Laura Bruggink1, Chris Hayes2, Gali Lawrence3, Katherine Brain4, Simon Holliday5. 1. MScMed (PMgt), BAppSc (Phty) Hons, APA Titled Pain Physiotherapist, Hunter Integrated Pain Service, NSW. Laura.Bruggink@health.nsw.gov.au. 2. FFPMANZCA, MMed, Specialist Pain Medicine Physician, Director, Hunter Integrated Pain Service, NSW. 3. BA (Hons) Psych, DClinPsych, Clinical Psychologist, Hunter Integrated Pain Service, NSW; Conjoint Fellow, University of Newcastle, NSW. 4. BNutr@Diet (Hons I), APD, Research Academic, Priority Research Centre for Physical Activity and Nutrition; School Health Sciences, University of Newcastle, NSW. 5. BMed,@FAChAM, FRACGP, FACRRM, DA, DipRACOG, GradDipA@DSt, GCertClinEpid, General Practitioner, NSW; Addiction Physician: Staff Specialist, Drug and Alcohol Clinical Services, Hunter New England Local Health District, NSW.
Abstract
BACKGROUND: Chronic non-cancer pain (CNCP) frequently co-occurs with other chronic conditions, resulting in multimorbidity. OBJECTIVE: The aim of this article is to summarise current approaches to CNCP management and explore areas of specificity and overlap with chronic conditions in general. DISCUSSION: The biomedical component of the management of chronic conditions may be condition-specific. However, mind-body, connection, activity and nutrition components entail significant overlap and are helpful across conditions. Effective practice avoids overemphasis on medical treatments at the expense of evidence-based, multidimensional lifestyle approaches. CNCP management illustrates the case for reconceptualising chronic condition management using a generic lifestyle-based approach. This capitalises on overlapping treatments, creates system efficiency and allows patients with multimorbidity to be treated more effectively in primary care, with only a small subgroup referred to condition-specific tertiary services.
BACKGROUND: Chronic non-cancer pain (CNCP) frequently co-occurs with other chronic conditions, resulting in multimorbidity. OBJECTIVE: The aim of this article is to summarise current approaches to CNCP management and explore areas of specificity and overlap with chronic conditions in general. DISCUSSION: The biomedical component of the management of chronic conditions may be condition-specific. However, mind-body, connection, activity and nutrition components entail significant overlap and are helpful across conditions. Effective practice avoids overemphasis on medical treatments at the expense of evidence-based, multidimensional lifestyle approaches. CNCP management illustrates the case for reconceptualising chronic condition management using a generic lifestyle-based approach. This capitalises on overlapping treatments, creates system efficiency and allows patients with multimorbidity to be treated more effectively in primary care, with only a small subgroup referred to condition-specific tertiary services.
Authors: Sai Zhen Sim; Hui Li Koh; Sabrina Poay Sian Lee; Doris Yee Ling Young; Eng Sing Lee Journal: BMC Fam Pract Date: 2020-09-14 Impact factor: 2.497