Better ways to meet the needs of people with chronic pain
In this study, participants were randomised into two groups – one group received usual care, while the other received automated symptom monitoring via voice-recorded phone calls or the internet, along with one face-to-face meeting with a nurse care management, who discussed medications with a pain physician, followed by a phone call to discuss the care plan, and two other calls, one at one month and one at three months. Additional calls were provided on the basis of symptom records. Patients in the intervention group benefited, with reduced scores on pain severity and interference as recorded by the Brief Pain Inventory. What this study missed doing was use clinicians to support increased functioning and manage emotional distress. While there would have been an increase in cost, the outcomes would have, I feel, justified this expense. Who should deliver this kind of intervention? Well, for my money, I’d go for occupational therapists, physiotherapists, perhaps nurses, social workers and counsellors. People working at the limits of their scope of practice. You’ll note I don’t think psychologists should be involved, and not because I don’t think psychologists are very good people – but in a stepped care approach, I think their skills should be reserved for people who also present with psychopathology, things like depression, anxiety, and so on. Let’s instead use clinicians who have skills specifically aimed at increasing engagement wi...
Source: HealthSkills Weblog - Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Groupwork Pain conditions Research function healthcare Occupational therapy pain management physiotherapy self management Source Type: blogs
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