Pain Documentation

Partners Against Pain®
Pain Management Kit

Clinical Follow-up

Documentation is essential for supporting the pain management program. The patient should be seen and assessed at reasonable intervals based on the individual circumstances of the patient. Some patients may need to be seen and assessed more frequently than others (e.g., if there is a previous history of substance abuse). The clinician should specifically evaluate the patient for several distinct aspects of therapy at each visit, including (1) analgesic efficacy, (2) adverse pharmacological effects, and (3) physical and psychological function.1-2

For definitions of several important words often used in the treatment of pain, please see References for the consensus document from the American Pain Society, and the American Society of Addiction Medicine.

Follow-up Office Visit for Chronic Opioid Analgesia
Printable PDF: 18 KB / 1 page
Opioid Progress Report
Printable PDF: 200 KB / 1 page
Functional Progress Form
Printable PDF: 309 KB / 1 page

 

References:
1. Jacox A, Carr DB, Payne R, et al. Management of Cancer Pain. Clinical Practice Guideline No 9. AHCPR Publication No. 94-0592. Rockville, MD. Agency for Health Care Policy and Research, U.S. Department of Health and Human Services, Public Health Service, March 1994.
2. The Use of Opioids for the Treatment of Chronic Pain. A consensus statement from American Academy of Pain Medicine and American Pain Society, 1996 http://www.ampainsoc.org/advocacy/opioids

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