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NoPAIN RetreatNoPAIN Retreat
David Liebovitz, MD
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Multi-disciplinary approach Multi-disciplinary approach beneficialbeneficial
»Diabetes, CHF, cancer, geriatrics and palliative care
»Practice change»Unintended benefits versus harms
»Align goals for practice and research
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Multi-dimensional attention to Multi-dimensional attention to pain is problematic in clinical pain is problematic in clinical
carecare
Physical, psychological, social, spiritual
Contextual assessment inadequate
Linear scales are limited
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Many barriers to effective Many barriers to effective assessmentassessment
Policy Clinician knowledge and skill Patients’ attitudes State of research available
on best approach
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Many potential approachesMany potential approaches
Measurement sciences Clinical practice experience Modeling Informatics…
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Information technology may Information technology may improve pain managementimprove pain management
Acquisition Presentation Guidance Feedback
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Many options for patient Many options for patient information acquisitioninformation acquisition
Prompted nursing documentation
Patient prompted recording»Wireless»Large fonts»No fonts?
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Focused presentation Focused presentation facilitates actionfacilitates action
Diagrams: blinking body parts
Automatic escalation Acknowledgement required
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IT can provide a pain IT can provide a pain management corridormanagement corridor
Consensus approach integration
Interruptive: Required steps Guiding: Responses
monitored within parameters
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An iterative process is An iterative process is required.required.
Defined outcomes for APGF New tactics may be required The job is never complete.