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Pain Service BHSCT

Pain Service BHSCT. Sr Liz Matthews MSc Advanced Nurse Practitioner Pain Management. The importance of pain. Acute/chronic/palliative pain all associated with physical, psychological, emotional & social components.

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Pain Service BHSCT

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  1. Pain Service BHSCT Sr Liz Matthews MSc Advanced Nurse Practitioner Pain Management

  2. The importance of pain • Acute/chronic/palliative pain all associated with physical, psychological, emotional & social components. • Important economically as requires medical/ surgical and pharmacological costs. • NHS needs to ensure availability & accessibility for relief of pain against financial constraints.

  3. Context • 2010 – acute & chronic pain service brought under one umbrella • Specialist nurses supported to develop practice • 6 nurses independent prescribers. 2 complete in May • Cross site working, reflective learning and working in partnership to develop roles.

  4. Episodes of care per annum– Acute Pain 4 acute pain services – RVH, MPH, BCH, MIH Total no pts assessed = 6152 Total no assessments = 12,921 Emergency pain calls = 254 Non-surgical pain patients = 146

  5. Access to services – Acute Pain Service • Average length of pain care days = 2.9 • Average number of interventions = 2.8/pt

  6. Episodes of care – Chronic Pain Nurse led clinics – Knockbreda Health and Wellbeing Centre Total no New pts = 524 Total no Review pts = 1143 Total no Telephone review pts = 766 Ad hoc telephone contact = 800

  7. Access to services – Chronic Pain Service • Average time in clinic New patients = 35.5mins/pt • Average time in clinic review patients = 25.5mins/pt • Average time for telephone review = 15mins/pt

  8. Improved patient experience • Nurses provide: • Timely access to pain services • Source of expert knowledge for all who experience acute/chronic pain • Education on pain conditions, daily management and treatments • Direct route for advice, management & reassurance • Timely admission for treatments • TENs & acupuncture clinics

  9. Achievement of service objectives • Six monthly audit APS (Epi, PCA, LA, TAP, intra opioids). • Ad hoc MDT audit of APS (e.g. thoracic, ortho, older people). • Attendance and Outcomes of CPN Led Pain Clinics (6 monthly) • Outcome of CPN Telephone Review Clinics (6 monthly). • Outcome of Adhoc CPN Telephone Consultations (6 monthly). • Patient satisfaction of APS (annually) • Patient Satisfaction Survey with Nurse Telephone Review Clinics (annually). • Patient Satisfaction with attending outpatient chronic pain clinics (annually). • Audit of Access and Referral Criteria Adherence (annually). • MYMOPs (an outcome assessment tool measuring benefit of acupuncture) (annually).

  10. Achievement of service objectives Acute/chronic • Enhanced patient access, more time spent with patients, individualized experience & journey. • Fully utilize the expert knowledge, skill and experience of team members. Chronic • Nurse-led conservative management pathway decreases waiting time for initial consultation, treatment and review, achieving the targets laid down by DHSSPS.

  11. Quality of life – Patient comments • ‘I live 60 miles from Belfast - with telephone review I have no journey to make’ • ‘Good advice on drugs and how they work’ • ‘Told about more possible treatments’ • ‘Delighted to have a review without leaving home’ • ‘Many thanks for all the help and advice I have received’ • ‘I'm really grateful to you for listening and explaining about my pain and medications’ • ‘I am able to continue at work, no need to cancel appointments or take time off work’ • ‘More info today than I've had in all the years I have been attending clinics’ • ‘Feel more informed and happier about my future’

  12. Thank you Sr Liz Matthews (chronic) Email: liz.matthews@belfasttrust.hscni.net Sr Olga O’Neill (acute) Email: olga.oneill@belfasttrust.hscni.net Dr Donna Brown Email: donna.brown@belfasttrust.hscni.net

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