The need for a national strategy for chronic pain management in Ireland

Fullen, B.; Hurley, Deirdre A.; Power, C.; Canavan, Dermot; O’Keeffe, D. B.

doi:10.1007/bf03167954

Cited by 29 publications

(30 citation statements)

References 2 publications

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“…According to Fullen et al [6], ''the cost of low back pain in Ireland is enormous.'' In the year of 2002, disability payments from the Department of Social and Family Affairs amounted to 348 million euros and insurance payments cost of 10.5 million euros [6]. Fullen et al [7] further suggests that cost of health care for particular disease and conditions is important for policy makers since it affects the allocation of limited resources in publically funded health systems like the UK and Ireland.…”

Section: Introductionmentioning

confidence: 99%

“…In Ireland, 53 % of the patients who were referred to an orthopaedic clinic wait for more than 6 months compared to 13 % of their counterpart in the UK [7], which puts an enormous burden on the Health Services in Ireland. Even though major funds have been spent on low back pain [6], there is limited availability of secondary care services. However, very little effort has been made to educate the Irish general population to change their perception about low back pain by involving public health education.…”

Section: Introductionmentioning

confidence: 99%

“…Low back pain is second only to upper respiratory problem as a symptom-related cause for visits to the general practitioner [5]. According to Fullen et al [6], ''the cost of low back pain in Ireland is enormous.'' In the year of 2002, disability payments from the Department of Social and Family Affairs amounted to 348 million euros and insurance payments cost of 10.5 million euros [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Do “Myths” of low back pain exist among Irish population? A cross-sectional study

Munigangaiah

Basavaraju

Jadaan

et al. 2015

Eur J Orthop Surg Traumatol

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Do “Myths” of low back pain exist among Irish population? A cross-sectional study

Munigangaiah

Basavaraju

Jadaan

et al. 2015

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…Furthermore, accompanying administrative burden and pressure on service delivery reported by the MDT underlines the requirement for dedicated personnel and resources for long-term viability of PMP initiatives. Chronic pain management services in the Republic of Ireland are limited and fall short of the recommendations by the International Association for the Study of Pain [45,46]. A potential solution to resource and transport barriers may be an internet delivered CBT-PMP.…”

Section: Discussionmentioning

confidence: 99%

A Cognitive Behavioural Therapy Pain Management Programme for Neuropathic Pain Post Spinal Cord Injury: A Feasibility Study Including the Clinician and Patient Perspectives

Burke¹

2017

Phys Med Rehabil Int

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Objective: To evaluate the feasibility of a cognitive behavioural therapy pain management programme for managing neuropathic pain post-spinal cord injury.Design: A mixed methods prospective feasibility trial. Setting:A national rehabilitation hospital. Subjects:Adults with neuropathic pain post-spinal cord injury. Methods:Following ethical approval, participants were recruited from a spinal cord injury outpatient service. A multi-disciplinary team delivered the programme twice a week over five weeks. Changes in study outcome measures addressing quality of life, mood and sleep indices over three time periods were analysed using Friedman's test. Differences from baseline to intervention completion and six months follow-up intervals were analysed using Wilcoxon sign-rank test. Significance was set p<0.05. Post-intervention qualitative feedback was obtained from programme participants and the clinicians involved.Results: Eight participants completed the programme. Significant improvements were noted post-intervention in the psychological domain of the World Health Organisation Quality of Life Bref (Z=-2.120; p=0.03) and the depression score (Z=-2.555; p=0.01) of the Hospital Anxiety and Depression Scale, remaining significantly improved at six months follow-up when compared to baseline (Z=-2.533; p=0.01). Transportation was the main barrier to recruitment. Qualitative feedback highlighted the positive impact for participants in coping with pain. Clinicians noted many positive outcomes of the programme, whilst highlighting health-systems difficulties in implementation. Conclusions:A cognitive behavioural therapy pain management programme is perceived as beneficial by individuals with neuropathic pain after spinal cord injury, a finding supported by quantitative data analysis. Recruitment barriers to programme delivery indicate that alternate modes of delivery warrant consideration.

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“…Despite its prevalence and the impact on patient's quality of life there is currently no national strategy for this problem and no cure for chronic pain. (Fullen et al, 2006;Angheluta and Lee, 2011;Lynch et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

A Community Art Therapy Group for Adults With Chronic Pain

O'Neill¹,

Moss²

2015

Art Therapy

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This paper describes a community art therapy group for people living with chronic pain. The paper is presented in three sections: the aims and rationale for establishing such a group, description of clinical interventions and a case study.This innovative model of group art therapy offers short term, focussed art therapy group support to chronic hospital patients through a community art therapy initiative.The paper reports on quantitative and qualitative measures undertaken to evaluate the efficacy of the group -specifically pre and post group validated questionnaires and qualitative feedback at the end of the group.This pilot programme offers a new model of short term art therapy intervention for people living with chronic conditions. KeywordsArt therapy, chronic pain, community, hospital out patients, group Word count Main text 5495 words Abstract 114 wordsThe role of a community art therapy group for people with chronic pain 3 MAIN BODY TEXT

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The need for a national strategy for chronic pain management in Ireland

Abstract: A national strategy is needed to reduce costs, standardise teaching and increase pain clinic resources to maximise patient care.

Cited by 29 publications

References 2 publications

Do “Myths” of low back pain exist among Irish population? A cross-sectional study

Do “Myths” of low back pain exist among Irish population? A cross-sectional study

A Cognitive Behavioural Therapy Pain Management Programme for Neuropathic Pain Post Spinal Cord Injury: A Feasibility Study Including the Clinician and Patient Perspectives

A Community Art Therapy Group for Adults With Chronic Pain

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