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Article ; Online: Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.

de Moraes, Érica Brandão / Santos Garcia, João Batista / de Macedo Antunes, Juliane / Daher, Donizete Vago / Seixas, Flávio Luiz / Muniz Ferrari, Maria Fernanda

Pain management nursing : official journal of the American Society of Pain Management Nurses

2020  Volume 22, Issue 2, Page(s) 103–110

Abstract: ... patients during the COVID-19 pandemic and propose a workflow for the management of these patients ... considering the use of telehealth.: Conclusions: Recommendations for the management of chronic pain during ... impact on patients with chronic pain.: Aims: To map recommendations for the management of chronic pain ...

Abstract Background: The COVID-19 pandemic has led caregivers to modify patient healthcare, with a high impact on patients with chronic pain.
Aims: To map recommendations for the management of chronic pain patients during the COVID-19 pandemic and propose a workflow for the management of these patients.
Design: This was a scoping review.
Methods: The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library, and LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer.
Results: We presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including one consensus, five guidance documents, two expert panels, one joint statement, two educational flyers, and two free comments. We considered new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk of misusing them. Nonpharmacological approaches and pain education should be maintained, considering the use of telehealth.
Conclusions: Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).
MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19/nursing ; Chronic Pain/nursing ; Female ; Humans ; Male ; Middle Aged ; Nursing Care/standards ; Pain Management/standards ; Pandemics ; Practice Guidelines as Topic ; SARS-CoV-2
Language English
Publishing date 2020-12-01
Publishing country United States
Document type Journal Article ; Systematic Review
ZDB-ID 2213260-0
ISSN 1532-8635 ; 1524-9042
ISSN (online) 1532-8635
ISSN 1524-9042
DOI 10.1016/j.pmn.2020.11.010
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