Best Pain Management Practices Outlined in New HHS Report

Best Pain Management Practices Outlined in New HHS Report

Publication date: Jun 07, 2019

A federal advisory committee issued its final report on recommended best practices for acute and chronic pain, calling for a “balanced, individualized, patient-centered approach. “

The Pain Management Best Practices Inter-Agency Task Force had issued a draft of the report in December, asking for public comments, which are incorporated in this final report.

“I think this is a very balanced approach, emphasizing individualized care and patient-centeredness because chronic pain doesn’t exist in a vacuum,” Vanila Singh, MD, chief medical officer at the HHS Office of the Assistant Secretary of Health and chair of the Pain Management Inter-Agency Task Force, told Medscape Medical News.

“The report gives clinicians best-practice guidelines, not only in chronic pain but also in terms of how to approach patients with comorbid conditions, substance abuse or risk, and how to bring it all together,” she said.

The task force was convened by the US Department of Health and Human Services (HHS), in conjunction with other governmental agencies, “to address acute and chronic pain in light of the ongoing opioid crisis. “

The task force consisted of members of relevant HHS as well as non-federal representatives representing diverse disciplines and views, including experts in areas related to pain management, pain advocacy, addiction, recovery, substance use disorders, mental health, and minority health.

Singh emphasized that an estimated 50 million American adults experience chronic daily pain, and of these 19. 6 million have high-impact pain that affects their ability to work, function, and have a good quality of life.

“In the current environment, patients with chronic pain – particularly those being treated with opioids – can be stigmatized, a tendency exacerbated when their pain condition is complicated by mental health co-morbidities,” the authors observe.

The report focuses on populations with unique issues that affect pain management, including active duty service members and veterans; pediatric patients; older adults; women; pregnant women; individuals with sickle cell disease; those with chronic, relapsing pain conditions; patients with cancer and those in palliative/hospice care; and Alaska natives, American Indians, African Americans, and Hispanic/Latino Americans.

“If a PCP is facing a patient, maybe one with established chronic pain, psychiatric consultation should be considered early – even a one-time consultation to help with a blueprint for treatment. “

In general, the report emphasizes education about pain conditions and their treatment for patients, families, caregivers, clinicians, and policymakers.

Concepts Keywords
Addiction Telemedicine
African Americans Comorbidity
Aging Population Chronic condition
Ajay Chronic pain
Alaska Natives Opioid
AMA RTT
American Indians Pain management
Anesthesiology Palliative care
Anxiety Acute pain
CDC Nociception
Chronic Pain Medicine
Cognitive Impairment Perception
Comorbid Pain
Comorbidities Counseling
Continuing Professional Education Pain Management
Coordination Complex Physical therapy modalities
Cross Individuals sickle disease
Depression Environment chronic pain
ECHO Anxiety depression
Facebook Place depression
FDA Improved insurance payment
Federal Advisory Committee Balanced pain management
Force Healthcare professions
Gamut Pain management
Healthcare
Hispanic
Hospice Care
Insurance
Latino
Medscape
Mental Health
Metabolism
Mood Disorder
Multimodal
Nerve
Neurology
Office Assistant
Opioid
Opioids
Organ
Overdose
Pain
Pain Management
Pain Medicine
Palliative
Patient Harm
PCP
Pediatric
Pendulum
Physical Therapy
Physician
Pittsburgh
Primary Care
Psychiatrist
Respiratory Depression
Risk Assessment
Sickle
Social Worker
Stigma
Substance Abuse
Suicide
Telehealth
Telemedicine
Therapeutic Alliance
Twitter
Unintended Consequences
Vacuum
Work Function

Semantics

Type Source Name
gene UNIPROT BEST1
disease DOID HHS
disease DOID HHS
gene UNIPROT GALNT3
gene UNIPROT APCDD1
disease MESH chronic pain
gene UNIPROT KCNK3
disease MESH substance abuse
disease DOID substance abuse
gene UNIPROT TNFSF14
disease MESH community
gene UNIPROT SSRP1
disease MESH suicide
gene UNIPROT IMPACT
gene UNIPROT NR4A2
gene UNIPROT ALG3
disease MESH diagnosis
gene UNIPROT SET
gene UNIPROT SGCA
drug DRUGBANK Tropicamide
disease MESH comorbidities
gene UNIPROT ANP32B
gene UNIPROT TNFSF13
gene UNIPROT RGS6
gene UNIPROT RASA1
gene UNIPROT CHL1
drug DRUGBANK Phencyclidine
gene UNIPROT BMP1
gene UNIPROT PGPEP1
gene UNIPROT PRCP
disease MESH sickle cell disease
disease MESH cancer
disease DOID cancer
disease MESH aging
pathway BSID Aging
disease MESH cognitive impairment
disease MESH respiratory depression
pathway BSID Metabolism
disease MESH anxiety
disease DOID anxiety
disease MESH depression
disease MESH mood disorder
disease DOID mood disorder
gene UNIPROT CTSB

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