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• Identify the prevalence of a family history of substance abuse in patients admitted to the Mayo Clinic Pain Rehabilitation Center
• Describe relationships between having a positive family history of substance abuse and patients’ understanding of their own risk associated with family history
• Discuss nursing implications of assessing and utilizing family history information in chronic pain treatment
• Identify persons who are at risk for addiction in the future
• Identify persons who already have the condition but have not been diagnosed or treated
• Individualize interventions for each person based on their family history
Aim of Quality Improvement Study
• Strengthen clinical practice by identifying the prevalence of a family history of substance abuse in the patient populations admitted to the adult and pediatric Pain Rehabilitation Center programs at Mayo Clinic and help guide individualized treatment interventions for persons with chronic pain and a family history of a substance use disorder.
• Population includes patients seeking treatment for chronic pain conditions at the Mayo Clinic Pain Rehabilitation Center in Rochester, MN between May 21, 2012 and August 10, 2012
• Sample is all persons voluntarily responding to family history questions
Pediatric Chronic Pain Consideration of Risk for Substance Abuse
• Family history and personal use patterns are used to determine need for an appointment with a chemical dependency counselor for further evaluation and possible treatment recommendations
• Parent’s concerns are included in treatment planning
• Findings from this study provide data on prevalence of a family history of substance abuse in a population of chronic pain patients and reports attitudes about family history information
• Examples of how family history information related to substance abuse can support and tailor treatment for chronic pain conditions including education, counseling and motivational interviewing
• Nurses can help maximize the potential of individualized medicine