In both of my roles, as a nurse life care planner and nurse case manager, I have frequent exposure to individuals suffering from chronic pain, either as a result of a traumatic injury or due to disease progression and aging.  In reading this article, I had to wonder what other methods of pain management, outside of prescription painkillers, were being employed in these tragic cases.

In my practice I examine all of the issues involved in cause and treatment of the patient’s chronic pain Many times, a more holistic approach is the most effective and carries less risk of addiction and potential overdose.

Questions I ask in these cases include, but are not limited to: What effects acupuncture or other non-pharmacological treatments might have on relieving some of the pain? Would the patient benefit from psychotherapy to help with issues and depression surrounding his or her condition?  Has the person been trained in any breathing and relaxation or other biofeedback techniques?

These are just a few of the considerations that a nurse case manager might evaluate as alternatives.  These considerations should be evaluated and possibly included in the life care plan to help minimize use of potentially addictive medications and to ensure maximum quality of life for these patients.

What are some other alternatives for the management of chronic pain?  What has worked for you?

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