Abstract
198 - Development of an Electronic Prescription Bundle of Non-Pharmacological Strategies for Chronic Musculoskeletal Pain in Primary Care
The journal of pain, Vol.29(Supplement), 104996
04/2025
DOI: 10.1016/j.jpain.2025.104996
Abstract
Chronic pain is experienced by more than 50 million adults in the U.S. with many experiencing pain on most days or every day (Yong 2022). For those seeking pain management, primary care providers are the most common health care provider contacted. At University of Iowa (UI) Health Care, 30% of patients with chronic musculoskeletal pain are seen by primary care providers. Non-pharmacological strategies are part of the Centers for Disease Control and Prevention (CDC) Guidelines for Prescribing Opioids for Chronic Pain. Two non-pharmacological strategies with strong evidence for effectiveness in the management of chronic musculoskeletal pain are exercise and transcutaneous electrical nerve stimulations (TENS). To assist UI Healthcare Family Medicine and Internal Medicine outpatient clinic providers to quickly and accurately prescribe exercise and/or TENS for patients with chronic pain, we developed an electronic prescription bundle, called The Bundle for Exercises and TEND (BEsT) as part of the individualized plan of care. Development of this evidence-based prescription bundle was informed by conducting formative focus groups with providers and clinic staff; developing a provider order set, with added prompts in the electronic prescription ordering system; creating electronic, hardcopy, and video patient education materials for TENS and exercise; educating and training provider and clinic staff; and reviewing feedback from provider, staff, and patients.
Details
- Title: Subtitle
- 198 - Development of an Electronic Prescription Bundle of Non-Pharmacological Strategies for Chronic Musculoskeletal Pain in Primary Care
- Creators
- Dana L. DaileyCarol GT VanceLynn NakadDavid KatzNicholas R ButlerStacey AppenheimerStephanie Gilbertson-WhiteJennie EmbreeSandra Daack-HirschKathleen A. SlukaBarbara A. Rakel
- Resource Type
- Abstract
- Publication Details
- The journal of pain, Vol.29(Supplement), 104996
- DOI
- 10.1016/j.jpain.2025.104996
- ISSN
- 1526-5900
- eISSN
- 1528-8447
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 04/2025
- Academic Unit
- Epidemiology; Iowa Neuroscience Institute; Family and Community Medicine; Nursing; Physical Therapy and Rehabilitation Science; Fraternal Order of Eagles Diabetes Research Center; Neuroscience and Pharmacology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984821351202771
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