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Thoughts on today’s ‘difficult issues in pain management’ talk by @mellojonny.
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1- Definition of chronic pain?
With chronic pain sounding unhelpful could we call it ‘Total pain’, ‘functional pain’, ‘persistent pain’ or should it be what the patient prefers to call it?
A
1- Definition of chronic pain?
With chronic pain sounding unhelpful could we call it ‘Total pain’, ‘functional pain’, ‘persistent pain’ or should it be what the patient prefers to call it?
2-Reflection on difficult patient? @MyCuppaJo gently reminds clinicians that judgements shouldn’t be passed on the person but their context or their situation and their pain should be understood better. #challengingsituationsnotpatients
3-Annual reviews with chronic pain patients invite them to critically look at their problem list, review medications, set goals, signpost to helpful resources and build a trusting therapeutic relationship. #Diagnosticlabelsandtheirmeaning
4-Annual reviews could also be used to explore the patients relationship with pain. Exploring how patients approach their pain and discussing if this approach is workable for them. It could be a wonderful opportunity for the patient to reflect on their health care.
5- @loulouscorpio reflects on her experience with opioids and shares how timely reviews with GP’s might be essential to help monitor/review or wean off medications and prevent opioid dependency. ‘Prescribing is self soothing technique for clinicians’
6-‘Being listened to, validated and working together as a team might be an intervention in itself’(Kate Binnie)
Audit standards for chronic pain?
Ensuring patients have an annual review with GP’s they prefer and discussions/data about quality of life rather than pain scores.
Ensuring patients have an annual review with GP’s they prefer and discussions/data about quality of life rather than pain scores.
Trauma informed care for chronic pain?
Talking to patients about salutogeneis ( https://abetternhs.net/2018/10/17/hope-and-salutogensis/ )and exploring the causes behind the causes of ill health or pain is essential.
Talking to patients about salutogeneis ( https://abetternhs.net/2018/10/17/hope-and-salutogensis/ )and exploring the causes behind the causes of ill health or pain is essential.
Book recommendations (if any one is interested)
Illness - Havi Carel
The story of pain-Joanna Bourke
Thank you @BPSPainEthics
@heelas_leila @nabualaw @LivingWellPain @betsanwellbeing @DeepakRavindra5
Illness - Havi Carel
The story of pain-Joanna Bourke
Thank you @BPSPainEthics
@heelas_leila @nabualaw @LivingWellPain @betsanwellbeing @DeepakRavindra5
