HEIT TEMPLATE.PPT 1

The Ten Steps of Universal Precautions in Pain MedicineThe Ten Steps of Universal Precautions in Pain Medicine

1. Diagnosis with appropriate differential

2. Psychological assessment including risk of addictive disorders

3. Informed consent (verbal vs written/signed)

4. Treatment agreement (verbal vs written/signed)

5. Pre/post intervention assessment of pain level and function

D Gourlay, HA Heit, A AlmahreziUniversal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic PainPain Medicine. 2005;6(2):107-12

HEIT TEMPLATE.PPT 2

The Ten Steps of Universal Precautions in Pain MedicineThe Ten Steps of Universal Precautions in Pain Medicine

6. Appropriate trial of opioid therapy +/- adjunctive medication

7. Reassessment of pain score and level of function

8. Regularly assess the “Four A’s” of pain medicine– Analgesia, Activity, Adverse effects, & Aberrant

behavior*

9. Periodically review pain diagnosis and comorbid conditions, including addictive disorders

10. Documentation*Passik SD, Weinreb HJ. Adv Ther. 2000;17(2):70-83

HEIT TEMPLATE.PPT 3

ConclusionConclusion

By taking a thorough and respectful approach to patient assessment and management within the context of chronic pain management Stigma can be reduced Overall risk contained Patient care improved

Universal Precautions is not about opioids, it’s about good medical practice