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Pain Management Guidelines
  Pain Management Guidelines

Introduction
Purdue Canada's 6 Point Program
Related News Items
Prescription Drug Abuse: Links and Resources

In the past several years, there has been growing recognition on the part of health care providers, government regulators and the public that the under-treatment of pain is a major societal problem. Numerous guidelines have been published that endorse the appropriate use of opioids to treat cancer and non-cancer related pain.

Canadian Pain Society: Position Statement on Pain Relief

Approved by the Executive of the Canadian Pain Society, December 13, 1997

  • Almost all acute and cancer pain can be relieved, and many patients with chronic non-malignant pain can be helped. Patients have the right to the best pain relief possible.
  • Unrelieved acute pain complicates recovery. Unrelieved pain after surgery or injury results in more complications, longer hospital stays, greater disability, and potentially long-term pain.
  • Routine assessment is essential for effective management. Pain is a subjective and highly variable experience. Therefore, patients' self-report of pain should be used whenever possible. For patients unable to report pain, a non-verbal assessment method must be used.
  • Health professionals have a responsibility to assess pain routinely, to believe patients' pain reports, to document them, and to intervene in order to prevent pain.
  • The best pain management involves patients, families, and health professionals. Patients and families must be informed that they have a right to the best pain relief possible and encouraged to communicate the severity of their pain.
  • Patients, families, and health professionals need to understand pain management strategies, including non-pharmacological techniques and the appropriate use of opioids.

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Consensus statement and guidelines from the Canadian Pain Society, 2002

Please review the use of opioid analgesics for the treatment of chronic non-cancer pain - A consensus statement and guidelines from the Canadian Pain Society, 2002 at www.canadianpainsociety.ca/formulaires/opioid.pdf.

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Patient Pain Manifesto

The Patient Pain Manifesto is available on the Canadian Pain Society website at www.canadianpainsociety.ca/cont-ang/4nouvelles-manifeste.htm#2.

Sponsored in part by PURDUE PHARMA. Purdue Pharma - in partnership with healthcare professionals, associations and societies - is committed to improving the quality of life of patients who suffer with pain. Purdue offers educational programs to the healthcare community related to etiology, diagnosis and management of cancer and non-cancer pain, including the appropriate use of oral opioid analgesics.

As an innovative leader among Canadian pharmaceutical manufacturers Purdue views the Patient Pain Manifesto project as an extension of this commitment.

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Pain Management Guidelines/Position Statements from the Provincial Colleges of Physicians and Surgeons International Pain Guidelines and Publications

Canada

Alberta.
Management of Chronic Non-Malignant Pain

British Columbia. Evidence-Based Recommendations for Medical Management of Chronic Non-Malignant Pain

Manitoba. Pain management guidelines no longer available from the CPSM

New Brunswick. Guidelines for Management of Chronic Non-Malignant Pain

Newfoundland Medical Board: Use of Controlled Substances for the Treatment of Pain

Newfoundland and Labrador Medical Association: The use of controlled drugs for the treatment of pain

Nova Scotia. Use of Controlled Substances in the Treatment of Pain

Ontario. Evidence-Based Recommendations for Medical Management of Chronic Non-Malignant Pain

Quebec (Collège des Medecins).

   Francais: Traitement De La Douleur : Le Point Sur L'utilisation Des Narcotiques

   English: Treating Pain: An Update On The Use Of Narcotics

Saskatchewan. Narcotics in the Management of Chronic Non-Malignant Pain


International Pain Guidelines:

USA:
American Pain Society
American Academy of Pain Medicine

UK: British Pain Society: Recommendations for the appropriate use of opioids for persistent non-cancer pain (2005)

World Health Organization (WHO)

International Association for the Study of Pain


Publications

Journal of the Canadian Pain Society: Pain Research and Management

Alberta Cancer Board: Alberta Cancer Board: Alberta Palliative Care Resource Manual. 2nd edition. Edmonton, AB: University of Alberta Press 2001.

99 Common Questions (and Answers) About Palliative Care: A Nurse's Handbook. Edmonton, AB: Regional Palliative Care Program, Capital Health. 2000.

California Academy of Family Physicians. Urine Drug Testing in Clinical Practice: Dispelling the Myths and Designing Strategies. Supported by Purdue Pharma L.P USA
   UDT Monograph
   Quick Reference Card

American Geriatric Society Panel on Persistent Pain in Older Persons. The management of persistent pain in older persons. J Am Geriatr Soc. 2002 Jun;50(6 Suppl):S205-24. PMID: 12067390.

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