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Chronic Pain Treatment: Things that Your Physician Have to Do

Do you know about your physician’s perspective toward chronic pain treatment? If you are a chronic pain sufferer, probably you have read many sources of information about how to cope or how to treat with chronic pain from the patient’s perspective. Nevertheless, have you known about your physician’s point of view?

Having a sufficient knowledge about a problem from different perspectives would be very beneficial for you. You will have a broader knowledge and deeper understanding toward a matter which might be very important for you.

In this article, we present you with information about how physicians take care or prepare a treatment for a chronic pain patient.

Treatment of Chronic Pain: Physician’s Obligations

Step 1: Assessment of the Patient
Your physician should evaluate your pain history and assess the implications of pain to you. These will include a review of previous diagnostic studies, drugs history, directed physical examination, previous interventions and coexisting diseases or conditions.

Step 2: Treatment Plan
Treatment planning should be personalized to both the presenting problem and you as the chronic pain patient.

Step 3: Inform the Patient
Your physician must inform you about the risks and benefits of all controlled actions regarding to the treatment plan.

The information should include the possibility of abuse/addiction, not improving all pain and alternatives of treatment would include the implications from no treatment.

Step 4: Agreement

For certain conditions, your physicians should ask for your agreement.

Step 5: Periodic Review
Periodic review of treatment efficiency should be conducted periodically to gain all new information regarding the etiology of your pain or your state of health, continued analgesia, your functional status, opioid side effects, quality of life and indications of medication wrong application.

Step 6: Consultation
Consultation with your psychologist or a pain medicine specialist may be warranted, depending on the expertise and the complexity of the problem.

Step 7: Medical Records

Your physician have to make accurate, complete and legible records which present sufficient information for another physician or practitioner to assume continuity of your care.

The records should contain the following points at a minimum:
1.The medical history and physical examination,
2.Diagnostics, therapeutic and laboratory results which report the diagnosis,
3.Evaluations and consultations,
4.Treatment objectives,
5.Discussion about risks and benefits,
6.Written informed consent and/or documented verbal,
7.Treatments,
8.Medications (incl. date, type, dosage and quantity prescribed),
9.Instructions and agreements,
10.Periodic reviews.

Step 8: Termination of Medical Practice
There are situations which might terminate the treating physician-patient relationship. When this happens, your physician has responsibility to ensure that you do not undergo uncontrolled.

Step 9: Compliance with Controlled Substances Laws and Regulations
Your physician must be licensed in the State and comply with applicable federal and state regulations to have permission of prescribe, dispense or administer controlled substances.

Added Information About Pain Definition and Chronic Pain Definition

What is Pain? Pain is an uncomfortable sensory as well as emotional experience which relates to actual or possible tissue damage or explained in terms of such damage.

What is Chronic Pain? Chronic pain is a condition in which pain continues beyond the usual period of an acute disease of healing from an injury, or that might or might not be related with an acute or chronic pathologic process that causes constant or irregular pain for months or years.

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