Document Detail

Intake assessment of problematic use of medications in a chronic noncancer pain clinic.
MedLine Citation:
PMID:  22891193     Owner:  NLM     Status:  MEDLINE    
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.
Leah R Pink; Andrew J Smith; Philip W H Peng; Marilyn J Galonski; Paul S Tumber; David Evans; Doug Gourlay; Lesley Gordon; Geoff Bellingham; Satnam S Nijjar; Larry M Picard; Allan S Gordon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur     Volume:  17     ISSN:  1203-6765     ISO Abbreviation:  Pain Res Manag     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-08-14     Completed Date:  2012-09-25     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  9612504     Medline TA:  Pain Res Manag     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  276-80     Citation Subset:  IM    
Wasser Pain Management Centre, Mount Sinai Hospital, Toronto, Ontario, Canada.
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MeSH Terms
Alcoholism / epidemiology,  prevention & control
Analgesics, Opioid / administration & dosage,  adverse effects*
Chronic Pain / drug therapy*,  epidemiology*
Hospitals, Teaching / statistics & numerical data
Outpatient Clinics, Hospital / statistics & numerical data*
Retrospective Studies
Risk Assessment / methods
Risk Factors
Substance-Related Disorders / epidemiology*,  prevention & control
Reg. No./Substance:
0/Analgesics, Opioid

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