Case Scenario Severe Chronic Pain

Presenting Patient: Overwhelming severe, non-cancer, chronic pain.

Before the patient enters the office, it is useful to consider having them complete questionnaires. They can be used as part of an initial assessment and to monitor progress.

Welcome to your Resource Tools for Chronic Pain Please mark the tools you have used in your practice.

Which of these tools have you used in your office visit?

Eliminated red flags for back pain (core back exam) and vomiting, fever, night sweats, weight loss, recent trauma, self harm or threat to others

The offer of a support person or interpreter present/on phone with the patient

Adequate time to allow patient to tell their story and express concerns

Respecting patient's choices for the way forward

Using available internet education tools and self-management groups

Nudging for movement in patients fearful of body damage

Pacing in patients who do too much when they have days with less pain

Encouraging the outdoors or activities outside the home

Mindfulness: internet programs or referral for counselling

Connections encouraged: friends, families, pain groups, spiritual outlets

Creative outlets: writing / music / art / photography

Cultural training attended and / or culturally sensitive materials in office

Considered patient's understanding of reasons for pain and their belief system

Considered underlying triggers: domestic violence/past racism exposure/past traumas

Considered living conditions / financial resources / support at home

Forms/questionnaires used in office prior to PQI project:

ACEs Form

State of Health Form or PQI and GAD 7

Pain Impact Form or Brief Pain Inventory or other Disability forms

Widespread Pain Index or other Fibromyalgia forms

I am too busy

Do you practise self-care?

Body scans for signs of tension

Mindfulness practice and/or meditation

Exercise / yoga / Tai Chi / Qi Gong techniques

Relationship building

Restorative breath practice

I don't have time for myself

Chronic Pain Management and Fibromyalgia

chronic pain management of fibromyalgia, back, arthritis and neuropathy pain

Case Scenario Severe Chronic Pain

Presenting Patient: Overwhelming severe, non-cancer, chronic pain.

Here are some helpful tools for examining and managing patients with chronic pain.

Click here and the copy the link above and send to your patient’s email.

Next Steps for chronic pain management.

Presenting Patient: Overwhelming severe, non-cancer, chronic pain.

Here are some helpful tools for examining and managing patients with chronic pain.

Click here and the copy the link above and send to your patient’s email.

Next Steps for chronic pain management.

Share this: