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Cochrane has produced more than a dozen systematic reviews of the effects of interventions that might help children who have chronic pain and their parents. In October 2023, these were added to with a review of qualitative research that had explored the experiences and views of children and their families about chronic non-cancer pain and pain services and treatments. In this podcast, Roses Parker, Cochrane's Commissioning Editor, talks with lead author Emma France, an associate professor in health research at the University of Stirling in the UK, about the review and its findings.
Cochrane has produced more than a dozen systematic reviews of the effects of interventions that might help children who have chronic pain and their parents. In October 2023, these were added to with a review of qualitative research that had explored the experiences and views of children and their families about chronic non-cancer pain and pain services and treatments. In this podcast, Roses Parker, Cochrane's Commissioning Editor, talks with lead author Emma France, an associate professor in health research at the University of Stirling in the UK, about the review and its findings.
Israeli cabinet approves ceasefire with Hamas that includes release of captives on both sides Guest: Aurel Braun, Professor of International Relations and Political Science and University of Toronto Fall Economic Update: Affordable Housing Guest: Ray Sullivan, Executive Director, Canadian Housing and Renewal Association Pain relief part two: The evolution of pain management Guest: Dr. Hance Clarke, director of Pain Services and the medical director of the Pain Research Unit at the Toronto General Hospital Fall Economic Update: Ottawa uses taxes to target short-term rentals Guest: David Wachsmuth, associate professor, School of Urban Planning, McGill University As food inflation falls, big grocery chains vow to freeze prices Guest: Mike Von Massow, OAC chair in food system leadership and professor of food economics, University of Guelph New Westminster makes good on trip contestant lost on The Price is Right Guest: Phillip Fitzpatrick, contestant on The Price is Right and Gerardo Corro, executive director, Tourism New Westminster
This edition of Airing Pain is on the topic of early childhood experiences. (Content warning: includes abuse, neglect, and household dysfunction) The World Health Organisation states that ‘adverse childhood experiences (ACE) can have lifelong consequences on a person's health, and well-being, and can lead to a person developing persistent pain in later life'. A lot of this research is conducted in adults, and of course with changes in attitudes and beliefs surrounding raising children over the years, would they consider events in their childhood to be adverse? Listen to learn more about this complex discussion. Find out how this kind of trauma in formative years impacts neurobiologically on the stress response, and causes changes on a structural and functional level in the brain that can predispose young people not only to pain but depression, cardiovascular disease, behaviours with increased health risks, and can have impact on mortality. Contributors: Dr Katie Birnie, Clinical Psychologist at the University of Calgary, on the importance of validating pain in young people. Professor Lesley Colvin, Project Lead at Consortium Against Pain InEquality (CAPE) and Professor of Pain Medicine at the University of Dundee, and consultant in pain services. Jen Ford, DRAP Pain Physio & Therapy Lead at Bath Centre for Pain Services & Bristol Paediatric Pain Professor Lesley Colvin, Project Lead at Consortium Against Pain InEquality (CAPE) and Professor of Pain Medicine at the University of Dundee, and consultant in pain services. Professor Tim Hales, Project Lead at CAPE and a non-clinical Professor of anaethesia at the University of Dundee. Dr Lauren Heathcote, Senior Lecturer in health psychology at Kings College London Timestamps 2:06 Prof Tim Hales discusses the impact on ACE on chronic pain and how people respond to treatment. 7:02 Prof Lesley Colvin Professor on how ACE causes persistent pain. 16:05 Dr Lauren Heathcote discusses the psychology of pain and symptom perception in young people. 23:26 Jen Ford on the different approach required when working with children. 26:05 Dr. Katie Bernie explore the importance of children and family partnerships. Related links CAPE Consortium Against Pain InEquality Health Scotland – Adverse Childhood Experiences TED talk: Carol Dwerk – The Power of Believing you can improve Bath Centre for Pain Services Airing Pain survey Pain Concern Children and Families resources
The Cochrane Pain, Palliative and Supportive Care Group has produced more than 300 reviews and added to these in August 2023 with a review of remotely-delivered psychological therapies for chronic pain in adults. Here's one of the authors, Geoff Duggan formerly from the Bath Centre for Pain Services in the UK, to tell us about the importance of the review and its findings.
The Cochrane Pain, Palliative and Supportive Care Group has produced more than 300 reviews and added to these in August 2023 with a review of remotely-delivered psychological therapies for chronic pain in adults. Here's one of the authors, Geoff Duggan formerly from the Bath Centre for Pain Services in the UK, to tell us about the importance of the review and its findings.
Chronic Pain - over 3 million Aussies live with this debilitating condition daily. Joining us for a discussion is Dr Stephen de Graaff, who is the Senior Rehabilitation Physician and Director of Pain Services at Epworth Rehabilitation and Mental Health.See omnystudio.com/listener for privacy information.
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We all know of Botox use to reduce signs of aging. Approved in 2010 to treat migraines in adults, it's now also being explored (as an off-label treatment) for management of pediatric migraines. In this episode, Dr. Shalini Shah, MD, MBA, the Vice-Chair for the Department of Anesthesiology & Perioperative Care and Enterprise Director of Pain Services at UC Irvine Health, shares their clinical and reseach findings, as well as the indications, caution, nuances, and protocol for use of botox in pediatric migraine. Her work on the effectiveness of Botox in pediatric patients experiencing migraines has been published in peer reviewed journals and been featured in Time Magazine and on NBC Nightly News. We discuss her landmark work, the results of her study, protocols, indications and how you can best advocate for your patients to receive the same treatment. Takeaways in This Episode How Dr. Shah became interested in use of botox for pediatric headaches. Findings of her pediatric study including longitudnal data for Botox treatments in pediatric migraine. Dosage and protocol for Botox injection for peditaric migraine (Hint: You'll be surprisedby the dosage used in kids!) FDA's stance on Botox for children's migrainesand how to navigate the approval of this off label treatment with insurance companies. Indications, contraindications and precautions when using OnabotulinumtoxinA for headaches. (Hint: No allergy butuse of caution in certain conditions is crucial!) Outcomes and patients' response after the treatment with botox; improvement in all spheres. Strategies for preauthorization or approval by the insurance company. Dr Shah's message to healthcare professionals treating pediatric headaches Links Shalini Shah, MD, MBA Connect with Dr. Shah - Twitter Linkedin Dr. Shah's articles on Botox - Effectiveness of Botox in Pediatric Migraines Botox for Prophylactic Treatment of Pediatric Migraines Proactive Pain Solutions Academy Proactive Pain Solutions Clinicians Pain Evaluation Toolkit Recommended Listening: Pedia Pain Focus Episode #21: How to Counsel Your Patients on Off-Label Medication Use Other Recommended Reading: PREEMPT Trial 1 PREEMPT Trial 2 About the Guest Shalini Shah, MD, MBA, Associate Professor is Vice-Chair for the Department of Anesthesiology & Perioperative Care and Enterprise Director of Pain Services for University of California Irvine Health. Dr. Shah completed her residency in anesthesiology from Cornell University and a combined fellowship in adult and pediatric chronic pain at Harvard Medical School. She is the founder of the Pediatric Pain Program at UC Irvine and has previously served as Associate Program Director for the Pain medicine fellowship. Dr. Shah is the recipient of the ASRA Chronic Pain Grant Award in 2017 for her landmark work in onabotulinumtoxinA (Botox) use in pediatric migraine pain. She has been featured in Time Magazine, The Doctors, NBC Nightly News, Business Insider and is a frequent guest on NPR on the topic of safe pain care options. Dr. Shah is an internationally invited lecturer and leads several industry and peer-reviewed NIH funded clinical trials in pediatric and adult pain medicine. Dr. Shah currently serves as the Founding Chair, Committee of Pain Medicine at the California Society of Anesthesiologists (CSA) and President-Elect, CA Society of Interventional Pain Physicians (CALSIPP). Dr. Shah is strongly committed to pain advocacy and healthcare regulatory reform both in the state of California and nationally to improve healthcare experiences for patients.
"How We Do It: Salt Lake City Veterans Affairs Medical Center Transitional Pain Service," by Michael J. Buys, MD, Associate Professor, Department of Anesthesiology, University of Utah, Salt Lake City, Utah. "Transitional Pain Services – What's Next?" by Hance Clarke, MD, PhD, FRCPC, Associate Professor, Department of Anesthesia, University of Toronto, Toronto, Canada. "Building a Transitional Pain Service: Vanderbilt Experience," by David A. Edwards, MD, PhD, Associate Professor of Anesthesiology and Neurological Survey, Chief of the Division of Pain Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee. From ASRA News, February 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.
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This project trialled persistent pain medical specialist's initial assessment/review consultation via telehealth instead of face-to-face, with specific allied health and general practitioners involved in the telehealth conference based on the patient's condition and needs. Learn more To watch Jane and Richard's interview, visit the Clinical Excellence Showcase website. For information about the project, visit their page on our Improvement Exchange. Please subscribe to ‘Clinical Excellence Showcase' wherever you digest your podcasts, rate and review on iTunes and follow us on social media: Facebook, Twitter and Instagram.
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The worlds of pain management, medical cannabis and psychedelics are intersecting, so what does this ultimately mean? Dr. Hance Clarke, Director of Pain Services and Medical Director of the Pain Research Unit at the Toronto General Hospital, joins Kenrick to break it all down. They discuss macro trends in the public markets, cannabis, new Healthcare IT for patient care, and risk factors associated with continued opioid use and after major surgery.---Stocks Not Sports is a podcast brought to you by INFOR Financial Group. We talk about investment ideas in the same casual way we talk about sports. If you're a fan of the podcast, don't forget to subscribe, rate and review!DISCLAIMER: This podcast is not to be taken as investment advice and participants or employees of INFOR Financial group may own securities discussed in this podcast. While we love all of our guests, this podcast may contain forward looking statements, investment opinions and comments that we DO NOT agree with AT ALL! Find more information about INFOR Financial at https://inforfg.com/ or follow us on LinkedIn.
This edition of Airing Pain has been funded by Foundation Scotland: Women’s Fund for Scotland. The Coronavirus pandemic has been long and isolating for everyone, but particularly for those who experience abuse. The pandemic and subsequent lockdowns have seen an increase in the level and severity of domestic abuse. In this episode of ‘Airing Pain’, our host Paul Evans discusses the isolating effects of Covid-19, trauma and how this can contribute to the development of debilitating chronic illnesses such as Fibromyalgia and Chronic Fatigue Syndrome. An article by author and domestic abuse survivor Kath Twigg will accompany this extended episode of ‘Airing Pain’. Contributors: Kath Twigg, Senior Lecturer in social work, trainer, mentor, writer, and domestic abuse survivor Dr Lene Forrester, Clinical Psychologist at Albyn Hospital, Aberdeen Dr Joht Singh Chandan, Academic Clinical Lecturer at the Murray Learning Centre, University of Birmingham Dr Kate Gillan, Clinical Psychologist for NHS Greater Glasgow and Clyde Professor. Caroline Bradbury-Jones, head of Gender-Based Violence and Health at the University of Birmingham More Information Zero Tolerance - http://www.zerotolerance.org.uk NHS Greater Glasgow & Clyde, How can the Pain Management Service help you? (PDF) - https://www.nhsggc.org.uk/media/259486/leaflet-how-can-the-glasgow-pain-service-help-you.pdf Scottish Government, Important advice for people with chronic pain (PDF) -https://www.gov.scot/binaries/content/documents/govscot/publications/advice-and-guidance/2020/03/coronavirus-covid-19-tailored-advice-for-those-who-live-with-specific-medical-conditions/documents/chronic-pain/chronic-pain/govscot%3Adocument/Patient%2BInformation%2BLeaflet%2B-%2Bfor%2Bpeople%2Bwith%2Bchronic%2Bpain%2B-non-shielding%2B061120.pdf NHS Greater Glasgow & Clyde, Pain Services - https://www.nhsggc.org.uk/your-health/health-services/chronic-pain/information-and-resources-for-patients/ Heads Up - http://www.headsup.scot/ Mind - https://www.mind.org.uk/ Mind, Post-traumatic stress disorder (PDF) - https://www.mind.org.uk/media-a/2950/ptsd-2018.pdf Mind, Post-traumatic stress disorder - https://www.mind.org.uk/information-support/types-of-mental-health-problems/post-traumatic-stress-disorder-ptsd/complex-ptsd/ Scottish Women’s Aid - https://womensaid.scot/ Refuge - https://www.refuge.org.uk/ Refuge, Support for men - https://www.refuge.org.uk/get-help-now/help-for-men/ Scottish Women’s Rights Centre - https://www.scottishwomensrightscentre.org.uk/
Do you want to know what are effective self help techniques that you can apply if you suffer from Chronic Pain? Learn with my friend Chris Bridgeford.Chris was born and bred in Forres in Moray, Scotland and has lived there all his life. He was educated at Applegrove Primary School and Forres Academy after which he joined Bank of Scotland in 1976 then took early medical retirement in 1995.In the 1980s he presented monthly and weekly radio shows with local radio station Moray Firth Radio, one show was one of the first Computer Shows in the country where the broadcast home-made computer programs over the airwaves (all those screechy sounds on tape for those old enough to remember). The second weekly show was for three hours on a Saturday evening with music and competitions and the third was a monthly show which featured only obscure album tracks taking it in turn with three other presenters. He was a member of Forres Community Council from 1990 – 2000 serving as Secretary and Chairman of the Planning Committee. He has also been Secretary of Forres In Bloom, Forres Golf Course Board of Management and finally, The Friends of Falconer Museum for twelve years. He formed Affa Sair in 2015 after emerging from a period of depression due to chronic pain.He was granted Burgess of The Royal Burgh of Forres for his service to the local community. This is an ancient historical award which allows Burgesses to drive their livestock through the High Street etc; Chris is a self-confessed computer nerd with Apple Macs being his preferred system after he got bored with Windows in the early 2000s.He first experienced chronic pain in 1978 when he was diagnosed with Sacroiliitis, thereafter Ankylosing Spondylitis. He never conformed to the medical books of the day and after much to-ing and fro-ing and disbelief, he was eventually diagnosed in 2004 with Complex Regional Pain Syndrome. Along with this came Allodynia and Costochondritis, in 1995 Chris had an aortal-femoral bypass on his left leg and angioplasty on his right. He had to have his gallbladder removed through a cholecystectomy and there followed numerous incisional hernia repairs with the one in 2004 where things went badly wrong and he lost 9 units of blood and nearly his life. There followed numerous bouts of depression until 2014 when things got better. During that time he also developed Diabetes now controlled by insulin and tablets. Sadly, 3 TIA’s in two days and possible heart disease joined his other ailments. He always says he’s had an “interesting” life.With his confidence and vocabulary returned, Chris decided to form an on-line support group for chronic pain sufferers and to try to get pain services restored at Dr Gray’s Hospital in Elgin. So on 14 th April 2015 Affa Sair was born. The initiative was very successful with pain services restored on 3 rd March 2016. This saved chronic pain sufferers having to travel all the way to Aberdeen – a round tip of 140 miles which left sufferers in extra pain for days after the appointment.Affa Sair now has 481 members, has been mentioned a few times in First Ministers Questions at the Scottish Parliament in Edinburgh and frequently engages with many MSPs from all Political Parties. Just before the Covid-19 pandemic struck Affa Sair had been instrumental in getting £500,000 for NHS Grampian to improve their Pain Services from the Public Health Minister.
A leading pain specialist says a huge group of New Zealanders are having their lives crippled because chronic pain services are being starved, and aren't provided at every DHB. Any pain lasting longer than three months is classified as chronic pain, and it's estimated one in five people suffer some form of this. Karoline Tuckey has been finding out more.
"Cannabis as an Analgesic: Separating Hope from Hype," by Brent Yeung, MD, Assistant Clinical Professor, Department of Anesthesiology and Pain Medicine; and Shalini Shah, MD, Associate Clinical Professor and Vice-Chair, Department of Anesthesiology and Perioperative Care, Director, Pain Services; both of University of California, Irvine, School of Medicine, Irvine, California. From ASRA News, August 2020, pp. 29-31. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.
"What Showing Up Can Do for You," by Drew Cornwell, DO, Anesthesiology Resident, Physician, PGY-3, Geisinger Medical Center, Danville, Pennsylvania; and Shalini Shah, MD, Associate Clinical Professor and Vice-Chair, Department of Anesthesiology and Perioperative Care, Director, Pain Services, University of California Irvine, School of Medicine, Irvine, California. From ASRA News, August 2020, pp. 23-24. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.
(3:38) Over a million Canadians use medical Cannabis to treat everything from nausea to chronic pain. But there is a lack of rigorous, clinical evidence demonstrating its efficacy for specific conditions. That's why the university health network is launching a new clinical trial in partnership with Shoppers Drug Mart to help doctors prescribe the right medicine for the right patient at the right dose. The Medical Cannabis Real-World Evidence study will track the outcomes of 2000 patients using verified and validated medical cannabis products. Libby talked with trial lead, Dr. Hance Clarke, Director of Pain Services, Toronto General Hospital. AND (9:46) If the restrictions of COVID-19 have you hankering for a more bucolic setting, you're not alone. Being cooped up and working from home has led to a boom in cottage country as city dwellers look to escape. Libby reached Catharine Inniss, a realtor with Johnston and Daniel Rushbrooke Realty.
We are talking about how to integrate Acceptance and Commitment Therapy alongside your existing physiotherapy or physical therapy practice. This episode is for physical therapists or physiotherapists, but it's also for you if you're an occupational therapist, a nurse, a doctor, a licensed massage therapist. Maybe even a mental health provider like a psychologist or social worker or a licensed professional counselor who is interested in learning how to shift their practice and seed their treatment with principles of Acceptance and Commitment Therapy. My guest is physiotherapist, Sarah Wilson. She qualified as a physiotherapist in 2001 following rotational post. She chose to specialize in pain management in 2006 and started to implement and learn about Acceptance and Commitment Therapy shortly thereafter. Sarah has worked in both primary and secondary pain care before moving to the Bath Centre for Pain Services, which is a UK national center providing residential pain management programs for both groups as well as individuals. The Bath Centre provides care across the lifespan and uses an interdisciplinary Acceptance and Commitment Therapy approach. Sarah's current research interests include psychologically informed physiotherapy. You'll learn all about Acceptance and Commitment Therapy and how it can complement and improve a physiotherapist pain practice, what some challenges are for physiotherapists as they begin to implement ACT into their practice. Finally, some of the differences between Acceptance and Commitment Therapy and Pain Science Education. If you're a physical therapist or a physiotherapist or another licensed health professional and you're interested in learning more about ACT and how you can implement it into your practice, make sure to register for the waitlist for the ACT For Chronic Pain course at the Integrative Pain Science Institute. You can simply do that by going to IntegrativePainScienceInstitute.com. Go to the Courses tab, scroll down and you'll find the ACT for Chronic Pain Course Waitlist. I'm excited to share this with you. Sarah has over a decade worth of experience implementing ACT into physiotherapist practice. Without further ado, let's meet physiotherapist, Sarah Wilson.
Patient volunteers and healthcare professionals on working together in pain management programmes This edition of Airing Pain has been supported by a grant from the Plum Trust. In September, the British Pain Society’s special interest group on pain management programmes held their annual conference. A workshop entitled ‘Experts by Experience – working together in Pain Management Programmes’ was run in parallel to this. The symposium brought together patient-volunteers and healthcare professionals from four pain management centres around the UK to share their experience of working together. Dr Nick Ambler, Consultant Clinical Psychologist of the North Bristol NHS Trust’s Pain Management Programme (PMP), facilitated the workshop; chairing an uplifting, frank and empowering discussion on the psychological benefit to patients and the professional value to healthcare trusts of patient-volunteers working within pain management programmes. This special extended edition of Airing Pain comes to you live from the conference, letting you sit in on the discussion. Patient-volunteer Primrose Granville opens by giving a funny, relatable and inspiring testimony of how volunteering with her PMP has transformed and empowered her life and experience of pain. Dr Debbie Joy, Clinical Psychologist and Clinical Lead of Pain Services for NHS Solent Trust, addresses some of the initial anxieties she had around the introduction of patient-volunteers to a clinical setting, but ultimately asserts that they are ‘definitely stronger with experts by experience by their side’. Pain coaches for NHS Dorset – Penny and Debbie – offer constructive advice for professionals and volunteers on how you pain coach and engage with people living with pain effectively and sympathetically. The founder of Glasgow Community Pain Education Sessions – John Bremner, talks about how this model of expert by experience in action works, and how they run it ethically and effectively. Lindsay talks about how rewarding an experience it has been, volunteering as a pain trainer for this initiative, encouraging others to get involved. The symposium ends with the group sharing their experiences and insights in an open floor discussion. Contact your GP or relevant pain management programme if you are interested in volunteering. Contributors: Dr Nick Ambler, Consultant Clinical Psychologist for the North Bristol NHS Trust’s Pain Management Programme Primrose Granville, person living with pain and patient volunteer with the North Bristol NHS Trust Pain Management Programme Dr Deborah Joy, Clinical Psychologist and Clinical Lead of Pain Services for the NHS Solent Trust Penny and Debbie, pain coaches for the Dorset NHS Trust John Bremner, person living with pain, pain trainer and founder of Glasgow Community Pain Education Sessions Lindsay, person living with pain and pain trainer for Glasgow Community Pain Education Sessions Dr Martin Dunbar, Clinical Lead and Consultant Psychologist for NHS Great Glasgow and Clyde. More information: Airing Pain 32: Pain Management Programmes (http://painconcern.org.uk/airing-pain-programme-32-pain-management-programmes/) Glasgow Community Pain Education Sessions (http://painconcern.org.uk/how-we-help/pain-education-sessions-glasgow/) Volunteer from home with Pain Concern: http://painconcern.org.uk/get-involved/volunteer/.
How chronic pain in adolescence requires different pain management strategies In this edition of Airing Pain, Paul Evans looks at the issues concerning pain amongst adolescents, including the impact on parents. First-off, Paul speaks to Dr Jeremy Gauntlet-Gilbert, principal clinical psychologist at the Bath Centre for Pain Services, to talk about the 'end of the road' residential pain management programme the Centre has for young people from across the UK who have not had success at other institutions. Paul also speaks to Amyra and Taylor, who have first-hand experience of the programme, about their time in Bath. They also discuss how chronic pain has affected their personal lives, including their performance at school and in exams. The parents’ experience is also explored as Paul speaks to Taylor’s mum Sandra McCann and Louise Bailey, the mother of another patient. They describe how the Bath Centre for Pain Management has made a positive impact on the ability of their children to have a more regular life. Paul also discusses with Louise and Dr Gauntlet-Gilbert about the wider impact on siblings and the rest of the family. Dr Gauntlet-Gilbert also talks about the Centre’s commitment to transitional support for individuals between adolescence and adulthood as well as beyond. This edition concludes with the parents and young people delivering their verdict on the Bath Centre for Pain Services’ programme. One that indicates it is a very hard but rewarding process, with the young people clearly finding enjoyment in their time there. Contributors: Dr Jeremy Gauntlet-Gilbert, Principal Clinical Psychologist at the Bath Centre for Pain Services Louise Bailey, parent Sandra McCann, parent Amyra, young person Taylor, young person. More information: Bath Centre for Pain Services: www.bathcentreforpainservices.nhs.uk/
On this episode of the podcast, I spoke with the Dr. Al Abd-Elsayed, an Anesthesiologist/Medical Director, Pain clinic/Medical Director of Pain Services at UW-Madison/section head, and chronic pain physician. He is also an author with multiple books. He newest book, "Pain: A Review Guide" will be released in the next few days. Our sponsor for this podcast is our parent company, BlocHealth. BlocHealth's platform will launch towards the end of Q1. We are making life easier for healthcare professionals & organizations. The platform will save healthcare professionals & organizations time, money and provide less headaches during the on-boarding process. For more information, please go to www.blochealth.com and follow BlocHealth on social media - @blochealth Be sure to check out the social channels for Dr. Al Abd-Elsayed: - LinkedIn - His Books Also, be sure to follow Slice of Healthcare on our social channels: - Website - Facebook - LinkedIn - Instagram
In this NCtalks podcast, we speak to Hance Clarke, Director of Pain Services and the Medical Director of the Pain Research Unit at the Toronto General Hospital (ON, Canada).
Fibromyalgia affects millions of Americans – predominantly women – and is often misunderstood by the medical community. In recent years, however, significant advances have occurred in our understanding of the condition. Dr. Murray J. McAllister is a health psychologist who currently serves as the Clinical Director of Pain Services for Courage Kenny Rehabilitation Institute. He talks to us today about this elusive illness and how best to treat it.
GPs surgery, telephone or pain clinic: where should pain management take place? This edition has been funded by the Big Lottery Fund’s Awards for All Programme in Wales. ‘Good pain services, based in the community will make a huge difference to the lives of individuals and the NHS’, says Sue Beckman, speaking on behalf of the NHS’s Delivery and Support Unit at the Welsh Pain Society Annual Scientific Meeting. But what does moving pain services into the community mean? Beckman, together with pain specialists Mark Ritchie, Mark Turtle and Rob Davies debate the key issue of where pain management should take place. General Practitioners (GPs) are often those closest to ‘the community’ – they often see patients over the course of years, but limited training in chronic pain and lack of time in appointments pose problems. The panellists also discuss the challenges of bringing services closer to the isolated communities of rural Wales while ensuring that as many people as possible can access pain services by public transport. Finally, could moving services away from the pain clinic ‘demedicalise’ chronic pain by causing healthcare professionals and their patients ‘to think outside the box’? First broadcast 17.12.13 #Educatinghealthcareprofessionals #Epidemiologyofpain #Fundingandavailabilityofpainservices #Generalpractitioners(GPs) #Painmanagementinremoteareas #Primarycare #Socialandeconomicimpactofpain
Pain experienced by the very young and very old and the similar issues arising when dealing with these very different types of patient. This edition has been funded by the Big Lottery Fund’s Awards for All Programme in Northern Ireland. In this edition of Airing Pain, Paul Evans speaks to experts from Belfast and London about the similarities, differences and challenges in treating pain in infants and the elderly. Maria Fitzgerald, Professor of Developmental Neurobiology at University College London, mentions the outdated theory that babies do not experience pain and how this misconception has been disproved. She raises the issue of communication, perhaps the biggest problem with babies and the elderly (particularly those with dementia) - if they cannot communicate about their pain effectively, their pain often cannot be adequately addressed. She also discusses the scientific research she and her team are carrying out as well as the importance of treating pain at an early age. Paul speaks to Dr Pamela Bell, Chair of the Pain Alliance of Northern Ireland and former Lead Clinician for Pain Services at the Belfast Trust. She discusses how pain treatments work for infants and the consequences of not managing pain during the early stages of their development. Peter Passmore, Professor of Aging and Geriatric Medicine at Queen’s University Belfast, talks to us about the large number of dementia patients who are thought to live with pain and the need for medical staff and carers to be able to recognise changes in the patients’ behaviour and therefore become more able to address their pain. Contributors: * Maria Fitzgerald, Professor of Developmental Neurobiology at University College London * Dr Pamela Bell, Chair of the Pain Alliance of Northern Ireland and former Lead Clinician for Pain Services at the Belfast Trust * Peter Passmore, Professor of Aging and Geriatric Medicine at Queen’s University Belfast First broadcast 21.05.13 #Dementia #Postsurgicalpain #Brainimaging #Carers #Childrenandyoungpeopleinpain #Communicationskills #Explainingyourconditiontoothers #Facialexpressionsasameasureofpain #Medication #Olderpeople #Opioids #Patientperspective #Psychologicalapproachestopainmanagement #Research #Sleep #Talkingtoyourdoctor #Youngpeopleandchildren
The health professionals working to improve pain management, and the importance of getting patients more involved. First broadcast 07.02.12 The relationship between doctor and patient is crucial in managing pain. In this programme we look at how the British Pain Society’s newly launched Pain Patient Pathways Project should improve the way health professionals manage chronic pain conditions. We’ll hear from a patient about her varied experiences with health professionals and from doctors involved with treating pain about the importance of patients getting involved in the treatment of their own condition. In this programme: Douglas Smallwood, British Pain Society Dr Mark Ritchie, GP, Swansea Kevin Geddes, Director of Self Management with the Long Term Conditions Alliance in Scotland Dr Martin Johnson – Royal College of General Practioners’ UK Champion in chronic pain; on the executive committee for the Pain Patient Pathways Jean Smith, patient #AbleRadio #AiringPain #PainConcern
Patients and health professionals at a residential pain management programme in Bath talk about the pain management needs of younger people and the aims of the programme. First broadcast 01.02.11 Paul Evans visits the Centre for Pain Services at the Royal National Hospital for Rheumatic Diseases at Bath to find out about the pain management programme there. Clinical Director Dr Lance McCracken explains how the programme helps people get on with their lives and we meet the patient group to learn about their experiences in living with pain, what brought them to Bath and the things they’ve learned during their time on the programme. We also hear about how the team at Bath provide specific services to younger people and how pain affects their families and sleeping habits. In this programme: * Bath Patient Group- Their Experiences * Dr Lance McCracken- Pain Management Programme * Dr Hannah Connel- Young People and Pain * Sam Barton-Growing up in Pain * Jan Barton- Personal Story #AbleRadio #AiringPain #PainConcern