Jacobs Journal of Clinical Case Reports

Pain Management Clinic: A Non-Pharmacological Multidisciplinary Approach

*Mimi MY TSE
Department Of Nursing, School Of Nursing, The Hong Kong Polytechnic University, FG 425, Hong Kong

*Corresponding Author:
Mimi MY TSE
Department Of Nursing, School Of Nursing, The Hong Kong Polytechnic University, FG 425, Hong Kong
Email:mimi.tse@polyu.edu.hk

Published on: 2019-07-04

Abstract

With the high prevalence of chronic pain and the long waiting list for services from the public sector, The Hong Kong Polytechnic University offers clients the benefits of multidisciplinary health management through its Integrative Health Clinic (IHC). IHC is a center where conventional nursing concepts, evidence-based practice and integrative health care modalities are applied in an interdisciplinary approach. Two case studies were shared to illustrate the multidisciplinary services for pain management provided at the clinic.

Keywords

Chronic Pain; Multidisciplinary Pain Clinic; Pain Management; Non-Pharmacological

Introduction

Chronic pain affects individuals in the physical, psychological, emotional, and social well-being of individuals. At such, The Hong Kong Polytechnic University’s offers clients the benefits of multidisciplinary health management through its Integrative Health Clinic (IHC). IHC is a center where conventional nursing concepts, evidence-based practice, and integrative health care modalities are applied in an interdisciplinary approach manner. In 2016, the IHC, a Pain Clinic was established in the IHC in 2016, for nurses and traditional Chinese medicine (TCM) doctors to provide pain management services to clients with pain and associated physical and psychological problems. We shall report on two cases when involving clients who visited the Pain Cclinic in December 2016June and July August 2017, respectively. MS. A, a 75-year- old woman, presented came to the pain clinic with complainants of severe chronic pain in her back and both shoulders and back. She had a traumatic accident in 2011 that affected her motor and sensory functions, and left her wheel-chair -bounded. She is living with her family and two caregivers. In her spare times she plays mahjong with 2 her friends. Ms. A has a history of diabetic mellitus, hypertension, and high cholesterol, and is on regular medications and follow-up. Her pain score was 9/10 on a 10-point numeric pain scale. The muscles on both her shoulders and back felt tight upon palpation. Pain is exacerbated by touching the affected areas exacerbates the pain. Ms. A noted to have experiences mild depressive moods and unhappiness.