HABIT GROUP Pain Naomi Faulknor , PGCert Rehab,BPHTY Clinical - - PowerPoint PPT Presentation

HABIT GROUP

Pain Management Service

Naomi Faulknor, PGCert Rehab,BPHTY Clinical Services Manager- Habit Group

WHO ARE WE?

Habit Group (www.habitgroup.co.nz) North Island coverage (national contracts in private work)

WHAT I’LL COVER

• The cost of chronic pain
• What is pain
• How does it impact vocational rehab
• About the service
• Who is it for, what to look out for
• How to refer
• Our team

THE BURDEN OF CHRONIC PAIN

WHAT IS PAIN?

• IASP definition: “Pain is an unpleasant

sensory and emotional experience associated with actual or potential tissue damage, or described in terms

• f such damage’”
• Each persons pain experience is

unique

• Biopsychosocial nature of pain

WHAT IS PAIN

https://www.youtube.com/watch?v=5KrUL8tOaQs

WHAT IS PAIN?

• Pain is very normal and very amazing
• The experience or feeling of Pain

depends on your brains evaluation of danger and the likely benefit of protective behaviour versus safety

• Evidence of a disconnect between

structure and pain, pain is much more than nociception

• Back pain is so much more than pain in

the back

HOW DOES PAIN IMPACT VOCATIONAL REHABILITATION?

Multi-faceted and client specific

• Impact on mood and motivation
• Role of medications
• Fatigue and sleeplessness
• Physical capacity
• Unhelpful thoughts and behaviours
• Social situation

THE ACC PAIN MANAGEMENT SERVICE

• Relatively new – established 1

December 2016

• Replaced 8 different services
• Designed to improve clients
• utcomes and experience by

reducing the impact of pain following an injury

• Achieving great outcomes in the

first years of service

WHO IS THE SERVICE FOR?

Those clients who have:

• Persistent pain that is preventing them from

undertaking their usual activities, including work

• Significant pain related disability
• Those at risk of developing pain-related

disability following an injury

ELIGIBILITY

GP, Primary Healthcare

• r any other ACC funded

health professional

–ACC covered injury –>50 short form OREBRO

ACC ACC covered injury High risk on Rehab Progress Checklist OR Rehab advisor, Triage Manager, BAP or BMA approved

HOW TO REFER

• GP, Primary Healthcare or any other ACC funded health

professional

– ACC covered injury – >50 short form OREBRO – http://www.habit.co.nz/rehabilitation/pain-management- service – http://www.habit.co.nz/rehabilitation/pain-management- referrals

• ACC

– ACC covered injury – High risk on Rehab Progress Checklist – OR Rehab advisor, Triage Manager, BAP or BMA approved

KEY SERVICE PRINCIPLES

Good communication Right service, right time, first time A tailored plan for every client Multidisciplinary and collaborative Outcome-based services A value-based model of care

MDT/IDT Role of GP/other treatment providers Key worker role Other rehab services Add ons - IPM

THE TEAM

QUESTIONS?

Case Study # 1

Considerations? Client goals Context/Influence/social situation Assumptions? Group work? Who is in the team? Who could be in the team? Health Optimisation approach

Case Study # 1

Considerations? Client goals Context/Influence/social situation Assumptions? Quantify – Depression, Anxiety, Stress Sleep Activity Current perception/thoughts of pain presentation (Validation model!) How is the family dynamic – Wife? Kids? Who would be in the team? To date – Psychology, Medical, Physiotherapist, OT Who could be in the team?

Case Study # 1

Who is in the team? Why, How, When, What Physiotherapist – does George want this at the moment? Psychologist – Consider the patient mosaic OT Medical involvement Pharmacist – medication reconciliation could be added + Smoking cessation Social Worker – family dynamic and options for support Counsellor – community Dietician – assist with constructing supportive approach to nutrition Cultural or health literacy support, community supports Health Optimisation approach Timeframes?? Ultimate outcome??