Patient perspectives from the multi-disciplinary chronic pain clinic: a qualitative study

2021 ◽  
Author(s):  
Mamata Pandey ◽  
Radhika Marwah ◽  
Maeve McLean ◽  
Elan Paluck ◽  
Amanda M Oliver ◽  
...  
Keyword(s):  
Chronic Pain ◽  
First Nations ◽  
Traditional Healing ◽  
Pain Clinic ◽  
Chronic Pain Management ◽  
Opioid Misuse ◽  
High Quality ◽  
Narrative Interview ◽  
Chronic Pain Clinic ◽  
Safe Care

Aim: The chronic pain clinic (CPC) is a multi-disciplinary program that incorporates pharmacological and non-pharmacological methods, including First Nations healing strategies, to manage pain, improve functioning and reduce opioid misuse among patients with chronic pain in Regina, Canada. Materials & methods: The care experiences of ten current clients were explored using a narrative interview approach. Results: The CPC provides high-quality and safe care for effective chronic pain management. Clients noted pain reduction and improvements in sleep, mobility, functionality, and mood. First Nation clients emphasized the importance of traditional healing strategies. Conclusion: This unique comprehensive multi-modal approach which incorporates First Nations healing strategies is effective in supporting the unique needs of local clients.

Psychiatry has Much to Offer for Chronic Pain

2001 ◽  
Vol 35 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Saxby Pridmore ◽  
Gajinder Oberoi ◽  
Newman Harris
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Psychiatric Disorders ◽  
Emotional Experience ◽  
Pain Clinic ◽  
Emotional States ◽  
Chronic Pain Management ◽  
Personality Features ◽  
Chronic Pain Clinic ◽  
And Training

Objective: The objective of this study was to make an argument in favour of the inclusion of psychiatrists on chronic pain clinic teams. Method: The argument takes the form of answers to four central questions: (i) does pain involve an emotional experience; (ii) do psychiatric disorders accompany chronic pain; (iii) can psychiatric disorders present as chronic pain; and (iv) which patients present to pain units, and what do we know of their personalities? Results: The affirmative case was substantiated in respect of the first three questions. In examining the last question, evidence indicates that patients who present to chronic pain units frequently have personality features that make assessment and therapy difficult. Conclusions: Psychiatry is the field of medicine where practitioners have the most experience with emotional states and personality, and is the only field where they have specialized skills in the diagnosis and treatment of psychiatric disorders. Psychiatry has much to offer in chronic pain management and chronic pain management teams should include a psychiatrist. This conclusion has resourcing and training implications.

Bioethical correctness of integrative medicine in the treatment of chronic pain in the historical perspective

Ból ◽  
2020 ◽  
Vol 21 (3) ◽  
pp. 1-6
Author(s):  
Anna Paprocka-Lipińska
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Integrative Medicine ◽  
Technical Progress ◽  
Historical Perspective ◽  
Biomedical Ethics ◽  
Pain Clinic ◽  
Multidisciplinary Management ◽  
Chronic Pain Management ◽  
Chronic Pain Clinic

A reflection on progress in medicine – bioethics appeared in the 1970s. „Principless of biomedical ethics” – the monograph by Tom Beachamp and James Childress – was to change the concept of ethical evaluation of new possibilities of diagnostic and therapy and making decisions in medicine. In the 70’s there was also the development of chronic pain management. A pioneering concept of multidisciplinary management of a patient suffering from chronic pain by John Bonica is a part of the process of implementing four bioethical principles. The idea of integrative medicine – combining the methods resulting from the scientific and technical progress of Western medicine with the methods of traditional Eastern medicine has enabled the implementation of beneficience, nonmaleficence, autonomy, and justice. This article will present facts related to the Bonica’s concept in the first chronic pain clinic created in Poland in the 1970s.

scholarly journals The Effect of Initiatives to Overcome Language Barriers and Improve Attendance: A Cross-Sectional Analysis of Adherence in an Inner City Chronic Pain Clinic

Pain Medicine ◽  
2016 ◽  
Vol 18 (2) ◽  
pp. 265-274 ◽  
Author(s):  
Michael H. Andreae ◽  
Robert S. White ◽  
Kelly Yan Chen ◽  
Singh Nair ◽  
Charles Hall ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inner City ◽  
Language Barriers ◽  
Pain Clinic ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis ◽  
Chronic Pain Clinic

Parental Perceptions of Pediatric Pain and POTS-Related Disability

2016 ◽  
Vol 56 (13) ◽  
pp. 1185-1192 ◽  
Author(s):  
Elizabeth M. Keating ◽  
Ryan M. Antiel ◽  
Karen E. Weiss ◽  
Dustin Wallace ◽  
Seth J. Antiel ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Functional Impairment ◽  
Functional Disability ◽  
Clinical Symptoms ◽  
Health Condition ◽  
Pain Clinic ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Parental Attributions ◽  
Attribution Questionnaire ◽  
Chronic Pain Clinic

Adolescents with postural orthostatic tachycardia syndrome (POTS) often have pain and functional impairment. This study evaluated how parental attributions of children’s symptoms relate to child functional impairment. Adolescents with chronic pain and clinical symptoms suggestive of autonomic dysfunction (fatigue, dizziness, nausea) that attended a multidisciplinary chronic pain clinic completed measures of depression, anxiety, and functioning (n = 141). Parents of 114 of these patients completed the Parent Pain Attribution Questionnaire (PPAQ), a measure indicating the extent they believe physical and psychosocial factors account for their child’s health condition. Patients were retrospectively grouped as to whether or not they had significant POTS on tilt table testing (n = 37). Greater parental attribution to physical causes was associated with increased levels of functional disability whether patients had POTS ( r = 0.45, P = .006) or not ( r = 0.25, P = .03). These results suggest that providers should advocate a more comprehensive family-oriented rehabilitative approach to treatment.

Barriers to Outpatient Pediatric Chronic Pain Clinic Participation Among Referred Patients

2020 ◽  
Vol 59 (9-10) ◽  
pp. 859-864
Author(s):  
Sushmitha S. Boppana ◽  
Rebecca Miller ◽  
Aubrey Wrona ◽  
Dmitry Tumin ◽  
Sharon Wrona ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Logistic Regression ◽  
Retrospective Review ◽  
Treatment Initiation ◽  
Private Insurance ◽  
Pain Clinic ◽  
Factors Associated ◽  
Head Pain ◽  
Pediatric Chronic Pain ◽  
Chronic Pain Clinic

Initial clinic evaluation among referred patients and factors limiting treatment initiation are not well characterized. We conducted a retrospective review of referrals to our outpatient pain clinic to identify intake visits and factors associated with treatment initiation among adolescents with chronic pain. We identified adolescents aged 13 to 18 years at the time of referral to clinic (2010-2016). Factors associated with completion of visits were evaluated using logistic regression. Patients who completed visits more frequently had private insurance than public or no insurance ( P = .053). The most common reasons for caregiver decision not to attend the pain clinic included use of another pain clinic, that services were not wanted or no longer needed, and that their child was undergoing further testing. The current study demonstrated that patients with head pain were more likely to complete an intake visit, while there was a trend showing that lack of private insurance decreased this likelihood.

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