scholarly journals Integrated Team Assessment and Patient Perspective Pain Paradigm in Primary Pain Care Pain Management: a new language for provider-provider and provider patient communication

2021 ◽  
Vol 20 (3) ◽  
pp. 31
Author(s):  
Steve Overman
Keyword(s):  
Pain Management ◽  
Patient Perspective ◽  
Patient Communication ◽  
Team Assessment ◽  
Pain Care ◽  
Integrated Team

Tools, Time, Training, and Team—Military Primary Care Providers’ Perspectives on Improving Chronic Pain Assessment and Management

2021 ◽  
Author(s):  
Asha Mathew ◽  
Honor McQuinn ◽  
Diane M Flynn ◽  
Jeffrey C Ransom ◽  
Ardith Z Doorenbos
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Pain Assessment ◽  
Insurance Coverage ◽  
Primary Care Providers ◽  
Stepped Care ◽  
Chronic Pain Management ◽  
Care Providers ◽  
Pain Care

ABSTRACT Introduction Primary care providers are on the front lines of chronic pain management, with many reporting frustration, low confidence, and dissatisfaction in handling the complex issues associated with chronic pain care. Given the importance of their role and reported inadequacies and dissatisfaction in managing this challenging population, it is important to understand the perspectives of primary care providers when considering approaches to chronic pain management. This qualitative descriptive study aimed to comprehensively summarize the provider challenges and suggestions to improve chronic pain care in military primary care settings. Materials and Methods Semi-structured interviews with 12 military primary care providers were conducted in a single U.S. Army medical center. All interviews were audio-recorded and lasted between 30 and 60 minutes. Interview transcripts were analyzed using ATLAS 9.0 software. Narratives were analyzed using a general inductive approach to content analysis. The Framework Method was used to organize the codes and emergent categories. All study procedures were approved by the Institutional Review Board of the University of Washington. Results Four categories captured providers’ challenges and suggestions for improving chronic pain care: (1) tools for comprehensive pain assessment and patient education, (2) time available for each chronic pain appointment, (3) provider training and education, and (4) team-based approach to chronic pain management. Providers suggested use of the Pain Assessment Screening Tool and Outcomes Registry, more time per visit, incorporation of chronic pain care in health sciences curriculum, consistent provider training across the board, insurance coverage for complementary and integrative therapies, patient education, and improved access to interdisciplinary chronic pain care. Conclusions Lack of standardized multifaceted tools, time constraints on chronic pain appointments, inadequate provider education, and limited access to complementary and integrative health therapies are significant provider challenges. Insurance coverage for complementary and integrative health therapies needs to be expanded. The Stepped Care Model of Pain Management is a positive and definite stride toward addressing many of these challenges. Future studies should examine the extent of improvement in guidelines-concordant chronic pain care, patient outcomes, and provider satisfaction following the implementation of the Stepped Care Model of Pain Management in military health settings.

scholarly journals Patient-Centered Pain Management Communication from the Patient Perspective

2018 ◽  
Vol 33 (8) ◽  
pp. 1374-1380 ◽  
Author(s):  
Marie C. Haverfield ◽  
Karleen Giannitrapani ◽  
Christine Timko ◽  
Karl Lorenz
Keyword(s):  
Pain Management ◽  
Patient Perspective ◽  
Patient Centered ◽  
Management Communication

Israel

2018 ◽  
Author(s):  
Elon Eisenberg ◽  
Silviu Brill
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Israel is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

France

2018 ◽  
Author(s):  
Didier Bouhassira ◽  
Nadine Attal
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

France is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Finland

2018 ◽  
Author(s):  
Juha Nevantaus
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Finland is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Bulgaria

2018 ◽  
Author(s):  
Atanas Temelkov
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Bulgaria is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

United Kingdom

2018 ◽  
Author(s):  
Ann Taylor
Keyword(s):  
Chronic Pain ◽  
United Kingdom ◽  
Pain Management ◽  
Cancer Pain ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Ukraine is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

The Netherlands

2018 ◽  
Author(s):  
Gertie Filippini ◽  
Kris Vissers ◽  
Michiel Reneman
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
The Netherlands ◽  
Cancer Pain ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

The Netherlands is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Spain

2018 ◽  
Author(s):  
Rafael Galvez Mateos ◽  
Juan Perez Cajaraville
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Spain is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Slovakia

2018 ◽  
Author(s):  
Marta Kulichová
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Slovakia is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

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