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UWHC,UWMF,

Patient Care,

Clinical Hub,References

Pain Management Resources

Pain Management Resources - Clinical Hub, References

UW Health Pain Care Services provides compassionate, high-quality pain care across the health continuum. Multidisciplinary teams work together across inpatient and outpatient settings and departments to provide pain care to both adults and children. The Pain and Headache Clinics provide outpatient rehabilitation for persons with chronic noncancer pain. The team’s public Web page at www.uwhealth.org/pain features pain care information, and self-help documents. This internal page is a designed as a central repository of resources and contact information for referrals, quick references, policies, guidelines and other resources for pain management.


Focus

When Caring for Patients in Pain

Introduction: The Joint Commission (TJC) has revised their pain management standards, due to take effect January 2018.  It is important for our UW prescribers, licensed independent practitioners (LIPs), pharmacists, and clinicians to be up-to-date on these revisions, by incorporating them into daily practice. Following are TJC’s 7 leadership elements of performance relative to pain management:

  1. Establish or identify a leader or leadership team that is responsible for pain management and safe opioid prescribing practices
  2. Provide nonpharmacologic pain treatment modalities
  3. Provide staff with resources and programs to improve pain assessment and management
  4. Provide staff consultation or referral resources for patients with complex pain management needs
  5. Identify opioid treatment programs that can be used for referrals
  6. Facilitate practitioner and pharmacist access to the Prescription Drug Monitoring Programs (PDMP) that can be used for referrals
  7. Leadership works with clinical staff to identify and acquire the equipment needed to monitor patients who are at high risk for adverse outcomes from opioid treatment 

In light of these revisions, it is important to be aware of the following UW resources: 

Patient Referrals

When you have exhausted treatment options for your patient’s ongoing pain, please consider consulting one of the following inpatient services:

Non-Pharmacological Options

The Joint Commission requires multi-modal therapy for optimal pain management. Consider including one or more of the following non-pharmacological options in your treatment plan:

Acupuncture*, healing touch*, aromatherapy (on pilot units), massage*, distraction, mindfulness, meditation, or TENS (Transcutaneous Electrical Nerve Stimulation), etc.

Pain Management Education

The Joint Commission encourages ongoing pain management education for prescribers and clinicians. Options for fulfilling this may include one or more following modalities: Computer-based training/online learning, lectures, pain conferences, Pain Medicine Fellowship, inpatient rotations, etc.

Topics for Future Pain Education

Please inform a member of the Pain Team if there any topics about pain management that you would like to learn more about, such as:

Opioid Risk Assessment Tools

TJC revisions include identifying patients who are at risk for adverse outcomes from opioid treatment, including risk for opioid diversion, addiction, or abuse. At this time there is not a tool endorsed by UW. Consider using one of the following tools to guide your assessment:

Pain Management Goals

Continue to collaborate with other healthcare team members to set appropriate goals of pain management.

Communicate those patient-specific pain management goals with one or more of the following communication tools: On the patient’s white board, in written progress notes, and within nursing flow sheets in HL.

Pain Management Patient/Family Education

It is important to ensure that patients and families receive adequate pain management and treatment education regarding pain therapies and plans. This includes for PCA, epidural, blocks, continuous opioid infusions, high dose orals agents, weaning or titrating, and home safety and storage. Please print and educate patients using the appropriate the appropriate Health Facts for You on UConnect.

*Available to patients for a supplemental fee

Resources

Access

Forms

Resources

Resources

Nurse Connection

Patient Education - Health Facts for You

Pain

Patient Education - UW Health, SMPH and Local Pain Management Links

Alliance of State Pain Initiatives

Interventional Pain Management Program

UW Center for Pain Treatment and Research

UW Integrative Medicine

UW Palliative Care Program

Wisconsin Pain and Policy Studies

Patient Education - National Pain Links

American Academy of Physical Medicine and Rehabilitation

American Alliance of Cancer Pain Initiatives

American Headache Society

American Pain Foundation

American Pain Society

American Society for Pain Management Nursing

Beth Israel Pain and Palliative Care

City Of Hope Pain Resource Center

International Association for the Study of Pain

Policy

Patient Care

Administration of Medications

High Alert Medication Administration

Patient Care

Patient Care

Continuous Subcutaneous Opioid Infusion

IV Patient Controlled Analgesia (PCA)

Parenteral (Intravenous or Subcutaneous) Lidocaine for Neuropathic Pain (Adult &

Program Info

Analgesic Patient Assistance Programs (needymeds.org)

Reports