The Centre for Veterans Health at King Edward VII's Hospital: Pain Management Programme (PMP)

This guide covers the Pain Management Programme (PMP) available at The Centre for Veterans Health at King Edward VII's Hospital, London.

Living with persistent pain can make you feel isolated and unsure about planning for the future. This PMP aims to help you feel more positive about taking decisions to manage your condition, and improve your outlook.

What is a Pain Management Programme (PMP)?

A PMP helps you to manage persistent, ongoing pain and improve your quality of life. Managing your pain includes practical strategies such as managing physical activity and mood, reviewing pain related medications and helping you understand pain better.

As well as offering a wide range of pain management strategies the PMP enables attendees to share their experiences and gain support from other group members.

What the PMP covers

  • Information about the nervous system, pain and what pain means. Looking at the central nervous system, and how pain is perceived by the brain
  • Understanding how our bodies move and what they need, including the role of exercise, movement and hobbies. Challenging myths about pain and exercise and how to return to meaningful goals and hobbies.
  • Information about communicating with others
  • What medical science can offer and doctor/patient dynamics
  • The interconnection between biology, psychology, and socio-environmental factors. Looking at cognitive behavioural therapy (CBT) models, mindfulness-based CBT and self-compassion. Examining thoughts and feelings in relation to pain and their impact on lifestyle and quality of life
  • An introduction to practical mindfulness-based strategies
  • Help with planning day to day life with a consistent but flexible approach. Practicing and using strategies mentioned above in day-to-day activities
  • Advice on managing times of increased pain
  • Medication review and reduction plans if required
  • Improving sleep management

How do I gain access to the programme?

Prior to a formal assessment ask your GP to write to the team supporting your possible invitation on the programme.You will be sent a form. Once you complete this give it to your GP.

If appropriate you will be invited for an assessment with a multi-disciplinary, pain management team. The team will consist of a Consultant in Pain Medicine, Specialist Physiotherapist, Consultant Psychiatrist and Consultant Psychologist. This assessment takes about two hours.

During the assesment the clinical team will ask questions about how the pain is affecting you, what it is stopping you from doing, what you may like to do more of, return to, or start doing. This information will form the basis for the PMP.

After the assessment you will receive a letter outlining the next steps. Generally these will have been discussed during the assessment.

If appropriate, dates of attendance will be offered. You are expected to attend all sessions, so it’s helpful to check diaries in advance. Any absences from sessions will significantly affect the gains you can make.

Regular programmes are run so it is always possible to attend other sessions.

Please be aware that the programme is not the best treatment option for everybody. Not all patients with persistent pain find it helpful.

If someone is experiencing multiple physical and psychological difficulties, we might suggest alternative treatment options, better suited for the individual.

General information:

You will need a computer with both audio and video functions in order to participate in the video conference/Zoom based group.

The PMP lasts for ten days: Nine days over six weeks followed by a follow up day nine months later.

Your family and friends will be invited to a day which we hope will support you further in your pain management.

When the PMP runs face to face, all of your travel and accomodation costs will be covered by The Centre for Veterans’ Health.

Inclusion/exclusion criteria:

Inclusion:

British military veterans suffering from persistent pain and motivated to actively engage in a group-based pain management programme.

Exclusion:

The programme is not suitable for:

  • Individuals who are unable to self-care (when face to face)
  • Individuals who will find the group environment challenging
  • Complexity of physical and psychological difficulties not suitable for treatment on a group-based PMP. Patients will be assessed for PTSD. Individuals with mild to moderate symptoms can be accommodated on the programme, however, the focus will be pain management and not the treatment of the PTSD symptoms. Ongoing referrals for individual management of PTSD can be made, but often need to go via the NHS

 

Contact details for further queries:

If you have any queries or would like more information about the PMP please call Caroline Dunne 0207 467 4370 or email.

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