The 2017 Nebraska Pain Management Guidance document was developed by an expert advisory task force consisting of actively practicing clinicians and prescribers, public health officers and senior state officials. The guidance is notable for addressing a broad range of topics including “the art of difficult conversations” with patients; an overview of pain science including the common types of pain; guidance on treating acute and chronic pain with non-opioid options as well as guidance for safe opioid prescribing; a discussion of the role of trauma and post-traumatic stress disorder in chronic pain; specific treatment guidance for children and adolescents, the elderly and patients with dementia, opioid use during pregnancy, and patients in palliative and hospice care; sections on pain treatment for dental conditions and in hospital emergency departments; a discussion of other medications often prescribed for pain or in combination with opioids; and guidance on tapering of opioid and benzodiazepine doses. The guidance includes treatment flow sheets for the treatment of acute and chronic pain and the tapering of opioid and benzodiazepine doses, and includes an appendix of tools that can be used by clinicians for patient assessment, appropriate laboratory screening including urine drug screening, patient and provider communication, and tools for assessing effectiveness of treatments in reducing pain.
Funding Source: Centers for Disease Control and Prevention
The 2017 pain management guidelines developed by a multidisciplinary task force in Nebraska