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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
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IPPC
Robina
Hospital
Robina
High School
Robina
Town Centre
Robina
StationGold Coast
University
Hospital
Near Robina Hospital
and Robina station
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IPPC
Multidisciplinary Out Patients
Persistent Pain Service
• Gold Coast
• Northern Rivers NSW
• South West Queensland
Interdisciplinary Persistent Pain Clinic
Appointments
by referral
Teleconferencing
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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
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IPPC
Clinicians
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IPPC
Clinical Care
Consistent message from every clinician
• Education
• Breakdown barriers
• Encourage self management
• Discourage reliance on passive therapy
• Build longterm strategies
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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
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IPPCTypes of services
Groups: Individuals
PACEBounce
Back
Mindfulness
Allied Health
AODSPsychiatrist
Rehab
Specialist
Pain
Specialist
Tapering
Analgesics
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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
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IPPC
Interventions
• A limited service
• Only in conjunction with MDT care
– Some procedures in clinic
– Theatre based interventions – RFAs
Pain Procedural Services
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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
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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
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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