Activity 2: Managing the Chronic Pain Patient at Risk or with a History of Addiction
Two algorithms are referred to in this series. They were created by the Institute for Clinical Systems Improvement (ICSI) to accompany their guideline ‘Assessment and management of chronic pain.’ The algorithms are available from the ICSI website:
On the ICSI website you can also find these tools:
- Brief pain inventory (short form)
- Patient health questionnaire (PHQ-9)
- Functional ability questionnaire
- Personal care plan for chronic pain
Approved and Off-label medications for Chronic Pain: Download PDF
The first file contains a PDA version of the lecture notes for the material covered in the first six Learning Link activities.
Download Lecture Notes: Chronic pain-AAFP learning link.zip
Installation Instructions
RediReader for Palm OS
RediReader for Pocket PC
Presentation Slides for Managing the Chronic Pain Patient at Risk or with a History of Addiction
Functional MRI: Gatchel RJ et al. Pain and the Brain. Practical Pain Management. 2008; 8(5):28-40
Toombs JD, Kral LA.
Methadone treatment for pain states. American Family Physician. 2005;71(7):1353-8: http://www.aafp.org/afp/20050401/1353.html
Pomm HA, Pomm RM. Management of the Addicted Patient in Primary Care. NY: Springer Science, 2007.
Chronic Pain: A Primary Care Guide to Practical Management. Marcus DA. 1st Edition, HumanaPress, Totowa, NJ, 2005
Anxiety Screen: Download PDF
CAGE AID: Wisconsin Medical Journal 1995;94:135-140.
COMM tool: http://www.painedu.org/soap.asp
Documentation Charting Sheets for Treatment of Chronic Pain: Download PDF
Drug Abuse Screening Test (DAST): http://www.projectcork.org/clinical_tools/html/DAST.html
Methadone Fact Sheet: Download PDF
Opioid Risk Tool: http://www.painknowledge.org/physiciantools
Pain Agreement: Download PDF
Pain Severity Assessment Tool: Download PDF
Pain Scale Comparison: Download PDF
Patient Health Questionnaire (PHQ): www.phqscreeners.com Download PDF
Release of Information Form: Download PDF
SOAPP: http://www.inflexxion.com/offerings.aspx?id=260
Pain Scales
- CRIES tool:
http://painconsortium.nih.gov/pain_scales/CRIESPainScale.pdf - Elderly Assessment Tools:
http://www.healthcare.uiowa.edu/igec/tools/categoryMenu.asp?categoryID=7 - Faces Pain Scale (Pediatric):
http://www.childcancerpain.org/content.cfm?content=assess13 - Faces Pain Scale (Universal):
http://www.anes.ucla.edu/pain/FacesScale2.jpg - Faces Pain Scale (Revised):
http://painsourcebook.ca/pdfs/pps92.pdf; http://www.anes.ucla.edu/pain/FacesScale2.jpg - Iowa Pain Thermometer:
http://www.healthcare.uiowa.edu/igec/tools/categoryMenu.asp?categoryID=7 ;
http://www.britishpainsociety.org/book_pain_older_people.pdf - McGill Questionnaire:
http://www.anzsgm.org/vgmtp/Pain/pain_tools.htm#Faces_Scale - McGill Questionnaire (short form):
http://www.npcrc.org/usr_doc/adhoc/painsymptom/McGill%20Pain%20Inventory.pdf - Multi-language Pain Assessment Scales:
http://www.painknowledge.org/physiciantools/opioid_toolkit/components/Multi_language.pdf - Neonatal Infant Pain Scale:
http://www.anes.ucla.edu/pain/assessment_tool-nips.htm - Nonverbal Visual Analog Scale:
http://painconsortium.nih.gov/pain_scales/ChecklistofNonverbal.pdf - Numeric Rating Scale:
http://painconsortium.nih.gov/pain_scales/NumericRatingScale.pdf - Pain Assessment Tools:
http://pain-topics.org/clinical_concepts/assess.php - P.A.I.N. Initiative Scales:
http://www.pain-initiative.com/pain_services/pain_management_tools - Premature Infant Pain Profile:
http://www.cebp.nl/vault_public/filesystem/?ID=1467 - Verbal Descriptor Scale:
http://www.britishpainsociety.org/book_pain_older_people.pdf ; http://www.stratishealth.org/clientuploads/documents/3VerbalDescriptorScale.doc
- AAFP Cultural Proficiency Resources:
http://www.aafp.org/online/en/home/clinical/publichealth/culturalprof.html - AMA Minority Affairs Consortium:
http://www.ama-assn.org/ama/pub/category/20.html - American Academy of Addiction Psychiatry: http://www.aaap.org/prpwaiver.htm
http://www.aafp.org/online/en/home/clinical/publichealth/culturalprof.html - American Society of Addiction Medicine (ASAM): http://www.asam.org/CertificationVerificationDirectory.cfm
- List of pain and distress measures by category:
http://www.bps.org.uk/_publicationfiles/consultation-responses/Pain%20Assessment%20Project%20-%20Pain%20&%20Distress%20Measures.pdf - Pain Consortium:
http://painconsortium.nih.gov/pain_scales/index.html - The National Alliance for Hispanic Health:
http://www.hispanichealth.org/ - National Medical Association:
http://www.nmanet.org/ - The Office of Minority Health:
http://www.omhrc.gov/ - Pediatric Pain Sourcebook:
http://painsourcebook.ca/
