Optimize the Safe and Effective Alleviation of Pain
Consider all the factors that affect patients’ ability to get comfortable after injury or surgery.
Identify and address sources of stress (home, finances, relationship, work, etc), distress (symptoms of anxiety or depression), and less effective coping strategies (low self-efficacy, substantial catastrophic thinking) prior to elective surgery.
Consider routine screening to quantify the potential for opioid misuse. Making screening routine reduces stigma and makes it a more positive aspect of preparing patients for surgery.
Routinely check the Prescription Monitoring Program (PMP) for any recent prescriptions of scheduled medications.
Use screening tools to identify opportunities for safe and effective alleviation of pain.
Inform the entire surgical team of the findings of the risk assessment. Specifically screen for agonist-antagonist medication use that may have to be stopped before surgery.