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Dr Ian Thong Pain Specialist Physician
FFPMANZCA PhD
Medical Director
Interdisciplinary Persistent Pain Centre
Gold Coast University Hospital
Persistent Pain Service
Gold Coast University Hospital
IPPC
Robina
Hospital
Robina
High School
Robina
Town Centre
Robina
StationGold Coast
University
Hospital
Near Robina Hospital
and Robina station
IPPC
Multidisciplinary Out Patients
Persistent Pain Service
• Gold Coast
• Northern Rivers NSW
• South West Queensland
Interdisciplinary Persistent Pain Clinic
Appointments
by referral
Teleconferencing
IPPC
A Multidisciplinary Service
• A multi-faceted approach consistently shown to provide better outcomes
• Better outcomes when a variety of clinicians provide care (medical & allied health)
• Offer different services to optimise options -individual sessions and groups
• Must be a time-limited service
• *requires patient engagement to be effective
IPPC
Clinicians
IPPC
Clinical Care
Consistent message from every clinician
• Education
• Breakdown barriers
• Encourage self management
• Discourage reliance on passive therapy
• Build longterm strategies
IPPC
Pain Management Options
• Individuals
• Groups • small and large
• Specific and comprehensive
- Science and pain
- Movement, task re-engagement, fitness
- Thoughts, emotions and beliefs
- CBT and Meditation
- Diet
- Explain the limits of medications and interventions
IPPCTypes of services
Groups: Individuals
PACEBounce
Back
Mindfulness
Allied Health
AODSPsychiatrist
Rehab
Specialist
Pain
Specialist
Tapering
Analgesics
IPPC
Pain Specialist• In–patients consults
• Hospital phone consults
• Collaboration – Palliative care
– Emergency
– Addiction
– Acute Pain Services
– Gynaecology – pelvic mesh clinic
– Medicine
– Surgery
In-Patient Services
IPPC
Interventions
• A limited service
• Only in conjunction with MDT care
– Some procedures in clinic
– Theatre based interventions – RFAs
Pain Procedural Services
IPPC
Specialist• Patient phone and teleconference consults
• Collaboration with & Support to– GP
– Pharmacies
– Team Navigators
• Allied health provide– Phone assessments
– Phone reviews
– Service review and discharge when appropriate
Community Links
IPPC
The IPPC Service goals
• Quality of Life
• Function, Independence, Self Management
• Reduce use and reliance on medications
• Reduce burden on health services
– GP
– Hospital
• Support GPs as the long term primary carers
IPPC
What else…
• Education
– Patients & Family & Carers
– Health professionals• Junior & senior doctors, AHPs, trainees
• Research
– Building IPPC research capacity
– Support others with an interest and suitable project