Pain Management Programmes (PMPs). PMPs are the gold standard biopsychosocial treatment for persistent pain as advocated by international specialist MDT pain research and the British Pain Society (BPS). There is a growing appetite for the provision of mindfulness...
Self-Selection all the Way: Improving Patients’ Pain Experience and Outcomes on a Pilot Breathworks Mindfulness for Health Programme
This Research Poster was presented at British Pain Society national Conference, Birmingham, in 2017. The study investigated the changes in pain experience and quality of life resulting from an 8-week Breathworks accredited Mindfulness for Health programme, for...
A Mindfulness for Health Programme at the Pain Clinic: Adding Value for money
This initiative investigated the value for money resulting from the pilot andimplementation of an 8-week Breathworks accredited Mindfulness for Health(MfH) programme, as well as clinical outcomes of chronic pain patients attendingthe Jersey specialist pain management...
The evolving classifications and epidemiological challenges surrounding chronic migraine and medication overuse headache: a review
Changes in diagnostic criteria, for example, the various International Classification of Headache Disorders criteria, would lead to changes in the outcomes of epidemiological studies. International Classification of Headache Disorders-1 was based mainly on expert opinion, yet most of the diagnostic criteria were reliable and valid, but it did not include chronic migraine. In its second version, the classification introduced chronic migraine, but this diagnosis resembled more a high-frequency migraine rather than the actual migraine Transformation process. It also introduced medication overuse headache, but it necessitated analgesic withdrawal and sub sequent headache improvement to be diagnosed as such. Hence patients having medication overuse headache could only be diagnosed in Retrospect, which was an awkward situation. Such restrictive criteria for chronic migraine and medication overuse headache omitted a high proportion of patients. International Classification of Headache Disorders-3 allows a diagnosis of medication overuse headache due to combination analgesics if taken for at least 10 days per month for more than three months. Hence the prevalence rate of medication overuse headache and chronic migraine can increase compared to the previous version of the headache classification. Different
criteria have been used across studies to identify chronic migraine and medication overuse headache, and therefore the information acquired from previous studies using earlier criteria becomes uncertain. Hence much epidemiological research would need to be interpreted cautiously or repeated with the most updated criteria, since the subjects in studies that apply the latest criteria may be phenotypically different from those in older studies.
Full mindfulness-teacher training pathway and courses on pain management programmes: why it mayall be worth it
provide full 8-week mindfulness courses within a multidisciplinary secondary outpatient pain management and rehabilitation service. We will also reflect on how we have grown to align to these high standards of training for There is a growing appetite for the provision of mindfulness training in order for staff to deliver mindfulness teaching on Pain Management Programmes (PMPs). With this, there is also a debate around what should be the minimum required standards for training pain management staff to teach mindfulness. In addition, the recent guidance on chronic primary pain made recommendations for more research into both the clinical effectiveness and cost-effectiveness of mindfulness. In this article, we will share our experience from our ongoing audit of clinical outcomes of having various members of our multidisciplinary team (MDT) trained in the necessary competences to provide full 8-week mindfulness courses within a multidisciplinary secondary outpatient pain management and rehabilitation service. We will also reflect on how we have grown to align to these high standards of training for PMP staff wishing to teach mindfulness, bearing in mind that they are believed to be the good practice standards required by most registered mindfulness teachers and supervisors.
Self-Selection all the Way: Improving Patients’ Pain Experience and Outcomes on a Pilot Breathworks Mindfulness for Health Programme
This review explores adverse surgical outcomes for patients who experience hypothermia in the peri-operative period. Findings of the literature review highlight the need to establish a standard definition of hypothermia. Furthermore, the literature supports the full implementation of the National Institute for Health and Care Excellence guidance on ‘The Management of Inadvertent Perioperative Hypothermia in Adults’. A total of 18 studies were critically appraised to determine their rigour, reliability and validity. A discussion of the findings from the studies has taken into account the inferences drawn from the appraisal. Evaluation of the quality of the evidence has been used to evaluate which findings could apply to clinical practice. While there were variations in study quality, the evidence supports
developing an effective strategy for preventing hypothermia in the peri- operative period.