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K - Ameliorate Neuropathic Pain

Spotlight Best Practice Organization Spinal Cord Rehabilitation Program Nova Scotia Rehabilitation Centre, Queen Elizabeth II Health Sciences Centre, Capital Health, Halifax The SCI Neurorehabilitation Program in Halifax attributes its current success in managing pain after SCI - an integral part of inpatient and outpatient rehabilitation - on a good interdisciplinary team for SCI management. Individuals with special interest in pain management collaborate with the district pain management unit, and local neurosurgeons with experience in the surgical management of NeP. This collaborative group meets regularly to review and support the most complex and challenging cases, to enable group momentum and to prevent provider burnout. Pain management is a continuum: from acute SCI, through inpatient rehabilitation, and into the community setting. While the program, like many, uses a pharmacologic-based approach, it continually strives to accrue funding, manpower and support to maximize non-pharmacologic management of neuropathic pain. One key example is an interdisciplinary chronic pain self-management program, run by a team of experts (in psychology, physiotherapy, occupational therapy, social work and vocational counselling), and available to groups of individuals with chronic pain conditions, over a six-week period. The SCI Neurorehabilitation team does inpatient pain management, and SCI physicians (physiatry, anaesthesia and neurosurgery), post discharge, with outpatient team members (nursing, OT and PT). One reason for the program’s success is the team’s philosophy to never say, “We have nothing else to offer you”. The team believes, “Hope goes a long way to sustain those suffering from chronic pain, and to know there is always something else to try, carries them a long way”. AMELIORATE NEUROPATHIC PAIN | BODY STRUCTURE AND FNUCTION 111


K - Ameliorate Neuropathic Pain
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