The RealHealth Intensive treatment programme (Pain Management Programme) is a four-week group based residential programme. Patients suitable for this programme will have pain that is causing a significant impact on their lifestyle in terms of limitation of function or change in mood and wellbeing. The programme runs for fourteen full days over three weeks with the sessions delivered by the interdisciplinary team of pain specialist, psychologist, physiotherapist, occupational therapist, nurse and assistant psychologist. The emphasis of the programme is the development and use of effective strategies for the maintenance of function despite ongoing pain. This is achieved by the use of a graded exposure exercise programme, instruction in pacing techniques, education about pain and its effects, cognitive behavioural therapy and relaxation training. Substantial changes in function are expected following the programme, but total pain relief is not expected. Follow up is integral to the treatment protocol. Comprehensive pre and post outcome data are taken on all patients.
Interdisciplinary assessment with physician, psychologist and physiotherapist, plus range of measures.
Persons deemed suitable for treatment on the pain management programme will have had problematic pain for at least two years and will have noted considerable limitation of function, both physically in terms of what they can do, and psychologically in the way the pain has affected them, as a result.
Group residential programme of up to 10 persons. Programme comprises Assessment day, 14 days of programme and a follow up day. Programme runs three or four days per week 9am-5pm Tuesday to Friday.
The aim of the programme is to allow people with persistent pain to develop techniques and strategies to allow them to minimise the impact of their pain on their quality of life. This is achieved by:
To improve range and style of strategies to manage increases in pain.
Assessment day, 14 days over 3 weeks, 1 follow up day at 4 - 6 weeks after treatment.
Oswestry, Zung, Self efficacy questionnaire, pain scores, SF 36, CSQ, TSK, speed walk, stairs, stand and sit, range of movement
4 - 6 weeks