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Chronic Pain Management Patient Documentation Initial Assessment Mobile App

The Chronic Pain Management Patient Documentation Initial Assessment mobile app was developed to assist in maintaining the proper documentation for pain management patients at hospitals and pain clinics. This app can be customized to match our facilities initial assessment documentation. You can easily find data with GoCanvas by just searching by the date submitted.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Chronic Pain Management Patient Documentation Initial Assessment Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    The following elements are present in the medical record

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    A.

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    Chief complaint

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    Chronologic history of the development of the present pain

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    Location

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    Quality

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    Severity

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    Timing

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    Context

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    Modifying factors and associated signs and symptoms

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    Review of systems including

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    Evaluation of the effect of pain on physical and psychological function

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    Past medical history to include past experiences, illnesses, operations and treatments

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    Family history: pain complaints, degenerative disorders, drug or chemical dependency, alcoholism,...

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    Social history

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    Evidence of review of patient’s past medical records

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    Order tests as appropriate

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    Document impression and diagnosis in the patient’s medical record

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    Assess and document the patient’s potential for addiction

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    B.

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    One or more indications for the use of a controlled substance are listed

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    The value of other treatment modalities

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    Objectives used to evaluate the success of the prescribed treatment plan are listed

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    Address pain relief

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    Address improved physical function

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    Address psychosocial function; indicate other recommended treatment modalities

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    Indications for diagnostic tests ordered

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    Referrals for consultations

  • ...and More!

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