• Érica Brandão de Moraes, Santos GarciaJoão BatistaJBFaculty of Medicine, Federal University of Maranhão, São Luís, Maranhão, Brazil., Juliane de Macedo Antunes, Donizete Vago Daher, Flávio Luiz Seixas, and Maria Fernanda Muniz Ferrari.
• Nursing School, Federal Fluminense University, Niterói, Rio de Janeiro, Brazil. Electronic address: ericabrandao@id.uff.br.
• Pain Manag Nurs. 2021 Apr 1; 22 (2): 103110103-110.

BackgroundThe COVID-19 pandemic has led caregivers to modify patient healthcare, with a high impact on patients with chronic pain.AimsTo map recommendations for the management of chronic pain patients during the COVID-19 pandemic and propose a workflow for the management of these patients.DesignThis was a scoping review.MethodsThe databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library, and LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer.ResultsWe presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including one consensus, five guidance documents, two expert panels, one joint statement, two educational flyers, and two free comments. We considered new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk of misusing them. Nonpharmacological approaches and pain education should be maintained, considering the use of telehealth.ConclusionsRecommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

18 keywords...

hide…