intake assessment for risk of problematic medication use were reviewed. Health care providers at the Wasser Pain Management Centre (Toronto, Ontario) were interviewed to discuss the preliminary findings and provide feedback about barriers to completing the intake assessments, as well as to identify the items that were clinically relevant and useful to their practice.RESULTS: Data were analyzed and examined for completeness. While some measures were considered to be particularly helpful, other items were regarded as repetitive, problematic or time consuming. Feedback was then incorporated into revisions of the risk assessment tool.DISCUSSION: Overall, it is feasible and useful to assess risk for problematic use of medications in new patients presenting to CNCP clinics.CONCLUSION: To facilitate the practice of assessment, the risk assessment tool at intake must be concise, clinically relevant and feasible given practitioner time constraints. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text