How do you approach patients with chronic pain who require long-term pain management?

Sample interview questions: How do you approach patients with chronic pain who require long-term pain management?

Sample answer:

Approach to Patients with Chronic Pain

1. Establish a strong therapeutic relationship: Build rapport, listen actively to understand the patient’s pain experience, and create a collaborative treatment plan.

2. Perform a comprehensive history and physical examination: Identify potential underlying medical conditions and assess the nature and severity of pain.

3. Assess psychosocial factors: Explore the patient’s beliefs, attitudes, and coping mechanisms to identify factors that may influence pain perception and management.

4. Establish realistic treatment goals: Discuss the limitations of pain management and focus on improving function and quality of life.

5. Formulate a multimodal treatment plan: Consider a combination of pharmacological and non-pharmacological therapies to address the physical, emotional, and psychological aspects of chronic pain.

Pharmacological Therapies:

• Opioids: May be considered for short-term or breakthrough pain only.
• Non-steroidal anti-inflammatory drugs (NSAIDs): For mild to moderate pain.
• Acetaminophen: For mild pain.
• Antidepressants and anticonvulsants: For neuropathic pain.

Non-Pharmacological Therapies:

• Physical therapy: Exercise, range of motion, and strengthening exercises.
• Occupational therapy: Modification of work and daily activities.
• Cognitive behavioral therapy (CBT): Read full answer

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