Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.
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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).
SUBMITTER: de Moraes EB
PROVIDER: S-EPMC7706418 | biostudies-literature | 2021 Apr
REPOSITORIES: biostudies-literature
Publications
Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.
de Moraes Érica Brandão ÉB Santos Garcia João Batista JB de Macedo Antunes Juliane J Daher Donizete Vago DV Seixas Flávio Luiz FL Muniz Ferrari Maria Fernanda MF
Pain management nursing : official journal of the American Society of Pain Management Nurses 20201201 2
<h4>Background</h4>The COVID-19 pandemic has led caregivers to modify patient healthcare, with a high impact on patients with chronic pain.<h4>Aims</h4>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.<h4>Design</h4>This was a scoping review.<h4>Methods</h4>The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library, and LILACS. The studies were examined by two independent ...[more]
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