A pain care agreement is not a legally binding contract and is not legally binding. However, a co-signed document provides strong evidence that a dialogue has taken place between the physician and the person prescribed for opioids; As a result, it can reduce the risk of misuse. A pain management agreement is strictly an agreement between the doctor and the person treating them. It contains strict guidelines on how the doctor and the person concerned work together to cope with the individual`s pain. It is imperative that the individual be aware of all facets of the agreement and that the doctor monitor the person`s progress to ensure that they respond positively to the medication and dosage while faithfully following the treatment plan. Chronic pain management is complex and is made difficult by significant mental and functional disabilities that can have a profound impact on quality of life. More than 75 million Americans suffer from a form of chronic pain that has nothing to do with cancer, 1 and the number of these patients observed in primary care offices, 2.3 Unfortunately, there is uncertainty as to how best to treat these patients, given that research available in this area is limited to uncontrolled investigations and series of cases, primarily special pain clinics.5,7,8 Few studies have studied chronic pain management in primary care settings.1,3,4 A pain management agreement may contain statements such as those mentioned in the example below. If the contract is terminated, I will not be a dr. patient and will urgently consider a treatment of chemical dependence if they are clinically indexed.
Comparing our results with 2 previous 1.3 studies of opioid use in some primary feeding systems, we found similarities and differences. 67% of patients were women, with an average age of 53 years in previous studies. In our study, the average age was 49 years, and we had a higher proportion of men. Back pain was the most common pain diagnosis with 36% in our study, much like in other studies. In our study, 38% of patients received short-term opioids for chronic pain, with oxycodone/acetaminophen being the most frequently prescribed (22%). In Adams 1 and Reid, 3 short-term opioids were used for 60% and 46% respectively, with oxycodone/acetaminophen being the most common (31%). However, sustained release oxycodone was the long-acting opioid most often prescribed in our study compared to extended morphine in the other 2 studies, 1.3 perhaps reflected secular trends and the absence of a limited formula in most of our population. Other reasons may be patient requests or pharmaceutical details.
Doctors prescribed either long-term drugs or combination therapy, as recommended in several guidelines 11.13 for more than 60% of patients. In a pain management contract, the person to whom opiates are prescribed agrees not to obtain opioids from another source (including other physicians or health facilities) and to use only one pharmacy. Some people, especially long-time opioid users, feel treated as if they are addicted when they really need medication to severely relieve pain.