After our 2 sessions on chronic pain, we have performed a couple of audits at Bulford. My own is here: 20150121-Opiate audit . Tony (D) has also done one.
I found both sessions incredibly useful. I am finding I am being more pragmatic with patients and being realistic with outcomes. I think the main learning points for me have been
a. what is feeding the chronic pain cycle? Catastrophising I think is an excellent term.
b. recording follow up thoroughly in follow up using the 6A’s. In particular affect, adverse effects and analgesic effect.
I think there is probably some more work to do on the occupational aspects of strong analgesia.