Exploring impact of early pain information within NHS Greater Glasgow and Clyde (NHSGGC) Pain Management Service: A service development opportunity

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e177-e178
Author(s):  
R. Wylie ◽  
J. Watson ◽  
A. Williams
2021 ◽  
pp. 204946372110276
Author(s):  
John Tetlow ◽  
Christian Ainsley ◽  
Hannah Twiddy ◽  
Graham Derbyshire ◽  
Rajiv Chawla

Aims: This article aims to describe the development of a specialist chronic facial pain (CFP) management programme within an already well-established pain management service, including the content from a multidisciplinary perspective, and present preliminary descriptive 6-month outcomes from patients who have attended the programme. Methods: Authors used their clinical experience of working with people who have a diagnosis of CFP. They researched available literature, liaised with CFP support organisations and visited an existing UK-based CFP programme. Programme content was designed based on findings. The roles of pain interdisciplinary team members involved in delivering the programme are described, as well as a brief description of the structure of the programme and programme sessions provided by each discipline. Results: Clinical outcomes from programme participants were collected at assessment, end of treatment and 6 months post-treatment, which measured relevant outcomes for a pain management programme (PMP). Outcomes from 36 participants at both end of programme and 6 months following completion of programme demonstrate promising improvements. Qualitative data from patient satisfaction questionnaires completed at the end of programme suggest that providing a CFP-specific programme was beneficial for participants, with the main critique being that the programme sessions should be longer than 45 minutes. Conclusion: Attending a CFP-specific programme demonstrated positive 6-month changes in relevant outcome measures for people with CFP. With a small sample size, there is a need for further research into the effectiveness. It would also be beneficial to compare outcomes from the usual PMP treatment with people who have CFP, with outcomes from a CFP-specific programme.


2016 ◽  
Vol 2 (1) ◽  
pp. 434 ◽  
Author(s):  
Jojo M. Villamin

The funeral industry has grown rapidly over the years.  It is very evident that in the Philippines, many funeral parlors are sprouting all over the country as well funeral insurance policy companies.  The funeral industry has taken more major roles in the burial rituals, funeral arrangements, body disposition procedures, last rites, and after care services to attend to the special needs. One of the richest customs in celebrating a funeral event was the Chinese society.  Chinese was well known for their custom of following a lot of superstitions.  Filipinos also believed in superstitions like the Chinese, but their way of celebrating the funeral rites was different.  These customs make managing a funeral event difficult. That is why seeking professional guidance and support is a good idea. The study looks into the comparative study of the availment of the funeral planning management service among Chinese and Filipino to observe the difference and similarities on the level of awareness, interest, the desire and actions of the two different cultures regarding the funeral planning management service. The researcher’s purpose was to make a basis for developing an event strategy that would facilitate the acceptability of the funeral planning management service in the Philippines. 


2021 ◽  
Author(s):  
Christiana Photiadou ◽  
Peter Berg ◽  
Denica Bozhinova ◽  
Anna Eronn ◽  
Fulco Ludwig ◽  
...  

<p>The Operational Water Service of C3S (developed by the Swedish Meteorological and Hydrological Institute (SMHI)) aims to help a broad range of water managers with water allocation, flood management, ecological status and industrial water use, to adapt their strategies in order to adapt to climate variability and change. The aim is to speed up the workflow in climate-change adaptation by using seasonal hydrological forecasts and climate-impact indicators. This is done by offering an interactive web application with refined data, guidance and practical showcases to water managers across Europe. Policy makers will find a comprehensive overview for Europe with key messages and consultants can use the service for developing climate impact assessments and adaptation strategies.</p><p>The development of the current operational climate service for water management is based on the experience from two previous proof-of-concepts and will also be aligned with the hydrological model system of the Copernicus Emergency Management Service (CEMS).  The service is uses data from the Climate Data Store and the operational hydrological seasonal forecasting system runs entirely in the European Centre for Medium range Weather Forecasts (ECMWF) technical environment, although developed by SMHI.</p><p>The operational Water Service of C3S will be launched during the spring of 2021, and a series of activities and user interactions will be organised to ensure that the applications developed for the service fulfil the users’ needs. Here, we present the development process of the operational service and key outcomes from co-design interactions and resulting applications. The key issues identified by the user community were: i) clear visualisation and graphical representation of skill in seasonal forecasts and confidence in climate projections, ii) need of detailed documentation and process transparency in hydrological models and production of data, iii) user guidance and tutorials are needed for better understanding of the applications, and iv) workflows and scripts for indicator production in new applications for developers of information systems.</p>


1988 ◽  
Vol 69 (3) ◽  
pp. 436 ◽  
Author(s):  
L. BRIAN READY ◽  
H. S. CHADWICK

2009 ◽  
Vol 18 ◽  
pp. S259
Author(s):  
A.C. Scott ◽  
K. O’Dwyer ◽  
J. Gibson ◽  
D. Dwyer ◽  
A. Brown ◽  
...  

2003 ◽  
Vol 50 (4) ◽  
pp. 368-375 ◽  
Author(s):  
Elizabeth G. VanDenKerkhof ◽  
David H. Goldstein ◽  
Jeremy Lane ◽  
Michael J. Rimmer ◽  
Janice P. Van Dijk

2014 ◽  
Vol 32 (4) ◽  
pp. 893-910 ◽  
Author(s):  
Eric S. Schwenk ◽  
Jaime L. Baratta ◽  
Kishor Gandhi ◽  
Eugene R. Viscusi

2001 ◽  
Vol 6 (1) ◽  
pp. 16-20 ◽  
Author(s):  
David H Goldstein ◽  
Elizabeth G VanDenKerkhof ◽  
Rebecca Sherlock ◽  
Judy Sherlock ◽  
Susan Harper

PURPOSE: To describe the results of an audit of patients who received epidural analgesics postoperatively and the subsequent development of a formal acute pain management service in a community hospital.METHODS: To understand how epidural analgesia was being used to treat postoperative pain at the Peterborough Regional Health Centre, Peterborough, Ontario, a retrospective chart review was performed. Audits were performed on 178 patients who had received epidural analgesia postoperatively from October 1994 to May 1995. Data pertaining to demographics, epidural analgesia, pain scores and side effects were collected.RESULTS: Sixty-one per cent of patients received bupivacaine/ fentanyl infusions, and 39% received epidural morphine boluses. More than 60% of patients reported no pain postoperatively. Patients who received bupivacaine/fentanyl were more likely than those who received epidural morphine to also receive coanalgesia and transitional analgesia. Patients who received epidural morphine were more likely than those who received bupivacaine fentanyl to experience respiratory depression, hypotension and pruritus. Patients were followed by the anesthesiologist who provided the anesthetic. Anesthesiologists practised independently, and formal policies and procedures did not exist.CONCLUSIONS: As a result of the audit, an acute pain management service was developed. This included a team that did daily rounds and consisted of a nurse clinician and an anesthesiologist who was assigned to the service on a weekly basis. A committee was created, and formalized policies and procedures were established. Standardized order sheets, data sheets and a computerized database were developed. Reports for administrative and quality improvement purposes were generated monthly. Education programs were developed. Coanalgesia and transitional analgesia are now part of routine care, and epidural catheter placement close to the site of incision is encouraged. A postoperative nausea and vomiting algorithm, and a treatment regimen for pruritus have also been implemented.


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