Patrick Randolph, Ph.D. is a health Psychologist who was employed at - - PowerPoint PPT Presentation

▶

Mar 08, 2023 243 likes •368 views

PATRICK RANDOLPH, PHD Patrick Randolph, Ph.D. is a health Psychologist who was employed at the international institute for Pain for 13 years as the Director of Psychological Services. He has numerous scholarly articles regarding the

SLIDE 1

PATRICK RANDOLPH, PHD

Patrick Randolph, Ph.D. is a health Psychologist who was employed at the international institute for Pain for 13 years as the Director of Psychological Services. He has numerous scholarly articles regarding the efficaciousness of multidisciplinary pain management, and risk factors affecting outcomes to SCS and implantable infusion systems. He is in private practice, conducting pre-surgical assessments since 1986.

Dr. Randolph is also President of Therapractic Management

Systems, providing online screening tools for physicians and psychologists that identify psychological risk factors affecting health and surgical outcomes.

SLIDE 2

PRESURGICAL SCREENING FOR IMPLANT TECHNOLOGY

SLIDE 3

Improve overall surgical results
Avoid problem patients and litigation
Facilitate integrated care and outcomes
Prepare patient for surgery
Requirement of insurance
Patient education.
Run interference

PURP PURPOSE OSE – PRE PRESUR SURGICA GICAL PS PSYCH CHOL OLOG OGICA ICAL L SCREENING SCREENING

SLIDE 4

Gather information from

multiple sources

Empirically-based assessment
Answer referral question
Treatment suggestions

PR PROCE OCESS SS OF OF PR PRES ESUR URGICA GICAL PSY PSYCHOL CHOLOGIC OGICAL AL SCR SCREENING EENING

SLIDE 5

Older age
Longer pain duration
Metabolic syndrome
Number of previous spine surgeries
Aggressive treatments for many
ther health problems
High comorbid medical conditions

MEDICAL FACTORS

SLIDE 6

Acute stressful life events
Stressful events before 13
Vocational status
Social support

ENVIRONMENTAL FACTORS

SLIDE 7

Depression
Somatization
Anxiety
Psychiatric comorbidity
Past history of mood disorder
Personality - Neuroticism
Childhood abuse or trauma

PSYCHOLOGICAL FACTORS

SLIDE 8

Nicotine dependence
Alcohol abuse or dependence
Opioid abuse

SUBS SUBSTANCE ANCE AB ABUSE/DE USE/DEPENDE PENDENCE NCE

SLIDE 9

Pain tolerance/sensitivity
Catastrophizing
Low self-efficacy
Perception of pain-related disability
Frequent negative thoughts about pain

COPING FACTORS

SLIDE 10

Depression, somatization, anxiety

and poor coping were most useful in predicting poor response to SCS

Severity of distress is the key
Multiple risk factors
No gold standard approach

DECISION DECISIONAL A AL ALGORITHM GORITHM

SLIDE 11

Send medical records
Relay sensitive information orally
The Psychologist will do everything

necessary to help move you forward, to include explaining why the assessment is

important. It is normal to have distress.
Are you and the psychologist on the