Lessons learned from the chronic pain clinic: a qualitative study of the perspectives of healthcare providers

Author:

Pandey Mamata1ORCID,Paluck Elan1,Maierhoffer Shelly2,Rude Darlene3,Oakes Larry3,Marwah Radhika24

Affiliation:

1. Research Department, Saskatchewan Health Authority, Regina, Saskatchewan, S4S 0A5, Canada

2. Chronic pain clinic, 1056 Albert Street, Regina, Saskatchewan, S4R 2P8, Canada

3. Former: Eagle Moon Health Office of the Regina Qu’Appelle Health Region; since 2019: Grey Wolf Lodge of First Nations Métis Relations, Saskatchewan Health Authority, Regina, SK, S4R 1X3, Canada

4. Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, Regina, SK, S4P 2S5, Canada

Abstract

Aim: The chronic pain clinic (CPC) was established to address chronic non-cancer pain and opioid-related harm. Materials & methods: Employing community participatory research design First Nation Metis representatives, clinicians and a researcher collectively agreed to document lessons learned from healthcare providers' perspective, 1 year post-clinic-implementation. 17 individual interviews were conducted. Results: Thematic analysis revealed that a multidisciplinary team offered client-centered care, education, counseling and multimodal treatment options. Medication reviews and case management ensured patient safety. Communication and education of community providers enhanced pain management capacity ensuring safe opioid prescribing. Evidence-based best practices were implemented through system-level monitoring. Access to Indigenous healing strategies provided culturally responsive spiritual care upon request. Conclusion: The multidisciplinary and multimodal CPC care model effectively manages chronic non-cancer pain.

Funder

Saskatchewan Center for Patient Oriented Research

Publisher

Future Medicine Ltd

Subject

General Medicine

Reference48 articles.

1. Health Canada. Working together to better understand, prevent and manage chronic Pain: what we heard [Internet]. A report by the Canadian Pain task force, Ottawa, ON, Canada (2020). www.canada.ca/content/dam/hc-sc/documents/corporate/about-health-canada/public-engagement/external-advisory-bodies/canadian-pain-task-force/report-2020-rapport/report-2020.pdf

2. National Academies of Sciences, Engineering, and Medicine. Pain management and the opioid epidemic: balancing societal and individual benefits and risks of prescription opioid use [Internet]. The National Academies Press, Washington, DC doi: 10.17226/24781 (2017) (Online).

3. The Effectiveness and Risks of Long-Term Opioid Therapy for Chronic Pain: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop

4. Government of Canada. Canada's Opioid Crisis (factsheet) (2019). www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/canada-opioid-crisis.pdf

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