Pain School and Opioid Renewal clinic Sondra Adkinson, PharmD DAAPM,CPE
Disclosure
Nothing to Disclose
Learning Objectives Describe at least four steps to developing a Pain School List five disciplines who may be part of a Pain School faculty Review selected key topics to provide in a Pain School
Steps To Start A Pain School RESOURCES Who - What - Where – When - How – Faculty – Space – Content – Resources – Process – Outcomes
Who Customer – Consult Patient Family member(s) Facilitator – shared FTEE Clerk IT Support
Who (cont’d) FACILITATORS Pharmacist ARNP Recreational Therapist Physical Therapist Psychologist Music Therapist Social Worker
What Group Education –Develop a Mission Statement: To initiate the transition from pain patient to person by learning about pain and becoming active in their own pain management
What (cont’d) Orientation & Understanding Pain Re-engaging with life – Recreation Body Mechanics – Physical Medication and Other Strategies Mindfulness, Coping and Behavioral Music Therapy Sleep Hygiene
Where Room Accessible Accommodate size of group Furniture Electronic Facilities Consistent
When Weekly: Tuesdays Time: 10:30-noon (90min) Three or more scheduled/consults DIGMA DVD Video Teleconference multiple sites
How Content structured and appropriate Resources visual, printed and current Reproducible Flexibility Review regularly Outcomes – Satisfaction, Oswestry
EVIDENCE Primary Care & Health Section –Original Research Article –Preclinic Group Education Sessions –Reduce Waiting Times and Costs at Public Pain Medicine Units
Davies et al. PAIN MEDICINE 2011; 12:59-71 Wiley Periodicals, Inc.
“Steps” Self-Training Educative Pain Sessions = “Pain School” = “Group Education” Reduced waiting times Reduced costs at public Pain medicine units Increased the use of active pain management strategies Increased Patient Satisfaction
More Evidence March 2012: FEDERAL PRACTITIONER – Cosio, Hugo, Roberts and Schaefer – Jesse Brown VA Medical Center, Chicago, Illinois – “A Pain Education School for Veterans: Putting Prevention Into VA Practice”
Serve: Patient's with chronic pain, who may also be unemployed, disabled, diagnosed with a mental illness and or who also have substance abuse with a face to face group pain education program
Pain Education School 6 Steps Initiate and maintain a prevention team Assess preventive services Develop and implement a prevention program Get buy in from staff and management Measure outcomes Share information and best practices
Sample Classes Osteopathic manipulation Surgical procedures Pharmacotherapy Smoking Cessation Nutrition and MOVE Physical Rehab & OT Recreational CBT and ACT groups
Mental Health Vocational Rehab Hypnosis & Biofeedback Chaplain Services Sleep hygiene Acupuncture Suicide Prevention Sexual Health
BPVA – Opioid Renewal Clinic PharmCare Pain Management –Consulted by Primary Care –Chronic Stable non cancer pain –Rx controlled substance C-II –Opioid agreement –UDS –Adjuvants –Regular monitoring: Clinic, Phone, UPS
Other Innovations In Primary Care E-Pain Consulting: Dr. Sproul Primary Based Pain Teams: Dr. McKelvey Opioid Renewal Clinics: Dr. Wiedemer PANEL DISCUSSION: All