NPS TREATMENT OF PAINDR CLARE MAHER

WHAT ARE THE ISSUES?

ACUTE PAINWHAT IS IT?

THINK ABOUT TYPICAL PRESENTATIONS OF AUCTE PAIN TO YOU WHEN YOU WORKED AS A PHARMACIST………… WHAT DID YOU SEE?

CHRONIC PAINWHAT IS IT?

HOW DOES IT DIFFER FROM ACUTE PAIN?

WHO GETS CHRONIC PAIN?

WHO GETS CHRONIC PAINMOST POPULATION STUDIES SHOW A

POINT PREVALANCE OF 12-20%.

GRADE CHRONIC PAIN 1-4

IN AUSTRALIA MALES 65-69YEARSFEMALES 80-84YEARSIN ATSI WHAT HAVE PEOPLE SEEN?

CHRONIC PAIN= CHRONIC ILLNESS

EDUCATION

LIFESTYLE MODIFICATIONS

MEDICATIONS

ASSESSMENT OF PATIENTFull History of when the pain started and

what the pain is like now.Adequate treatment of acute pain (think

PTSD)Features of the pain and site of the pain.

Always think of neuropathic features tingling cold, hot burning.

Grade the pain

HOW DO YOU THINK ATSI PEOPLE WOULD ENGAGE WITH THIS SORT OF SCALE?

ASSESSMENT OF PATIENTMental health 50% of patients with chronic

pain have depression and or anxiety

What medications have they tried?

What treatments have they had?

SMOKING ALCOHOL ( IF PEOPLE DEPRESSED

INCREASES?)OTHER DRUGSOTHER MEDICAL CONDITIONS EG DM, RENAL FAILURE, COPD OTHER HX THAT YOU MIGHT NEED?

ASSESSMENT OF PATIENT

TREATMENT OF PATIENTChronic disease so set goals with the patient

GPMP. What are they aiming for? E.g. A good nights sleep

Education e.g. diabetic neuropathy 25% of DM patients get it

Commonly burns itself out in 5 yearsWhat causes it explanation to patientGood glyceamic control may assist the painAvoid other injuries diabetic foot

OTHER QUESTIONSWhat have we missed?

Other pearls?

Thank you