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Volume 89, Issue 3, Supplement 1, Pages S51-S55 (March 2008)


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Interventions in Chronic Pain Management. 4. Monitoring Progress and Compliance in Chronic Pain Management

Ira D. Kornbluth, MDaCorresponding Author Informationemail address, Mitchell K. Freedman, DOb, Michele Y. Holding, MDc, E. Anthony Overton, DOb, Michael F. Saulino, MDd

Abstract 

Kornbluth ID, Freedman MK, Holding MY, Overton EA, Saulino MF. Interventions in chronic pain management. 4. Monitoring progress and compliance in chronic pain management.

This self-directed learning module highlights the monitoring of progress and compliance in chronic pain management. It is part of the chapter on chronic pain in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. Specifically, the first module focuses on the use of pain rating scales to monitor progress, and the second and third learning objectives focus on evaluating abuse potential and interpreting drug screens. The fourth objective discusses issues pertaining to closure of a workers’ compensation complaint, including when to declare that a patient meets the requirements for the designation maximal medical improvement.

Overall Article Objective

To discuss monitoring of a patient’s progress and compliance by describing how pain rating scales are used, what screening procedures are available to help identify patients at risk for drug abuse, and what the basis is for declaring a patient as having reached maximal medical improvement.

a Spine Medicine and Rehabilitation Therapies, Westminster, MD

b Rothman Institute, Philadelphia, PA

c The Back Pain Center, Phoenixville, PA

d Moss Rehabilitation, Elkins Park, PA.

Corresponding Author InformationCorrespondence to Ira D. Kornbluth, MD, Spine Medicine and Rehabilitation Therapies, 826 Washington Rd, Ste 210, Westminster, MD 21157

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(07)01857-6

doi:10.1016/j.apmr.2007.12.009


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