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Organizational and Nursing Issues Related to Spine Pain Care

  • Paul ArnsteinEmail author
Chapter

Abstract

People with back and neck pain are high utilizers of healthcare, despite having comorbidities, disability, and limited financial resources that impede access. Globally, these conditions have been ranked the most burdensome cause of disability for decades, yet real-world reduction in the prevalence, cost, and suffering attributed to spine pain has been elusive. Back and neck pain accounts for tens of millions of office visits in the USA and a million surgical procedures each year. When pain is complex and persists despite first-, second-, and third-line therapies, interprofessional collaboration can develop a thoughtfully tailored multimodal treatment plan. In this collaborative model, healthcare professionals share their different understandings, assessments, and critical thinking about pain to best serve patients. Nurses comprise the largest segment of the healthcare workforce and may be an underutilized resource to strengthen coordination of team-based care. The role and scope of practice are delineated for nurses and other healthcare professionals. The role organizations play in supporting the best possible patient-centered care, professional practices, in a financially responsible way is reviewed. Given the imperative to address pain, professionals and organizations must balance concerns for helping without hurting, advising without dictating, and doing what is best for both the individual and community served.

Keywords

Low back pain Neck pain Patient-centered care Interprofessional collaboration Pain management nursing role Organizational improvement Electronic health record decision support 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Massachusetts General Hospital, Institute for Patient CareBostonUSA

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