- American Pain Society: Pain - Current Understanding of Assessment, Management, and Treatments
The American Pain Society in 2006 published this guideline "Pain: Current Understanding of Assessment, Management, and Treatments". The guideline provides common assessment tools used to assess types of pain.
- An Alternative and Complementary Medicine Resource Guide
Provides information about alternative and complementary methods of pain treatment. Includes lists of relevant books, journals, articles, organizations, treatment center, and government resources.
- A Rehabilitation Based Approach to Pain Management [Harden]
R. Norman Harden, MD leads this discussion of interdiscipinary pain management which may be the standard of care but is more targeted to specialists. He discusses the different roles of different disciplines, as well as the role of psychosocial and societal factors and CAM/Accupucture.
- BPI: Brief Pain Inventory
Patients to rate their pain and ability to complete daily living activities in nine sections. Created by University of Texas MD Anderson Cancer center.
- CAGE-AID Screening Tool
A quick drug and alcohol assessment tool for determining whether a patient may be currently abusing drugs or alcohol. It can be used to detect existing substance use problems prior to prescribing opioid therapy.
- Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain (APS/AAPM)
Recommendations published in 2009 for chronic opioid therapy based on a review of the evidence. Provide guidance on patient selection, risk stratification, informed consent, opioid management plans, and more.
Authors: Chou R, Fanciullo GJ, Fine PG, et al.
- COMM: Information Guide
Detailed informational page on the Current Opioid Misuse Measure (COMM). This page includes links to information about the assessment tool, as well as development and use in clinical practice.
- Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society
A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society published in 2007. This set of clinical guidelines discusses seven treatment options for patients with lower back pain, and includes flow charts for initial evaluation and management of low back pain, as well as several appendices describing treatment recommendation tools. This guideline is for primary care. Another guideline was issued in 2009 for specialty interventions in back pain.
- Disposal of Unused Medicines: What You Should Know
FDA guidelines and resources for proper disposal and storage of prescription medications.
A tool that allows users to locate appropriate sources for referral.
- Drugs@FDA: Searchable Database of FDA Approved Drugs
A searchable database from the FDA of FDA-approved drugs. This database also includes product label information.
- Electronic Prescriptions for Controlled Substances; Final Rule
The DEA revised regulations to allow electronic prescriptions for controlled substances.
- Faces Pain Scale – Revised
A visual analogue pain scale using pictures of faces that can be used with children and those who have difficulty with numerical scales.
- Facilities - Drug Rehab, Alcohol Rehab and Drug Addiction Treatment and Recovery Programs
Provides drug and alcohol addiction treatment, recovery programs and center listings.
- Find an American Association of Pain Management Academy Accredited Clinic
This search engine produces searches for accredited pain clinics by facility or program name, and by state.
- Florida Statute on Controlled Substance Prescribing 456.44
Scroll down to 456.44 of this Florida statute to see the section on controlled substance prescribing.
- FSMB Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
This document, first published in 2004 and revised in July 2013, is a model policy for state medical boards to use in developing their guidelines for use of opioids in treating chronic pain. These Model Guidelines provide the FSMB's policy on proper treatment of pain and the use of opioids when necessary to manage pain.
- Interagency Guideline on Opioid Dosing for Chronic Non-cancer Pain
This set of guidelines aims to improve care and safety in the opioid treatment of patients with chronic, non-cancer pain. Part I aids primary care physicians in treating patients whose acute pain has become chronic, monitoring opioid treatment, and tapering from opioids if necessary. Part II aids primary care physicians in treating patients whose daily morphine equivalent dose is higher than 120 mg. An FAQ also exists which offers answers to questions on many aspects of the documents.
- Iowa Pain Thermometer Scale
This pain assessment tool is excellent for patients whose cognitive deficits are moderate to severe, or who have difficulty communicating verbally. The patient checks the circle next to the thermometer to indicate the intensity of current pain.
Used with permission of Keela Herr, PhD, RN, The University of Iowa, College of Nursing.
- McGill Pain Questionnaire
Printable verbal pain assessment questionnaire.
- Medical Alternative Medicine Index U of MD
Searchable Alternative Medicine data base that provides the following information on many common conditions and symptoms: Introduction, Treatment Approaches, Conditions, Herbs, and Supplements
- NIH Pain Consortium
This group "was established to enhance pain research and promote collaboration among researchers across the many NIH Institutes and Centers that have programs and activities addressing pain." The website offers information on Clinical Trials, the NIH-wide Pain Interest Group Seminar Series, Pain Intensity Scales, an interactive textbook of pain and symptom research, and a feature to search the literature.
- NINDS Chronic Pain Information Page
Defines chronic pain, giving treatment suggestions and prognosis. Lists relevant organizations and relevant publications.
- Official Federal Regulations for Prescribing Opioids
Official federal regulations concerning the use of controlled substances. The regulations address registration, prescription, and schedules of controlled substances, among other topics pertaining to controlled substances.
- Opioid Risk Tool
Opioid Risk Tool developed by Lynn Webster, MD, for assessment of risk in using opioids with a patient.
- Pain Assessment and Documentation Tool
Tool/form for assessing pain initially and throughout treatment.
- Pain Evaluation Form
A clinical pain evaluation form for the use of physicians or other healthcare providers. The form will help to better understand the type of pain a patient is experiencing and how to best treat the pain.
- Pharmacological Management of Persistent Pain in Older Persons
American Geriatrics Society guidelines on pharmacological management of persistant pain in older persons
- Referral Form for Substance Abuse
A referral form which includes both doctor and patient information.
- Registered Nurses Association of Ontario: Assessment and Management of Pain
The Registered Nurses Association of Ontario offered an updated version of their “Assessment and Management of Pain” guidelines in 2007. The RNAO guidelines offer recommendations for patient practice related to pain assessment and management.
- Sample Treatment Agreement for Long-term Controlled Substances Therapy for Chronic Pain
A written patient agreement for patients and physicians about to begin treatment with the use of controlled substances. The agreement includes patient and physician responsibilities, realistic expectations, and possible consequences if the agreement is broken.
- State by State Opioid Prescribing Policies
State by State Opioid Prescribing Policies
- State of Washington Pain Management Rules
State of Washington Department of Health website describes the law passed by this state that took effect in 2011 and 2012 to require commissions of several prescribing health professions to make rules on pain management and especially the safe use of narcotics in pain management. Links to the adopted rules for each health profession are found on this page.
- State Prescription Drug Monitoring Programs
Question and answer page on prescription drug monitoring programs and link to information on each state.
- Target Chronic Pain Notebook
A notebook for tracking chronic pain.
- TIRF Opioids REMS Access
Educational program for TIRF Opioids REMS
- Treating Chronic Pain in the Shadow of Addiction
Gives step-wise approach to chronic pain management, including assessment, patient treatment agreement, multidisciplinary approach, etc. Describes how to handle addiction and ways to safely discontinue the opioid therapy.
Author: Ziegler, PP
- Treatment Locators for Referral: Locate Pain and/or Addiction Specialists
This table provides a list of various pain and addiction treatment locators, to help you find a physician or treatment center in your area for referral. For each treatment locator, a website link and brief summary is provided, and information is included such as what treatment centers/counselors/specialists can be found.