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P103 ‘Ulysses power up and move’- a quality improvement pilot study introducing a functional restoration model of care
  1. William Anderson1 and
  2. Alan Blake2
  1. 1Pain medicine, Tallaght University Hospital, Dublin, Ireland
  2. 2Pain medicine, Tallaght University Hospital, SCARBOROUGH, Australia

Abstract

Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submission

Background and Aims Traditionally, the care for patient with chronic back pain has been segmented into interventional pain procedures with follow-ups between 12-16 weeks. Additionally, a Pain Management Programme provides these cohort of patients with strategies to manage their pain in daily life, focusing on psychological, physiotherapy, nursing and medical care) This project aims to: • Integrate our psychology, physiotherapy, nursing, and interventional modalities into a cohesive functional restoration service model. • Determine if additional physiotherapy and psychology input shortly after an intervention will augment the efficacy of that intervention to the patient.

Methods Patients undergoing interventional pain procedures for chronic back pain were identified as potential participants. Selected participants were assigned to either a control group or functional restoration programme group. All patients completed a pain assessment questionnaire and the Pain Catastrophizing Scale was filled out on the same day. Participants allocated to the Functional restoration program attended hospital for a day at weeks 3 and 4 post-intervention. They met with physiotherapists, psychologists and nursing colleagues from which they were assigned homework and exercises to fulfil. At week 7 post-procedure, participants filled in the same pain assessment questionnaires and a patient satisfaction survey.

Results 17 patients were allocated to the Functional restoration program. Data collation is currently ongoing.

Conclusions The hope to demonstrate that a streamlined programme will be an efficient and feasible alternative to a PMP. It should confer benefits to patients such as reduced pain scores, enhanced psychological tools for patients to adapt to their current pain status, exercise regimens for functional restoration.

  • pain management program
  • chronic lower back pain
  • back pain

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