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Reflection on the Development of CNS-led Pain Clinic

Reflection on the Development of CNS-led Pain Clinic. Deirdre O’Gara CNS Pain Control Sligo General Hospital (SGH). GP referrals. Referred from Fibromyalgia Clinic. Out-patient referrals from Consultants from SGH. In-patient referrals from Consultants from Sligo General.

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Reflection on the Development of CNS-led Pain Clinic

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  1. Reflection on the Development of CNS-led Pain Clinic Deirdre O’Gara CNS Pain Control Sligo General Hospital (SGH)

  2. GP referrals Referred from Fibromyalgia Clinic Out-patient referrals from Consultants from SGH In-patient referrals from Consultants from Sligo General Back Pain Triage Meetings Pain Clinic Referrals Out-pt referrals from Consultants Outside SGH Palliative Care Referrals from Physiotherapy Department Service Description

  3. Drivers for Role Expansion • Waiting times 1st appointment Pain Consultants increased & review appointments • The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics. • International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times • The Irish Pain Proposal Executive Committee

  4. Development of New Skills/Competencies • Several Meetings with Key Stakeholders determine caseload, referral source and resources required. • Biopsychosocial assessment, physical exam, chart review, previous investigations. • Analysis of the history presented & findings – arrive at a provisional diagnosis. • Patient presented to the Anaesthetist – plan of care finalised.

  5. Since Nurse Led Clinic Commenced October 2011 • 20 Patients • Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients • 7 DNA’s • 9 Patients had a procedure or series of procedures • 3 Patients MRI’s ordered • 1 Patient discharged • 3 Patients referred to Physiotherapy

  6. Reflection on the Development of CNS-led Pain Clinic Deirdre O’Gara CNS Pain Control Sligo General Hospital (SGH)

  7. Service Description GP referrals Referred from Fibromyalgia Clinic Out-patient referrals from Consultants from SGH In-patient referrals from Consultants from Sligo General Back Pain Triage Meetings Pain Clinic Referrals Out-pt referrals from Consultants Outside SGH Palliative Care Referrals from Physiotherapy Department

  8. Drivers for Role Expansion Waiting times 1st appointment Pain Consultants increased & review appointments The Nurses and Midwives Bill (2010) encompasses delivery Nurse Led Clinics. International research by the OECD- Advanced practice nurses can improve access to services and decrease waiting times The Irish Pain Proposal Executive Committee

  9. Development of New Skills/Competencies Several Meetings with Key Stakeholders determine caseload, referral source and resources required. Biopsychosocial assessment, physical exam, chart review, previous investigations. Analysis of the history presented & findings – arrive at a provisional diagnosis. Patient presented to the Anaesthetist – plan of care finalised.

  10. Since Nurse Led Clinic Commenced October 2011 20 Patients Since January 2012 seeing 3 patients per clinic 1 routine and 2 urgent patients 7 DNA’s 9 Patients had a procedure or series of procedures 3 Patients MRI’s ordered 1 Patient discharged 3 Patients referred to Physiotherapy

  11. Reflection on the Development of CNS-led Pain Clinic Deirdre O’Gara CNS Pain Control Sligo General Hospital (SGH) Thank you for listening Deirdre O’ Gara CNS Pain Management Sligo General Hospital

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