Assessment & management of pain : Assessment and management of pain

Grade of Recommendation =C Assessment and Management of Pain Reassessment and Ongoing Assessment of Pain Recommendation 7 Recommendation 8 Pain is reassessed on a regular basis The following parameters are included in according to the type and intensity of pain the regular re-assessment of pain: and the treatment plan. [...] Grade of Recommendation =A Assessment and Management of Pain Recommendation 22 Recommendation 24 Advocate for use of the simplest analgesic Advocate for consultation with a pain dosage schedules and least invasive pain management expert for complex pain management modalities: situations which include, but are not The oral route is the preferred route limited to: for chronic pain and for acute pa [...] Meperidine is not recommended for Recommendation 28 the treatment of chronic pain due to Consider the following pharmacological the build-up of the toxic metabolite principles in the use of opioids for the normeperidene, which can cause treatment of severe pain: seizures and dysphoria. [...] Grade of Recommendation =A Assessment and Management of Pain Optimizing pain relief with opioids Recommendation 30 Recommendation 32 Ensure that the timing of analgesics is Use principles of dose titration specific to appropriate according to personal charac- the type of pain to reach the analgesic teristics of the individual, pharmacology dose that relieves pain with a minimum of (ie. [...] The first task of the panel was to identify and review existing clinical practice guidelines in order to build on the current understanding of pain management and assessment, and to reach consensus on the scope of the guideline.