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Background: What, Why, Where and When. . What: Program that uses non-pharmacological approach to reduce chronic pain while satisfying the requirements for the ACFI. Why: To address the need for chronic pain management in residents of aged care facilitiesWhere: We currently operate in aged care f
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1. Pain Management ProgramPresented by Eve Wilson - VIVIR
2. Background: What, Why, Where and When
3. Clinical Lessons: What is Chronic Pain?
4. Clinical Lessons: The Need
5. Clinical Lessons: Difficulties in Diagnosis The very experience of pain is one that is subjective in nature, making diagnosis extremely difficult for those who are:
Likely to deny pain
Cognitively compromised e.g. dementia
Non-communicative
There are many misconceptions about chronic pain
Objective biological markers and Non-verbal signs can be used for effective diagnosis © 2010 VIVIR
7. Clinical Lessons: Managing Chronic Pain Once diagnosed, management of chronic pain can be equally complex
Requires a well coordinated team effort – allied health staff/nursing staff/management
May include a combination of pharmacological (e.g. analgesic drugs) and non-pharmacological (e.g. Massage, electrotherapeutic modalities) therapies
8. 8 Think Big:
When I asked my next door neighbour if she could walk away with one thing from a leadership speech what would it be? – she said it would be to ‘think big’.
Now before we finish I just want you guys to know that your actions here will have ripple effects waaay bigger than you think.
Circles of Change:
For example, if I become a culture maker I will affect Menzies (400 people). Then possibly La Trobe (25,000 people), then… so on
Think Big:
When I asked my next door neighbour if she could walk away with one thing from a leadership speech what would it be? – she said it would be to ‘think big’.
Now before we finish I just want you guys to know that your actions here will have ripple effects waaay bigger than you think.
Circles of Change:
For example, if I become a culture maker I will affect Menzies (400 people). Then possibly La Trobe (25,000 people), then… so on
9. ACFI 12 had the highest number of funding downgrades
10. How does the VIVIR PMP work?Implementation Process
11. Case Study: An 84 year old male diagnosed with Alzheimer’s dementia has been suffering from severe, chronic low back pain for approximately 18 months (primary diagnosis made prior to onset of dementia).
12. Conclusion The management of chronic pain is complex (diagnosis and treatment). It requires a complex approach
The VIVIR PMP in conjunction with facility processes has proven to satisfy the needs of the resident(s) while meeting the obligations of ACFI and Aged Care Standards
Significant reductions in chronic pain can be made when implemented properly, these benefits are typically met with a financial reward through ACFI & greater compliance with aged care standards