{"id":14527,"date":"2023-03-16T09:53:12","date_gmt":"2023-03-16T09:53:12","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=14527"},"modified":"2023-08-23T11:42:14","modified_gmt":"2023-08-23T10:42:14","slug":"acute-pain","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/chronicpain\/acute-pain\/","title":{"rendered":"Acute Pain"},"content":{"rendered":"\n<p><strong><u>Optimising Acute Pain Management<\/u><\/strong><strong><u><\/u><\/strong><\/p>\n\n\n\n<p>Some patients continue to take analgesics in the long term, having started them for an acute issue, without a review of their pain or magagement plan.&nbsp; Establishing an approach optimising patient understanding when these medicines are initially prescribed can reduce the number of people continuing on longer-term analgesics inappropriately.<\/p>\n\n\n\n<p>NHS Scotland\u2019s <a href=\"https:\/\/www.therapeutics.scot.nhs.uk\/wp-content\/uploads\/2018\/03\/Strategy-Chronic-Pain-Quality-Prescribing-for-Chronic-Pain-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Quality Prescribing for Chronic Pain: a Guide for Improvement<\/a> promotes non-pharmaceutical approaches to management of chronic pain and potential to reduce the medication burden and associated adverse effects.<\/p>\n\n\n\n<p>NHS Lothian has develop a Vision guideline for acute pain, which allows the clinician to use pre-populated prescriptions and highlights recent analgesic history so that patients taking analgesics for \u226512 weeks and requiring chronic pain assessment can be easily identified.<\/p>\n\n\n\n<p><strong>Please note: this approach should not be used for palliative patients and patients with cancer-related pain.<\/strong><strong><\/strong><\/p>\n\n\n\n<p><strong><u>Good practice in prescribing for acute pain.<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Give self-management advice<\/strong> and outline non-pharmacological ways of managing acute pain: see Acute Pain 1-2-3 for more detail.<\/li>\n\n\n\n<li><strong>Use LJF<\/strong> first and second choice analgesics \u2013 prescribe using the Acute Pain Vision Guideline or eLJF<\/li>\n\n\n\n<li><strong>Prescribe a small quantity<\/strong> &#8211; smallest pack size or appropriate for around one week<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\" type=\"1\">\n<li><strong>Include warnings<\/strong> in the directions for use:\n<ul class=\"wp-block-list\">\n<li>All analgesics: &nbsp;&nbsp; SHORT TERM USE ONLY<\/li>\n\n\n\n<li>Opioids &#8211; add:&nbsp;&nbsp;&nbsp; FOR SEVERE PAIN DUE TO RISK OF SIDE EFFECTS AND ADDICTION<\/li>\n\n\n\n<li>NSAIDs &#8211; add:&nbsp;&nbsp;&nbsp; STOP TEMPORARILY WHEN UNWELL WITH VOMITING, DIARRHOEA OR FEVER.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>RESTART WHEN WELL<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> <strong>Provide patient information<\/strong><\/li>\n\n\n\n<li>Explain that the analgesic is for short term use only<\/li>\n\n\n\n<li>Patient Information Leaflet &#8211; print off, ask patient to view online or talk through leaflet with patient<ul><li><a href=\"https:\/\/policyonline.nhslothian.scot\/Policies\/PatientInformation\/Opioid_painkillers-keep_them_short_stay_safe.pdf\" data-type=\"URL\" data-id=\"https:\/\/policyonline.nhslothian.scot\/Policies\/PatientInformation\/Opioid_painkillers-keep_them_short_stay_safe.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Opioid Painkillers \u2013 keep them short, stay safe<\/a> \u2013 a simple information sheet that describes the short and long term side effects and risks of opioids<\/li><\/ul><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Review recent analgesic history<\/strong>\n<ul class=\"wp-block-list\">\n<li>If patient has been taking analgesia for \u226512 weeks, consider a chronic pain assessment.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Optimising Acute Pain Management Some patients continue to take analgesics in the long term, having started them for an acute issue, without a review of their pain or magagement plan.&nbsp; Establishing an approach optimising patient understanding when these medicines are initially prescribed can reduce the number of people continuing on longer-term analgesics inappropriately. NHS Scotland&rsquo;s<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":3793,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[907],"class_list":["post-14527","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-acute-pain"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/chronic-pain-management\/https-apps-nhslothian-scot-refhelp-acute-pain\/\" rel=\"tag\">Acute Pain<\/a>","rttpg_excerpt":"Optimising Acute Pain Management Some patients continue to take analgesics in the long term, having started them for an acute issue, without a review of their pain or magagement plan.&nbsp; Establishing an approach optimising patient understanding when these medicines are initially prescribed can reduce the number of people continuing on longer-term analgesics inappropriately. NHS Scotland&rsquo;s","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=14527"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14527\/revisions"}],"predecessor-version":[{"id":16272,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14527\/revisions\/16272"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3793"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=14527"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=14527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}