May 16, 2021
Written & Researched By: Caleb Dusdal and Thomsen D'hont
The first of the new 105 CCFP Topics https://thegenerehlist.ca/2021/05/16/ccfp-key-topic-chronic-pain/
Objective
One:
In a patient with chronic pain: Establish the etiology, Reassess
and periodically review the etiology and Periodically look for
potential comorbidities or complications, particularly mental
illness and addictions.
Objective
Two:
In a patient with chronic pain who complains of significantly
increased pain, search for an alternative etiology as you cannot
assume that the original cause of the pain is the reason for the
exacerbation.
Objective
Three:
In a patient in whom you did not make the initial diagnosis of
chronic pain: Establish an effective relationship, Verify the
diagnosis, and clarify goals of treatment and plans for
management
Objective
Four:
In managing a patient with chronic pain: Use shared
decision-making, and engage other professionals in this care when
appropriate
Objective
Five:
In a patient with chronic pain: Comprehensively document the
assessment, plan, goals, and prescription details and Make the
treatment plan appropriately accessible
Objective
Six:
When prescribing medications with abuse potential in a patient with
chronic pain where you have no established relationship or
insufficient records, be prudent in your prescribing. Do not simply
provide or refuse to prescribe.
Objective
Seven:
Use a written treatment contract with realistic consequences when
prescribing medications with abuse potential to a patient with
chronic pain.
Objective
Eight:
When a patient with chronic pain has breached a contract: Manage
your own emotions, Address the possible impact on your staff and
team, and Apply or judiciously amend the contract