Resources for
Treating Patients with Chronic Pain
CHAMPS has organized this compilation of resources to support Region VIII CHCs in treating and supporting their patients with chronic pain.
Please click or scroll down for:
Evidence-Based Clinical Guidelines
Articles and Reports
Courses, Webcasts, and Online CME Opportunities for Providers
Provider Tools
Patient Resources
Helpful Links
EVIDENCE-BASED CLINICAL GUIDELINES
(listed in order by general to specific)
Institute for Clinical Systems Improvement
Assessment and Management of Chronic Pain
2009
American Academy of Pain Medicine and American Pain Society
Clinical Guidelines from the American Pain Society and the American Academy of Pain Medicine on the Use of Chronic Opioid Therapy in Chronic NonCancer Pain
2009
American College of Physicians and American Pain Society
Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society
2007
American Pain Society
Pain Guidelines and Online Resources for the Clinician
University of Texas, School of Nursing
Management of Fibromyalgia Syndrome in Adults
2009
ARTICLES AND REPORTS
(listed in order by date)
L. Gerlach
National Summit on Opioid Safety: a Firsthand Report
November 2012
Centers for Disease Control and Prevention (CDC)
Unintentional Drug Poisoning in the United States
March 2010
S. Boschert
Little Evidence Guides Noncancer Use of Opiods
Family Practice News, February 1, 2010, Vol. 40, No. 2
J. Ballantyne, MBBS
U.S. Opioid Risk Management Initiatives
International Assoc. for the Study of Pain (IASP), November 2009, Vol. XVII, Issue 6
Expert Panel Convened by the Mayday Fund
A Call to Revolutionize Chronic Pain Care in America: An Opportunity in Health Care Reform
November 4, 2009
W. Wilke, MD
New Developments in the Diagnosis of Fibromyalgia Syndrome: Say Goodbye to Tender Points?
Cleveland Clinic Journal of Medicine, June 2009, Vol. 76, No. 6
A. McLellan, PhD and B. Turner, MD, MsEd
Prescription Opioids, Overdose Deaths, and Physician Responsibility
JAMA, December 10, 2008, Vol. 300, No. 22
L. Garufi Clark, MD and C. Upshur, EdD
Family Medicine Physicians’ Views of How to Improve Chronic Pain Management
JABFM, September-October 2007, Vol. 20, No. 5
C. Upshur, EdD, R. Luckman, MD MPH, and J. Savageau, MPH
Primary Care Provider Concerns about Management of Chronic Pain in Community Clinic Populations
Journal of General Internal Medicine, June 2006, 21(6): 652-655
M. Donovan and L. Kindler
Chronic Pain Management Integrated with Primary Care
Asian Hospital & Healthcare Management, 2008
COURSES, WEBCASTS, AND ONLINE CME OPPORTUNITIES FOR PROVIDERS
American Academy of Family Physicians (AAFP)
AAFP Live (weekend courses)
Pain management courses offered in collaboration with the American Academy of Pain Medicine
A. Anderson, MD, DC, P. Fine, MD, and S. Fishman, MD
Opioid Prescribing: Clinical Tools and Risk Management Strategies
A free monograph, with optional posttest for continuing medical education credit, providing education on the mechanisms of opioids, addiction and abuse, and regulatory requirements to encourage appropriate prescribing of opioids
Released December 2009; Expires December 2010
Montana Family Medicine Residency
Chronic Illness/Pain
Chronic Pain Management in Primary Care
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010
National Summit on Opioid Safety
Slideshare
Slide presentations from the National Summit on Opioid Safety
2012
PainEDU.org
REMS: Overview & Clinical Implications of Proposed FDA REMS for Opioids
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010
Rasmussen College School of Nursing
Pain Management in Nursing Webinar
Free 68-minute webinar that provides information on neurophysiology of pain pathways, pharmacological and non-pharmacological interventions, pathophysiology of pain, and nursing contributions to pain management
2011
CHAMPS Archived Distance Learning Events (Webcasts):
Richard L. Brown, MD, MPH
Volume 6 - Opioids for Chronic Pain: Striking a Balance
Download Handouts and Evaluation Form
Purchase on CD-ROM
Borrow on CD-ROM
April 11, 2006
Kris Robinson, PhD, FNPbc, RN
Volume 23 - Multimodal Approach to the Treatment of Chronic Pain
Download Handouts and Evaluation Form
Purchase on CD-ROM
Borrow on CD-ROM
February 17, 2010
Federation of State Medical Boards
Responsible Opioid Prescribing CME Activity
This CME activity is designed to improve the knowledge of physicians about the laws and regulations that govern the prescribing of opioid analgesics for pain control. The process, which includes reading the book and taking a quiz, takes approximately seven hours.
Released March 1, 2009; Expires March 1, 2012
PROVIDER TOOLS
(listed in order by general precautions, opioid treatment, patient screening and assessment tools, and reference guides)
D. Fourlay, MD, MSc, FRCPC, FASAM, et al
Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain
The article describes an approach to the assessment and management of chronic pain patients and offers a triage scheme for estimating risk that includes recommendations for management and referral
Pain Medicine, Volume 6, No. 2, 2005
American Pain Foundation
Chronic Pain and Opioid Treatment
Topic Brief
November 2008
Oregon Health & Science University, Area Health Education Center (AHEC)
Getting the Best Result from Opioid Pain Medication: A Partnership Agreement
An agreement for the health care provider and patient with chronic pain to agree to and sign
L. Webster, MD and Emerging Solutions in Pain
The Opioid Risk Tool (ORT)
A form to score the substance abuse risk of a patient being considered for treatment with opioids
2005
American College of Physicians Internist
Opioid Conversion Tips and Dosing and Conversion Chart
Tips for adjusting and changing opioids, and a dosing and conversion chart
2008
C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Long Form)
Patient assessment form
C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Short Form)
Patient assessment form
Inflexxion, Inc.
Screener and Opioid Assessment for Patients with Pain – Revised (SOAPP-R)
Free questionnaire, with scoring instructions, to help clinicians better predict a patient’s likelihood for misusing or abusing opioids, documenting decisions, and justifying referrals to specialty pain clinics
2008
M. Bennett, et al
Using Screening Tools to Identify Neuropathic Pain
Reviews the strengths and weaknesses of tools developed to assess neuropathic pain
Pain, 2007, No. 127, pp. 199-203
P. Arnstein, PhD
Assessment of Nociceptive versus Neuropathic Pain in Older Adults
Recommends and provides two tools (LANSS and DN4) for distinguishing nociceptive from neuropathic pain
2009
D. Bouhassira, et al, and VirtualMedicalCentre.com
Neuropathic Pain Diagnostic Questionnaire
Online scoring questionnaire to assess neuropathic pain
Pain, March 2005, 114(1-2): 29-36
Center for Continuing and Outreach Education
A Clinical Guide to Urine Drug Testing
An educational activity designed for primary care physicians, family physicians, and pain physicians; CME credit no longer available
Released May 2008
PainEDU.org
Improving Pain Treatment Through Education
Free educational resources for clinicians including best practices, articles, publications, online roundtables, patient screening tools, and opioid risk management (no cost, registration is required)
PainEDU.org
The Pain EDU Manual
Managing Chronic Pain with Opioids in Primary Care
Cross-Cultural Pain Management
Your Guide to Pain Management
Four pocket manuals/guides available for free by registering on the website
Bedside Pain Manager
Bedside Pain Manager
A quick-reference guide with eight pages of pain control guidelines, conversion tables and symptom control information for clinicians available online for $12-$14
September 2008 Edition
PATIENT RESOURCES
CHAMPS Patient Education Handouts
Includes one general patient handout describing the need for practicing relaxation and creating the Relaxation Response to help curb chronic pain, and four ensuing handouts that present four different approaches to practicing the Relaxation Response
Chronic Pain and the Relaxation Response Patient Handout
Deep Breathing Method Patient Handout
Tense and Relax (Progressive Muscle Relaxation) Patient Handout
Guided Imagery Patient Handout
Mindful Meditation Patient Handout
PainAction
Patient Self Management
Provides pain management resources that can be customized for back pain, migraine pain, cancer pain, and neuropathic pain
American Chronic Pain Association
Live Better with Pain Log (daily pain log)
A patient friendly form for patients to record daily pain, stress, activity, sleep, mood, and more that includes rating scales with pictures
2005
CVS Caremark and American Geriatrics Society (AGS) Foundation for Health in Aging
Daily Pain Diary (one-week log)
A form for patients to record the quality of their daily pain, triggers, treatments used and side affects for each day of the week
2006
American Chronic Pain Association
Resource Finder
Browse an extensive library of pain management tools and resources, and narrow results by searching on key words
HELPFUL LINKS
American Chronic Pain Association
www.theacpa.org
American Academy of Pain Medicine
www.painmed.org
American Headache Society
www.americanheadachesociety.org
American Society of Pain Management Nurses
www.aspmn.org
American Society for Regional Anesthesia and Pain Medicine
www.asra.com
National Institute of Neurological Disorders and Stroke
www.ninds.nih.gov/disorders/chronic_pain/chronic_pain.htm#Publications
Pain Online
www.painonline.org
