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The Ten Steps of Universal Precautions in Pain Medicine

The Ten Steps of Universal Precautions in Pain Medicine. Diagnosis with appropriate differential Psychological assessment including risk of addictive disorders Informed consent (verbal vs written/signed) Treatment agreement (verbal vs written/signed)

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The Ten Steps of Universal Precautions in Pain Medicine

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  1. The Ten Steps of Universal Precautions in Pain Medicine • Diagnosis with appropriate differential • Psychological assessment including risk of addictive disorders • Informed consent (verbal vs written/signed) • Treatment agreement (verbal vs written/signed) • Pre/post intervention assessment of pain level and function D Gourlay, HA Heit, A Almahrezi Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain Pain Medicine. 2005;6(2):107-12

  2. The Ten Steps of Universal Precautions in Pain Medicine • Appropriate trial of opioid therapy +/- adjunctive medication • Reassessment of pain score and level of function • Regularly assess the “Four A’s” of pain medicine • Analgesia, Activity, Adverse effects, & Aberrant behavior* • Periodically review pain diagnosis and comorbid conditions, including addictive disorders • Documentation *Passik SD, Weinreb HJ. Adv Ther. 2000;17(2):70-83

  3. Conclusion • By taking a thorough and respectful approach to patient assessment and management within the context of chronic pain management • Stigma can be reduced • Overall risk contained • Patient care improved • Universal Precautions is not about opioids, it’s about good medical practice

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