4.5 Pain Management Programme

Question 1

What is a pain management programme

Answer 1

1. Multifactorial programme
   aims restore lives chronic non cancer pain sufferers

as close to normal as possible

2. Aim improvement physical
   psychological
   emotional
   social dimensions of QOL
3. Use of MDT
   working according to behavioural
   and cognitive principles

Question 2

What staff are necessary to provide a pain management programme

Answer 2

1. Medically qualified person
   Ideally consultant w/ interest in pain mangement
   Any clinical w/ approp train
2. Chartered clinical pyschologist
   registered CBT
3. Registered physio

4. Other
OT 
Nurses
Pharmacy
clerical staff
Role model patients

Question 3

Exclusion criteria for Px management programme

Answer 3

1. Limited life expectancy
   Rapidly deteriorating condition
2. Severe Pysch disorder
   affecting cognition and social behaviour
3. Unresolved or untreated substance or alcohol abuse
4. Physical disability such that participation not possible

Question 4

Aims of pain management programme

Answer 4

1. Educational

2. Practical

Question 5

Educational

Answer 5

1. Teach + aid understanding of anatomy and physiology of pain mechanisms
2. Address psychological aspect
   safety / fear /stress / depression / avoidance
3. Provide awareness health and safety issues
   regard stepping up activity levels
4. Exercise to improve health and functional abilities

Question 6

Educational

Answer 6

5. Advice regarding remedies and drugs
6. Training in dealing w/ setbacks and worsening of sy

7. PRovide pyschological exercise
Methods of 
thought
Emotions and
behaviour

Including use cognitive therapies and target setting

8. Organise goal directed activity
   graded approach
9. Reinforcement help change thought processes
10. Teach exercises improve quality and duration sleep

Question 7

Practical aspects

Answer 7

1. Advice staff
   practice at home
   revie practie
   increase performance at controlled rate
2. Graded regular exercise
3. Cognitive behavioural methods
   identify + challenge commonly held myths / beliefs
4. Relaxation exercises
   aid seep
   enhance attention
5. Working on communication skills
   friends
   family
   colleagues