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What's missing from the NICE Chronic Pain Consultation? https://www.nice.org.uk/guidance/indevelopment/gid-ng10069/consultation/html-content-2
1. Gender - chronic pain affects women disproportionately
2. Inequalities -chronic pain affects poor people disproportionately
3. Trauma - childhood and domestic abuse are strong predictors of CP
1. Gender - chronic pain affects women disproportionately
2. Inequalities -chronic pain affects poor people disproportionately
3. Trauma - childhood and domestic abuse are strong predictors of CP
5. Austerity - loss of hope, meaning and purpose are strong predictors of chronic pain
6. Generalism - chronic pain patients that GPs see are no less complex than those seen in specialist clinics
7. Scale - there are way too many people with chronic pain for specialist services
6. Generalism - chronic pain patients that GPs see are no less complex than those seen in specialist clinics
7. Scale - there are way too many people with chronic pain for specialist services
8. An ethical approach to deprescribing - see this https://journalofethics.ama-assn.org/article/nonconsensual-tapering-high-dose-opioid-therapy-justifiable/2020-08 by @TNREthx
9. An acknowledgement that care is emotional labour - we need to care for the carers
10. Any reference to CPTSD - Pain is a symptom, not a diagnosis
9. An acknowledgement that care is emotional labour - we need to care for the carers
10. Any reference to CPTSD - Pain is a symptom, not a diagnosis
Here's a practical approach for chronic pain that I've developed https://abetternhs.net/2018/10/17/hope-and-salutogensis/
And here are some of our psychological barriers to providing good care for patients with chronic pain https://abetternhs.net/2013/09/07/pain/
