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...
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.
Mindfulness for older adults with chronic low back pain
Guidelines for the management of pain in older adults highlight that not only is chronic pain physically debilitating, but associated issues such as depression, anxiety and social isolation should be addressed. To this end, a biopsychosocial approach is paramount
to the successful management of chronic low back pain (CLBP) in the older adult (Abdullah et al 2013) (Schofield et al 2019). Aims A narrative literature review was undertaken to search for, retrieve and assess the literature exploring the efficacy and safety of mindfulness practice in the management of the older adult with CLBP and to consider how the evidence may inform local clinical practice. Methods A comprehensive and systematic search of the literature was undertaken. Three databases were accessed: Cinahl, PsychInfo, Medline using the search terms: mindfulness, mbsr, mindfulness-based stress reduction, mindfulness intervention, older adults, elderly, geriatric, ageing, seniors, older people, chronic low back pain, clbp. Results All three RCTs focused on community- dwelling older adults with CLBP and used adapted forms of the MBSR programme developed by Kat-Zinn at the University of Massachusetts. All three studies cite Moroneas the principal researcher and author, but they are different studies thus justifying including them in the literature review. Conclusions MBSR appears feasible and effective for older adults coping with CLBP, as demonstrated in the Morone et al (2008) study, but particularly in the Morone et al (2016) study. Pain reduction was sustained at the 6 month follow-up in the Morone et al (2106) study, suggesting that mindfulness may be effective in the long-term.