The PATIENT Approach: A New Bundle for the Management of Chronic Pain

Abstract

Background: Chronic pain is one of the most challenging diseases for physicians as its etiology and manifestations can be extremely varied. Many guidelines have been published and many therapeutic options are nowadays available for the different types of pain. Given the enormous amount of information that healthcare providers must handle, it is not always simple to keep in mind all the phases and strategies to manage pain. We here present the acronym PATIENT (P: patient’s perception; A: assessment; T: tailored approach; I: iterative evaluation; E: education; N: non-pharmacological approach; T: team), a bundle which can help to summarize all the steps to follow in the management of chronic pain. Methods: We performed a PubMed search with a list of terms specific for every issue of the bundle; only English articles were considered. Results: We analyzed the literature investigating these topics to provide an overview of the available data on each bundle’s issue; their synthesis lead to an algorithm which may allow healthcare providers to undertake every step of a patient’s evaluation and management. Discussion: Pain management is very complex; our PATIENT bundle could be a guide to clinicians to optimize a patient’s evaluation and treatment.