Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.
Pain Manag Nurs
; 22(2): 103-110, 2021 04.
Article
in English
| MEDLINE | ID: covidwho-1005694
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has led caregivers to modify patient healthcare, with a high impact on patients with chronic pain.AIMS:
To map recommendations for the management of chronic pain patients during the COVID-19 pandemic and propose a workflow for the management of these patients.DESIGN:
This was a scoping review.METHODS:
The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library, and LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer.RESULTS:
We presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including one consensus, five guidance documents, two expert panels, one joint statement, two educational flyers, and two free comments. We considered new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk of misusing them. Nonpharmacological approaches and pain education should be maintained, considering the use of telehealth.CONCLUSIONS:
Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Practice Guidelines as Topic
/
Chronic Pain
/
Pain Management
/
COVID-19
/
Nursing Care
Type of study:
Prognostic study
/
Qualitative research
/
Reviews
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Pain Manag Nurs
Journal subject:
Nursing
/
Neurology
/
Psychophysiology
Year:
2021
Document Type:
Article
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