TY - JOUR
T1 - Pain management by the family physician
T2 - The family practice pain education project
AU - Bope, Edward T.
AU - Douglass, Alan B.
AU - Gibovsky, Alan
AU - Jones, Tanya
AU - Nasir, Laeth
AU - Palmer, Trish
AU - Panchal, Sunil
AU - Rainone, Francine
AU - Rives, Peter
AU - Todd, Knox
AU - Toombs, James D.
PY - 2004/11
Y1 - 2004/11
N2 - Pain is a common complaint of patients who visit a family physician, and its appropriate management is a medical mandate. The fundamental principles for pain management are: placing the patient at the center of care; adequately assessing and quantifying pain; treating pain adequately; maximizing function; accounting for culture and gender differences; identifying red and yellow flags early; understanding and differentiating tolerance, dependence and addiction; minimizing side effects; and being familiar with and using CAM therapies when good evidence of efficacy exists. The pharmacologic management of pain requires thorough knowledge of nonsteroidal anti-inflammatory drugs, cyclo-oxygenase-2-specific inhibitors, and opioids. A table of equianalgesic dosages is useful because patients may need to move from one opioid to another. Accompanying this article are papers discussing 5 common pain disorders seen by family physicians, including: neck pain, low back pain, joint pain, pelvic pain, and cancer/end of life pain. The family physician who learns these principles of pain management and the algorithms for these common pain disorders can serve patients well.
AB - Pain is a common complaint of patients who visit a family physician, and its appropriate management is a medical mandate. The fundamental principles for pain management are: placing the patient at the center of care; adequately assessing and quantifying pain; treating pain adequately; maximizing function; accounting for culture and gender differences; identifying red and yellow flags early; understanding and differentiating tolerance, dependence and addiction; minimizing side effects; and being familiar with and using CAM therapies when good evidence of efficacy exists. The pharmacologic management of pain requires thorough knowledge of nonsteroidal anti-inflammatory drugs, cyclo-oxygenase-2-specific inhibitors, and opioids. A table of equianalgesic dosages is useful because patients may need to move from one opioid to another. Accompanying this article are papers discussing 5 common pain disorders seen by family physicians, including: neck pain, low back pain, joint pain, pelvic pain, and cancer/end of life pain. The family physician who learns these principles of pain management and the algorithms for these common pain disorders can serve patients well.
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U2 - 10.3122/jabfm.17.suppl_1.s1
DO - 10.3122/jabfm.17.suppl_1.s1
M3 - Review article
C2 - 15575025
AN - SCOPUS:21644455775
SN - 0893-8652
VL - 17
SP - S1-S12
JO - Journal of the American Board of Family Practice
JF - Journal of the American Board of Family Practice
IS - SUPPL. 1
ER -