spring 2007

E x e c u t i v e   D i r e c t o r ' s   M e s s a g e
Team approach to chronic pain absent in our province

 

 

Is our health care system today meeting the needs of those who endure constant suffering? Will we be able to meet the ever-increasing challenges of tomorrow?

By Rob Ritter

According to a report from Statistics Canada last June, there are approximately 77,000 residents of Newfoundland and Labrador who are afflicted with chronic pain. This already enormous number will likely become even greater over the next decade as our over-65 population increases at an unprecedented pace. Is our health care system today meeting the needs of those who endure constant suffering? Will we be able to meet the ever-increasing challenges of tomorrow?

Sadly, the answer to the first question is no. Too many of our people are unable to get the medical care they need and those who do, wait and suffer unnecessarily for far too long. Dealing with chronic pain is a complex undertaking that involves not only physical but also psycho-social elements, which correspondingly necessitates an inter-disciplinary approach. A successful treatment plan demands a comprehensive assessment and follow-up process involving not only physicians but a variety of other health professionals, including nurses, psychologists, physiotherapists, occupational therapists, pharmacists, addiction specialists and the like. This kind of coordinated team approach has been unquestionably absent in our province.

Last year, task forces in Nova Scotia and Quebec issued extensive reports to improve the organization and delivery of chronic pain services in their respective jurisdictions. The concepts, principles and recommendations in both reports were remarkably consistent and provide a “common sense” template for addressing the challenge in our own province.

The government here, through provincial health authorities, is now launching a similar initiative and the opportunity to capitalize on the good work that has already been completed by others is now within our reach. This should expedite our efforts to develop a suitable blueprint and to build a comprehensive and effective service for the future within short order.

The answer to the second question is in the hands of the government. A clear and public commitment to take definitive action is an essential first step. And, timing is important. For the thousands who endure ceaseless pain, time goes very slowly and they have waited long enough.

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