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Reflection on the Development of CNS-led Pain Clinic at SGH

This reflection highlights the establishment and growth of the CNS-led Pain Clinic at Sligo General Hospital, focusing on service description, role expansion, drivers for development, patient statistics, and outcomes. The development process, key stakeholders' involvement, assessment procedures, and treatment plans are discussed, showcasing the impact of nurse-led clinics in pain management. Key areas such as waiting times, skill development, and patient referrals are explored to provide insights into the clinic's effectiveness and future potential.

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Reflection on the Development of CNS-led Pain Clinic at SGH

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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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