Dr Ian Thong Pain Specialist Physician

FFPMANZCA PhD

Medical Director

Interdisciplinary Persistent Pain Centre

Gold Coast University Hospital

Persistent Pain Service

Gold Coast University Hospital

IPPC

Robina

Hospital

Robina

High School

Robina

Town Centre

Robina

StationGold Coast

University

Hospital

Near Robina Hospital

and Robina station

IPPC

Multidisciplinary Out Patients

Persistent Pain Service

• Gold Coast

• Northern Rivers NSW

• South West Queensland

Interdisciplinary Persistent Pain Clinic

Appointments

by referral

Teleconferencing

IPPC

A Multidisciplinary Service

• A multi-faceted approach consistently shown to provide better outcomes

• Better outcomes when a variety of clinicians provide care (medical & allied health)

• Offer different services to optimise options -individual sessions and groups

• Must be a time-limited service

• *requires patient engagement to be effective

IPPC

Clinicians

IPPC

Clinical Care

Consistent message from every clinician

• Education

• Breakdown barriers

• Encourage self management

• Discourage reliance on passive therapy

• Build longterm strategies

IPPC

Pain Management Options

• Individuals

• Groups • small and large

• Specific and comprehensive

- Science and pain

- Movement, task re-engagement, fitness

- Thoughts, emotions and beliefs

- CBT and Meditation

- Diet

- Explain the limits of medications and interventions

IPPCTypes of services

Groups: Individuals

PACEBounce

Back

Mindfulness

Allied Health

AODSPsychiatrist

Rehab

Specialist

Pain

Specialist

Tapering

Analgesics

IPPC

Pain Specialist• In–patients consults

• Hospital phone consults

• Collaboration – Palliative care

– Emergency

– Addiction

– Acute Pain Services

– Gynaecology – pelvic mesh clinic

– Medicine

– Surgery

In-Patient Services

IPPC

Interventions

• A limited service

• Only in conjunction with MDT care

– Some procedures in clinic

– Theatre based interventions – RFAs

Pain Procedural Services

IPPC

Specialist• Patient phone and teleconference consults

• Collaboration with & Support to– GP

– Pharmacies

– Team Navigators

• Allied health provide– Phone assessments

– Phone reviews

– Service review and discharge when appropriate

Community Links

IPPC

The IPPC Service goals

• Quality of Life

• Function, Independence, Self Management

• Reduce use and reliance on medications

• Reduce burden on health services

– GP

– Hospital

• Support GPs as the long term primary carers

IPPC

What else…

• Education

– Patients & Family & Carers

– Health professionals• Junior & senior doctors, AHPs, trainees

• Research

– Building IPPC research capacity

– Support others with an interest and suitable project