Five Ways To Better Pain Management
The American Pain Foundation recently found that 17% of
adults with chronic pain have difficulty reaching their primary doctors for
help. According to
the same study, 43% of chronic pain patients left their doctors' offices with
unanswered queries about their treatment.
A recent study also found that 44% of Americans are undertreated for pain. These two studies show that Office based anesthesia patients have difficulty getting the care they require, secondly, they may not be able to get all their questions answered and third, when they do get treated, the pain is often being undertreated.
These are five ways to provide better pain management for patients.
1. Primary care doctors are still the best for pain management.
More than 60% of all pain management cases are handled by them or other
practitioners, such as nurse practitioners. There is simply not enough specialist pain management
doctors to treat every case. When it comes
to complex pain management, there is often a gap in the education of primary
care physicians. It can lead to
frustration and even worse, patients may not feel better or have tolerance
issues that require higher doses. This can
lead to incorrect dosing, and even fear of licensing problems from medical
boards or regulatory agencies. Due to the
growing problem of pain medication in this country, primary doctors are
sometimes reluctant to prescribe scheduled narcotics. This is despite their
best intentions.
2.Reducing stigma surrounding pain management patients -
there are primary care doctors who refuse to treat pain management patients
because they consider them too needy. The doctor may also be taking on increased risks by
prescribing controlled drugs. According to
the American Pain Foundation, 14% of people suffering from chronic pain avoid
talking to their doctors because they don't want to be called a drug seeker. The current paradigm for pain management is often
retroactive. Patients are brought in to be
treated for pain. While this is
acceptable, a more wellness-oriented approach would be better to keep the pain
at a set level so that it does not escalate.
3. Patients need to communicate better with each other. Chronic
pain is often volatile. This means that
patients may experience extreme pain for a few days, then they may feel better
for a while and then it may return again with more intensity a week later. Many tools are being developed to facilitate communication
between patients, their providers, and help them communicate with each other.
One such tool is a notebook that will record the patient's pain history. This will allow patients to visit the doctor more often than
simply keeping a mental record of what they remember.
4. Answering patients' questions-Another issue in the survey
was that patients still had questions about medication side effects. Patients were able to follow up by calling their doctor to
inquire about side effects, treatment durations, and cost issues. Most
practices have messaging services that allow them to contact an on-call doctor. This means that doctors' offices need to realize that
patients may have questions that are not answered or have new questions after
their appointment. They should also have the resources to answer these calls.
5. It is common for pain sufferers to experience acute pain
exacerbations from time-to-time. If you
have ever dealt with patients who are prescribed narcotics, you know that
emergencies can occur at the worst times. The
usual response is to inform the patient that they need to be admitted to an
emergency room to receive immediate care. It
is a better idea to prepare an emergency plan that will provide treatment for
acute pain.
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