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the
Primary Care Setting
Maegan
Introduction Bell Faculty advisor: Dr.
PurposeKathy Jo Ellison Results
Background: Pain affects everyone at some point The purpose of this project is to determine if Variable Mean Std. Dev.
implementing a multidisciplinary chronic pain Pain Location
in life, and for millions, chronic pain is a part of Age 54.3 13.4
everyday life. Primary care providers need an management approach in the primary care setting will
Gender n %
effective treatment plan for these patients. result in:
Male 4 33.3
However, many barriers to this process, such as a.) Improvement of patients pain
Female 8 66.7
knowledge deficits, fallacious beliefs, and lack of b.) Improved patient perception of pain management Hip; 8%
Head; 17%
treatment
Quality of n %
consistency regarding treatment methods, have all pain
contributed to the ongoing problem of inadequate Methods Lower Extremity; 25% described
Sharp, cutting, 2 16.7
pain management. lacerating
The target population included men and women (at Annoying, 3 25
troublesome,
PICO Question: In adult patients experiencing any least 19 years of age) with chronic pain in the primary Neck/ Back; 50% miserable,
intense,
type of chronic pain, not cancer related in origin, care setting. Outcome measures included level of pain unbearable
Dull, sore, hurting, 4 33.3
what is the best treatment approach for primary and satisfaction with treatment regimen. Following aching, heavy
care providers to employ, compared to the current informed consent, patients completed a questionnaire Other 3 25
standard of care methods, to achieve better pain examining location, quality and intensity of pain and
management and improved patient satisfaction? satisfaction of treatment. The patient and provider Pain Scores Popularity of Additional Treatment Modality
added an additional treatment modality to the current 8
Search Strategy: Search keywords were entered standard of care. After participation in the chosen
into databases, such as CINAHL, PubMed, and the treatment(s), patients were interviewed via telephone, 7
Mean
difference
Cochrane Library, yielding multiple systematic using a similar post-treatment questionnaire, to 6
in pre and Relaxation/ Meditation therapy; 6%
Medication/ Supplements; 18%
reviews, guidelines, randomized controlled trials evaluate effectiveness. Descriptive and inferential 5
post Hydrotherapy/ Whirlpool; 15%
intensity
(RCTs), descriptive studies, and expert reviews. This statistics were used to measure variables and outcome
data.
Conclusions 4 pain scores
was 3.4,
evidence was then critically analyzed to decide if a (SD 1.9), a Massage; 15%
3
change in practice was justified. t-score of
Stretching/ Exercise; 27%
Small test of change suggests instituting a 2 6.3, and a
Physical/ Occupational Therapy; 6%
chosen treatment method and appropriate Scascighini, L., Toma, V., Dober-Spielmann, S., & Sprott, H. (2008). Multidisciplinary treatment for chronic pain: A systematic review of interventions and outcomes. Rheumatology, 47(5), 670-678. doi: 10.1093/rheumatology/ken021