1. A FEASIBILITY STUDY OF A MULTIMODAL MANAGEMENT APPROACH OF INPATIENTS WITH CHRONIC NON-MALIGN PAIN IN SOMATIC HOSPITALS
B. Hval1, V. Stroem1, M. Stolpnes1, R. Maarud2, E.A. Fors1,2, P.C. Borchgrevink1
1Center for Pain an Complex Disorders 2Psychiatric CL-team St.Olavs Hospital , University Hospital of Trondheim, Trondheim, NORWAY
Typical situations for chronic pain patients with complex disorders.
Your mental health is bad. I’ll send you to a psychiatrist. If you get better, I can treat your pain.
Sorry, I can’t help you with your depression. You have too much pain. You need pain killers.
443 patients were admitted to the acute pain team, 98 of them because of chronic pain:
69 of these 98 chronic pain patients were
hospitalized because of their pain and 29
had pain in addition to other disease:
These 69 chronic pain patients were
treated by the acute pain team,
the CL-team and the multidisiplinary
outpatient pain centre:
443 patients
98 patients
69 patients
Cooperation model:
Both units in the same area of the hospital
Meeting twice a week
Discuss common patients
Assign the parts
One nurse responsible for coordination
Acute pain Team
Psychiatric CL- Team
Acute pain treatment
Psychological/
psychiatric
treatment
Psychiatrist
Psychologist
Menthal health
nurse
Anesthesiologist
Pain nurse
Biopsychosocial
treatment
Conclusion:
Our results so far indicate that it is a feasible approach to combine acute pain teams with
CL-teams and pain outpatient centres.
Physiotherapist
Social worker
Pain physician
Dietician
Occupational therapist
Psychiatrist
Psychologist
Menthal health
nurse
Anesthesiologist
Pain nurse
EFIC LISBOA 2009