Rehabilitation, recovery and reducing health inequity: easing the pain
This report outlines how people in marginalised groups and communities, such as those from ethnic minorities, are not only more likely to live shorter lives but spend a greater proportion of their lives struggling with health difficulties and disabilities. It highlights how some vital services that could tackle those inequities are either unavailable or poorly equipped to meet their needs.ReportChartered Society of Physiotherapy - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 23, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Public health and health inequalities Source Type: blogs

Health and care workforce in Europe: time to act
This report focuses on identifying effective policy and planning responses to these HCWF challenges across the Region. The report presents an overview of the HCWF situation in the Region (‎focusing on medical doctors, nurses, midwives, dentists, pharmacists and physiotherapists, for w hom data are available)‎and identifies relevant policy options, their expected benefits and potential facilitators or barriers to successful implementation. Examples of sound evidence-informed practices in countries are also provided.ReportPress release  (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 20, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs

Ways to stop good clinicians leaving pain management (iii)
I’m an old hack when it comes to teamwork and pain management: I’ve worked in this field a long time. I’m familiar with reactions to both interpersonal differences within a team (and the myriad ways these can be expressed), and to the discourse that happens when posting a publicly available message. In fact, that’s why I publish on social media: so we can have open conversations rather than ones hidden behind paywalls, or in rarified academic settings. Humans are odd, and when poked – even when poked with good evidence – want to react, to bite back. The following comments are not about any specific organisation...
Source: HealthSkills Weblog - September 19, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice conflict healthcare teamwork Source Type: blogs

“ The social ” – a brief look at family
Our most important relationships, the ones we learn most from, probably occur in families (Bowlby, 1978). As kids, even before we begin to speak, we observe our family members – and there’s reasonable evidence showing that how well these early relationships develop influences our experience of pain and how we express it. I had the occasion to read a little about adolescent and children’s pain, and the influence of parents on young people as they grow up. There’s a great deal of research interest in children’s pain because children with persistent pain grow up to be adults – usually al...
Source: HealthSkills Weblog - September 11, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Back pain Chronic pain Low back pain Research Science in practice adolescents biopsychosocial family pain management partners spouse Source Type: blogs

Innovation is for Kids at Holland Bloorview
Despite operating in Canada’s capitated healthcare system where investment in innovation is challenging, the leadership team at Holland Bloorview Kids Rehabilitation Hospital (Holland Bloorview) in Toronto, Ontario has found a way to make it part of their DNA. Using a collaborative, inclusive, and open approach, Holland Bloorview is blazing a trail and setting an example for other organizations. Healthcare IT Today had the opportunity to speak with Julia Hanigsberg, President and CEO of Hollard Bloorview (winner of the 2022 Medigy HITMC Award for Health IT Trailblazer of the Year) to find out more about their approach to...
Source: EMR and HIPAA - September 7, 2022 Category: Information Technology Authors: Colin Hung Tags: C-Suite Leadership Communication and Patient Experience EMR-EHR Healthcare IT Hospital - Health System access to care AwakeLabs Healthcare Innovation HITMC Award Holland Bloorview Julia Hanigsberg Meditech MEDITECH Expanse Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
August 18, 2022 Edition-----The main issue, probably of the year, is the increasing tension across the Taiwan Strait with all sorts of worries about how conflict can be avoided and prosperity maintained at a reasonable level as tensions continue. And hopefully ease.The impact of climate change in Europe is really becoming obvious and worrying. I am not sure just how a realistic response is possible in any reasonable time.In OZ the PM has come back after a week off to have the Chinese Ambassador tell us we are a vassal and to just shut up and behave. Astonishing and serious stuff IMVHO.-----Major Issues.-----https://www.smh...
Source: Australian Health Information Technology - August 18, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Ways to stop good clinicians leaving pain management (ii)
Last week I started a series of posts on how we can stop good clinicians leaving pain management. I began with funding because, at least in New Zealand, lack of funding is a significant part of the problem of staff retention. Now I want to look at how we prepare clinicians to work in pain management. One of the major barriers in New Zealand is the dominance of musculoskeletal rehabilitation in physiotherapy clinics around the country. How could direct access to musculoskeletal rehabilitation be a bad thing, you ask? Well, it’s mainly because pain management is not musculoskeletal rehabilitation – and yet...
Source: HealthSkills Weblog - August 7, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Interdisciplinary teams Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Science in practice Health healthcare pain management Source Type: blogs

Ways to stop good clinicians leaving pain management (i)
After the heartbreaking post last week that seemed to resonate with so many around the world, I thought I’d look at what we can do to stop good clinicians leaving pain management. While our jurisdictions have differences in pay rates, reimbursement approaches and treatment codes, at the heart of good healthcare is good people who want to help. So why, when healthcare is populated with caring clinicians, do we strike bullying, lack of support for one another, non-existent teamwork, and poor career pathways? What is going on? I’ll tackle these in bite-sized chunks, starting with the funders. And of course, ...
Source: HealthSkills Weblog - July 31, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Interdisciplinary teams Professional topics Science in practice Clinical reasoning Health healthcare Therapeutic approaches Source Type: blogs

Why healthcare keeps losing good clinicians (or, why I walked away for a second time)
Guest post written by a wonderful PT who has walked away from the profession. Why healthcare keeps losing good clinicians (or, why I walked away for a second time) Firstly, I don’t know if the above statement is true. I just know a lot of good people who’ve left healthcare, across many different professions. And I highly recommend reading “This is going to Hurt” by Adam Kay, or if you don’t have the attention span, it’s now a TV series in 25 minute bites. Last week I resigned from my position as a Physiotherapist and Keyworker, working for a supplier on the ACC pain contract and other physical injury c...
Source: HealthSkills Weblog - July 24, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Physiotherapy Professional topics Resilience/Health healthcare pain management Source Type: blogs

Biopsychological pain management is not enough
I recently read a preprint of an editorial for Pain, the IASP journal. It was written by Prof Michael Nicholas, and the title reads “The biopsychosocial model of pain 40 years on: time for a reappraisal?” The paper outlines when and how pain became conceptualised within a biopsychosocial framework by the pioneers of interprofessional pain management: John Loeser (1982) and Gordon Waddell (1984). Nicholas points out the arguments against a biopsychosocial model with some people considering that despite it being a “holistic” framework, it often gets applied in a biomedical and psychological way. In ot...
Source: HealthSkills Weblog - July 17, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Coping strategies Interdisciplinary teams Low back pain Motivation Occupational therapy Physiotherapy Psychology Science in practice Therapeutic approaches biopsychosocial pain management Research Source Type: blogs

This Release Talks About A New Effort To Support Am Underserved Sector With Technotogy
This appeared last week:Monday, 04 July 2022 11:30Royal Rehab opens Australia ’s ‘largest’ Advanced Technology CentreBy Staff WriterRoyal Rehab, not-for-profit provider of rehabilitation and disability support services, has announced that it is now home to Australia ’s largest Advanced Technology Centre, Royal Rehab LifeWorks, providing Australians with access to a “comprehensive range of potentially life-changing technology, never-before-seen in one facility in Australia”.Royal Rehab says LifeWorks is a purpose-built hub designed to improve the rehabilitation outcomes of people impacted by life changing illnes...
Source: Australian Health Information Technology - July 14, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Scopes, roles, interprofessional practice and person-centred healthcare
A topic that almost immediately gets my hackles up is the one of scopes and roles in pain management and rehabilitation. It’s like “Oooh but that’s MY stuff, get out of it!” and I can see Gollum saying “my preciousssss”… I trained and graduated in 1984. As a raw newbie occupational therapist I couldn’t articulate much of what my profession brought to healthcare, except that I knew “doing”, “activities” or “occupation” was important to human wellbeing, and that I’d been trained to analyse these. I’ve learned a lot since then a...
Source: HealthSkills Weblog - July 10, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Clinical reasoning Interdisciplinary teams Professional topics Research Science in practice Chronic pain Health healthcare interprofessional pain management teamwork Therapeutic approaches Source Type: blogs

The added stress of chronic pain on life
For a minute, I’d like you to grab an ice-cube. If you don’t have one handy, try this at home or when you’re having your next gin and tonic. Hold onto that ice-cube. Keep holding onto it. Put a cloth underneath if it’s going to melt, but keep holding it. Now do your grocery shopping list. Or balance your accounts. While holding the ice-cube.* Now add some exercises. Exercises you don’t care for, but feel like you have to do “because they’ll help you get better”. Keep holding onto the ice-cube. Oh, it’s melted?! Fine – go grab another. Hand too cold to pick ...
Source: HealthSkills Weblog - June 19, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Occupational therapy Physiotherapy Psychology Therapeutic approaches biopsychosocial pain management Source Type: blogs

The demise of practical pain management
Cast your mind back to the last time you decided to create a new habit. It might have been to eat more healthy food, to do daily mindfulness, to go for a walk each day. Something you chose, something you decided when, where and how you did it, something that you thought would be a great addition to your routine. How did it go? How long did it take to become a habit you didn’t need to deliberately think about? How did you organise the rest of your life to create room for this new habit? What did other people say about you doing this? While we all know a reasonable amount about motivation for change – impo...
Source: HealthSkills Weblog - May 29, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Health Motivation Occupational therapy Physiotherapy Professional topics Psychology Resilience/Health biopsychosocial pain management Therapeutic approaches Source Type: blogs

Rehab Fails: What goes wrong in rehab 4
It’s not hard to choose rehab fails, the problem is more about when to stop! I tell a lie, it’s more about how to make changes so these things don’t happen. Today’s #rehabfail is all about attempting to carve bits of a person off so each profession gets “their” bit to do with what they will. Oh boy, this is a doozy, and it comes to me off the back of seeing the return of the age-old argument about whether pain is “all about the bio” or whether the person gets a look-in. Cuz if it’s all bio then we just treat that bio and be done with it, right? It’s a question ...
Source: HealthSkills Weblog - April 10, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Interdisciplinary teams Pain Pain conditions Professional topics biopsychosocial Chronic pain Health healthcare pain management Research Therapeutic approaches Source Type: blogs