Pain Audit
Background
What is OA?
What is the impact of OA?
The need for improved care in OA
Audit objectives
Assessment Tools
A comprehensive pain assessment
Pain location
Pain intensity
Causes & Classification of pain
Assessing neuropathic pain
Other types of pain
Neurological examination
Psychosocial assessment
Diagnostic testing
Physical risk factors
Psychosocial risk factors
Ongoing assessment and review
References
Appendices
Appendix 1: Assessment of patient's pain history
Appendix 2: Body map
Appendix 3: DN4 Neuropathic Pain Diagnostic Questionnaire
Appendix 4: (LANSS) Pain Scale
Appendix 5: SF-12 Health Survey
Appendix 6: Kessler Psychological Distress Scale
Appendix 7: Orebo Musculoskeletal Pain Screening Questionnaire
Management Tools
AIMS OF TREATING PERSISTENT PAIN
GENERAL PAIN MANAGEMENT PRINCIPLES
TREATMENT PLAN
PHARMACOLOGICAL TREATMENTS
(WHO) – ANALGESIC LADDER
COMMONLY PRESCRIBED ANALGESICS
ASSESSING INEFFECTIVE TREATMENT
NON-PHARMACOLOGICAL TREATMENTS
PATIENT/FAMILY EDUCATION
PREVENTING DECONDITIONING WITH "PACED" PHYSICAL EXERCISE
PSYCHOLOGICAL INTERVENTIONS
ALLIED HEALTH PROFESSIONAL INTERVENTIONS
COMPLEMENTARY AND ALTERNATIVE TREATMENTS
SURGERY AND OTHER INVASIVE PROCEDURES
TREATMENT ALGORITHMS
MULTIDISCIPLINARY PAIN CENTRES
SUMMARY: PAIN TREATMENT
REFERENCES
APPENDICES
Appendix 1: Chronic Disease Management Plan for GPs
Appendix 2: A Team Care Arrangement for GPs
Appendix 3: NSW Therapeutic Advisory Group patient information leaflet on chronic pain
Appendix 4: Neuropathic pain treatment algorithm
ACKNOWLEDGEMENTS
DISCLAIMER
Resources
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