A new approach to chronic pain in the ED.
Patients presenting to emergency departments (EDs) for primary management of chronic or recurrent nonmalignant pain conditions and their physicians frequently report dissatisfaction, in part because of the impressions created by a small percentage of such patients that frequently visit EDs requesting opioids.
Treating such patients with opioids is contrary to many published guidelines, but refusing them increases dissatisfaction.
Narcotic registers serve to label patients who are suspected of seeking drugs, thus creating anxiety and often distrust in health care professionals treating them.
The four Calgary adult EDs have developed a system that will attempt to remove labels associated with some of these patients, insure communication between patients, their family doctors, and ED staff, and facilitate optimal care of the patients'real problems, be they difficult home management of pain, drug dependence or addiction, or other social issues.
Emphasis will be shifted to home management and the family doctor's office.
If successful, the system will minimize ED visits by frequent attendees seeking medication for pain control, and should also decrease overall expenditure to the health care system.
Mots-clés Pascal : Douleur, Chronique, Service hospitalier, Urgence, Relation, Médecin, Médecin généraliste, Besoin, Traitement, Optimisation, Homme, Canada, Amérique du Nord, Amérique, Soin intensif, Personnel sanitaire
Mots-clés Pascal anglais : Pain, Chronic, Hospital ward, Emergency, Relation, Physician, General practitioner, Need, Treatment, Optimization, Human, Canada, North America, America, Intensive care, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0307107
Code Inist : 002B30A05. Création : 10/04/1997.