scholarly journals Design, Implementation, and Evaluation of an Integrative Pain Management Program in a Primary Care Safety-Net Clinic

2019 ◽  
Vol 25 (S1) ◽  
pp. S78-S85 ◽  
Author(s):  
Emily Hurstak ◽  
Maria T. Chao ◽  
Kristina Leonoudakis-Watts ◽  
Joseph Pace ◽  
Blue Walcer ◽  
...  
Keyword(s):  
Primary Care ◽  
Pain Management ◽  
Safety Net ◽  
Management Program ◽  
Pain Management Program ◽  
Safety Net Clinic

scholarly journals Turning Pain into Gain: Evaluation of a Multidisciplinary Chronic Pain Management Program in Primary Care

Pain Medicine ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 925-933 ◽  
Author(s):  
Shirdhya Joypaul ◽  
Fiona S Kelly ◽  
Michelle A King
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Management Program ◽  
Chronic Pain Management ◽  
Pain Management Program

Barriers to Engagement in Collaborative Care Treatment of Uncontrolled Diabetes in a Safety-Net Clinic

2017 ◽  
Vol 43 (6) ◽  
pp. 621-630
Author(s):  
Brittaney Belyeu ◽  
Lydia Chwastiak ◽  
Joan Russo ◽  
Meghan Kiefer ◽  
Kathy Mertens ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Collaborative Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Management Program ◽  
Care Team ◽  
Care Clinic ◽  
Uncontrolled Diabetes ◽  
Safety Net Clinic

Purpose The purpose of the study was to evaluate patient factors associated with nonengagement in a Diabetes Collaborative Care Team (DCCT) program in a safety-net clinic. Methods The first 18 months of a multidisciplinary care, team-based diabetes care management program in a safety-net primary care clinic were studied. Nonengagement was defined as fewer than 2 visits with a team member during the 18 months of the program. Patients who did not engage in the program were compared with those who did engage on demographics, comorbid medical and psychiatric diagnoses, and cardiovascular risk factors, using univariate and multivariable analyses. Results Of the 151 patients referred to the DCCT, 68 (45%) were nonengaged. In unadjusted analyses, patients who did not engage were more likely to be female and have higher baseline A1C values; they were less likely to have major depressive disorder, anxiety disorder, any depression diagnosis, and hyperlipidemia. Female gender and chronic pain were independently associated with nonengagement after multivariable adjustment. Conclusions The findings suggest that among patients with uncontrolled diabetes in an urban safety-net primary care clinic, there is a need to address barriers to engagement for female patients and to integrate chronic pain management strategies within multicondition collaborative care models.

scholarly journals The Importance of Perceived Relevance: A Qualitative Evaluation of Patient’s Perceptions of Value and Impact Following a Low-Intensity Group-Based Pain Management Program

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 46
Author(s):  
Joshua W. Pate ◽  
Elizabeth Tran ◽  
Seema Radhakrishnan ◽  
Andrew M. Leaver
Keyword(s):  
Pain Management ◽  
Qualitative Evaluation ◽  
Management Program ◽  
Structured Interviews ◽  
Patient Beliefs ◽  
Pain Management Program ◽  
Westmead Hospital ◽  
Group A ◽  
Perceived Relevance ◽  
Beliefs And Attitudes

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) “The program overall was positive, but…”; (2) “I valued my improved knowledge and understanding of pain, but…”; (3) “I valued the stretching/relaxation/pacing/activity monitoring”; and (4) “I valued being part of a supportive and understanding group”. Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that “missed the mark”, and hypotheses to guide the implementation of service delivery and program redesign.

Satisfaction of Postoperative Patients on Pain Management Program its Relationship to the Knowledge and Attitudes of Chinese Nurses: A Cross-Sectional Survey

2021 ◽  
Vol 7 (6) ◽  
pp. 6609-6626
Author(s):  
Shuyuan Li
Keyword(s):  
Pain Management ◽  
Optimal Level ◽  
Management Program ◽  
Chinese Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Pain Management Program ◽  
Before And After ◽  
Knowledge And Attitude

This study is a cross-sectional survey of the satisfaction of postoperative patients its relationship to the knowledge and attitudes of Chinese nurses on pain management. Data were sourced out from two groups of respondents participated in the study, 75 post-operative patients and 97 in-service nurses from the health institutions China. The study was conducted for five-months. Ethics protocols were observed before and after the conduct of the study. Findings showed that post-operative pain management program among the participating medical institutions in China were assessed to have moderate level of satiation by the patients. All the components namely pain relief experience, care provided by the nurses, education provided as to pain management, and therapeutic dialogue provided by the nurses were all assessed by postoperative Chinese patients at a fair level. Meanwhile, gender and education of post-operative patients can be considered as factors in the planning and implementation of pain management program. Consequently, similar to studies conducted worldwide, Chinese nurses do not establish yet an optimal level of knowledge and attitude towards pain management. Meanwhile age, experience, education are factors on the knowledge and attitude on pain management among nurses. Finally, positive moderate relationship is established between patient satisfaction and knowledge and attitudes of nursing staff towards pain management. The findings of these study call for action and reform in the implementation of pain management program focusing on the major role and development of 21st century nurses. Practical implications of the study are discussed.

A smoking cessation and pain management program for cancer survivors

2018 ◽  
Vol 12 (6) ◽  
pp. 821-827 ◽  
Author(s):  
Kathryn I. Pollak ◽  
Laura J. Fish ◽  
Linda M. Sutton ◽  
Xiaomei Gao ◽  
Pauline Lyna ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pain Management ◽  
Cancer Survivors ◽  
Management Program ◽  
Pain Management Program
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