Pain

Physiotherapy Contributions to Pain Management in Palliative Care: 

Physiotherapy Contributions to Pain Management in Palliative Care Fiona Campbell Senior Physiotherapist Palliative Care, Oncology & Haematology Birmingham St Mary’s Hospice & University Hospital Birmingham NOVEMBER 2008

Physiotherapy: 

Physiotherapy Physiotherapy aims to promote, maintain & restore patients’ wellbeing (physical, psychological, & social) emphasising the use of physical approaches. CSP

: 

It is an autonomous profession concerned with the care, management and rehabilitation of patients. These principles apply to the management of patients through all care & rehabilitation programmes from diagnosis to the end of life.

Core Skills: 

Core Skills The core skills of the Physiotherapist are Assessment and diagnosis Therapeutic Exercise Manual Therapies Electrophysical Modalities Kindred Treatments Education & Advice

Pain ~ Assessment & Diagnosis: 

Pain ~ Assessment & Diagnosis Causes of pain in patients being cared for palliatively numerous, related or unrelated to their life threatening condition Subjective & Objective incl measuring Clinical reasoning, testing & prioritising Further investigations → Goal-setting & treatment planning

Pain ~ Therapeutic Exercise: 

Pain ~ Therapeutic Exercise Specific to cause of pain Addressing aggravating factors Tackling effects of pain Motor control, ROM, muscle length, strength, stamina, posture, gait, mood Alongside graded & purposeful activity

Pain ~ Manual Therapies: 

Pain ~ Manual Therapies Specific to cause of pain Addressing aggravating factors Tackling effects of pain Massage & soft tissue mobilisation

Pain ~ Electrophysical modalities: 

Pain ~ Electrophysical modalities Heat therapy Cold treatment Transcutaneous Electrical Nerve Stimulation (TENS)

Pain ~ Kindred Treatments: 

Pain ~ Kindred Treatments Acupuncture Aromatherapy & other complementary therapies Splinting, bracing & supports Compression garments

Pain ~ Education & Advice: 

Pain ~ Education & Advice Exploration & education cause, meaning & effects of pain Goal-setting & treatment planning Cognitive Behavioural Therapy approach Graded & purposeful activity Carers too

Prof. Ashok Patil(PT) Professor & Principal : 

Prof. Ashok Patil(PT) Professor & Principal : : Smt. Kashibai Navale College of Physiotherapy:: © Sinhgad Technical Education Society 49/1, Off Westerly Bypass Highway, Narhe, Ambegaon(Bk), Pune 411 041. Phone no : 020-24106136 /137 /145 Telefax : 020-24106274 Email: skncopt-admin@sinhgad.edu Designed, Maintained & Hosted by IBN Technologies Ltd.