Collaboration between a tertiary pain centre and community teams during the pandemic

2020 ◽  
Vol 25 (10) ◽  
pp. 480-488
Author(s):  
JM George ◽  
Y Xu ◽  
BJ Nursa'adah ◽  
SF Lim ◽  
LL Low ◽  
...  

People with chronic pain faced potential treatment disruption during the COVID-19 pandemic in Singapore, as the focus of healthcare shifted. A model of rapid integration of a pain centre with community healthcare teams was implemented to care for vulnerable older patients with chronic pain and multiple comorbidities. Telemedicine and home visits by community nurses were used, with risk-mitigation measures, ensuring comprehensive assessment and treatment compliance. Medications from pain physicians were delivered at home through a hospital pharmacy. A secure national electronic health records system used by all teams ensured seamless access and documentation. Potential emergency department visits, admissions and delayed discharges were thus avoided. Integration of community teams with chronic pain management services can be recommended to ensure pandemic preparedness.

mBio ◽  
2012 ◽  
Vol 3 (5) ◽  
Author(s):  
Ron A. M. Fouchier ◽  
Adolfo García-Sastre ◽  
Yoshihiro Kawaoka

ABSTRACT A voluntary 60-day pause on avian H5N1 influenza virus transmission research was announced in January 2012 by the international community of influenza scientists engaged in this work to provide time to explain the benefits of such work and the risk mitigation measures in place. Subsequently, the pause was extended to allow for time for review of the biosafety and biosecurity conditions. After almost 8 months, these conditions have been met in some countries and are close to being met in others. Because H5N1 virus transmission studies are essential for pandemic preparedness, researchers who have approval from their governments and institutions to conduct this research safely under appropriate biosecurity conditions should resume this important work.


2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.


2021 ◽  
Vol 13 (12) ◽  
pp. 6596
Author(s):  
Riccardo Ceccato ◽  
Riccardo Rossi ◽  
Massimiliano Gastaldi

The diffusion of the COVID-19 pandemic has induced fundamental changes in travel habits. Although many previous authors have analysed factors affecting observed variations in travel demand, only a few works have focused on predictions of future new normal conditions when people will be allowed to decide whether to travel or not, although risk mitigation measures will still be enforced on vehicles, and innovative mobility services will be implemented. In addition, few authors have considered future mandatory trips of students that constitute a great part of everyday travels and are fundamental for the development of society. In this paper, logistic regression models were calibrated by using data from a revealed and stated-preferences mobility survey administered to students and employees at the University of Padova (Italy), to predict variables impacting on their decisions to perform educational and working trips in the new normal phase. Results highlighted that these factors are different between students and employees; furthermore, available travel alternatives and specific risk mitigation measures on vehicles were found to be significant. Moreover, the promotion of the use of bikes, as well as bike sharing, car pooling and micro mobility among students can effectively foster sustainable mobility habits. On the other hand, countermeasures on studying/working places resulted in a slight effect on travel decisions.


2018 ◽  
Vol 25 (2) ◽  
pp. 90-101 ◽  
Author(s):  
Julian S H Kwan ◽  
Harris W K Lam ◽  
Charles W W Ng ◽  
Nelson T K Lam ◽  
S L Chan ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document