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GeneralApr 7, 2021

Explore self-management options with people experiencing chronic pain, health professionals told

Healthcare professionals in the chronic pain field often fail to explore self-management options with patients early enough in their treatment programmes, according to a guideline published today (7 April) by the National Institute for Health and Care Excellence (Nice).

The claim appears in a section in the 36-page guideline – titled Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain – that explores the ‘rationale and impact’ behind the recommendations.


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Acupuncture is one of the options proposed in the Nice guideline on chronic pain

‘The committee highlighted the importance of being honest about the uncertainty of the prognosis, because the evidence suggested that this is valued by people with chronic pain,’ it notes. ‘Evidence showed that discussions about self-management often happen late in the care pathway, or not at all.’

Earlier in the guideline, healthcare professionals are advised: ‘Provide advice and information relevant to the person's individual preferences, at all stages of care, to help them make decisions about managing their condition, including self-management.’

The guideline defines chronic primary pain in line with the ICD-11 [International Statistical Classification of Diseases] and acknowledges that chronic primary and secondary pain conditions c...

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