Management Principles for Chronic Non Cancer Pain
What is Chronic Pain?
• Is pain persisting beyond 3 months
• Is real but does not always reflect the extent of tissue damage
• Is always influenced by central nervous system processes (including sensitisation, emotions, and thoughts) and the environmental context in which it occurs.
HealthPathways
- Medication Options for Acute Pain
- Opiod Use in Persistent Pain
- Persistent Non-Cancer Pain
- Chronic Pain Clinic
- Medication Options for Chronic Pain
- **Chronic Pain Toolkit for Clinicians (ACI)
- Quick Steps to Manage Chronic Pain in Primary Care (ACI)
Resources:
ACI Pain Management Network provides a website is designed to help your patients gain a better understanding of their pain. The site contains information to enable skill development and knowledge in the self-management of pain in partnership with their healthcare providers.
The site provides stories from other people, who share how they too have lived with chronic pain. The website has a number of episodes which should be viewed over several days to weeks. Anyone who has concerns viewing or reading the material are advised to consult their doctor or health professional.
For young people with chronic pain, there’s a youth channel with episodes they can work through with a range of exercises and useful tips throughout.
Early assessment and effective management of pain is essential to prevent its progression to Chronic Pain. Best evidence for effective management and prevention of chronic pain is to use an interdisciplinary bio-psychosocial approach to people in pain. The ACI website provides tools and resources below will help guide management of chronic pain.
ACI Resources
Other Resources
- New Referral Pathway for Patients with Low Level Chronic Pain
- NPS MedicineWise: Clinical e-Audit – Chronic pain: Opioids and Beyond
- Case study 6 – Has suffered serious harm from the medication
- Case study 5 – Unwilling to cut down or cease opioids
- Case study 4 – Commenced on opioids for acute pain without clear plan for treatment duration
- Case study 3 – Tried unsuccessfully to cut down and cease opioids
- Case study 1 – Supported de-prescribing for a patient keen to stop opioids