Chronic Pain

Clinical Services  

Pain Management Services-Public

Royal Hobart Hospital- Persistent Pain Service (PPS)
Level 5, Telstra Building, 70 Collins Street
Ph: 6222 8087  Fax: 6222 7526

Provides a multidisciplinary approach aimed at:

• Improving function (physical, psychological & social)

• Reducing distress associated with pain

• Controlling pain to a manageable level

Pain Management changes ^{August 2011}

Referral Information   ^{Feb 2012}   Generic RHH specialist clinic referral templates

Patient Flowchart     Patient information brochure for the PPS pain self management group program Moving with Pain  ^{Feb 2012} 

Pain Management Services-Private

	Hobart Pain Clinic
	29 Kirksway Place, Battery Point	Pain Medicine	Dr Michael Jackson
	Ph: 6223 4844  Fax: 6223 2944	Physiotherapist	Matt Jensen
		Clinical Psychologist	Anne Fitzgerald

 

	Pain Management Tasmania     (located within St Helens Private Hospital grounds)
	186 Macquarie Street, Hobart
	Ph: 6224 5288  Fax: 6224 5688	Multidisciplinary Team holds weekly case conferences.
		Pain Medicine Specialist	Dr Hilton Francis
	Full List of Services	Pain Medicine	Dr Rob Paton
		Consultant Psychiatrist	Dr Jacob George
		Clinical Psychologists	Anne Fitzgerald, Andre Declerck, Kerry Merse
			Jenny Nichols Leesa Van Niekerk and Walter Slaghuis
			psychologyworks@bigpond.com

Pain Management Professionals

	Pain Specialists
	Dr Hilton Francis	4 Warneford Street, Hobart
	Ph: 6223 3801   Fax: 6224 1926

	Dr Gajinder Oberoi	22 Liverpool Street, Hobart
	Ph: 6214 3060   Fax: 6214 3061
	Details:	following the receipt of a GP referral, the practice will phone the patient to offer an appropriate appointment  patients will not be offered an appointment time until after the referral has been reviewed

	Clinicians with an interest in Pain Management
	Occupational Medicine
	Dr Peter Sharman	30 Cascade Road, South Hobart
	Ph: 6224 0935  Fax: 6224 0530
	Details:	lower back pain, overuse syndrome, work related stress expertise/experience in managing chronic pain and rehabilitation in the complex environment of workers compensation where there are often difficult interactions between the patient, their treating practitioners, employers and insurance companies does not have the capacity to take referrals of patients in the MAIB system (except in exceptional circumstances)

	Dr Tim Stewart	199 Campbell Street, North Hobart
	Ph: 6234 5433   Fax: 6234 6299
	Details:	focus on injury management collaboration between all stakeholders and a successful return to work the barrier that often exists is a poor understanding of the work place (in the medical practitioner's office) hence visits are frequently performed to see at firsthand what barriers have to be overcome but ensuring that the treating doctor is kept informed

	Allied Health Professionals with an interest in Pain Management
	Physiotherapists	Exercise Physiologists       Occupational Therapists
	Psychologists	Referrals can be made to Psychologists using a Mental Health Treatment Plan for patients experiencing chronic pain who have a diagnosed mental health disorder.

Alcohol and Drug Services -Public

	DHHS Alcohol & Drug Service (South)	Clive Hamilton Building, St John's Park, New Town
	Ph: 6230 7901 Fax: 6230 7922	After Hours Information Service Ph: 1800 811 994
	Full List of Services
	Referral Templates:  MD   BP

Alcohol and Drug Services -Private

	The Hobart Clinic	(for patients who are self funded or who have private Health Insurance)
	Chipmans Road, Rokeby
	Ph: 6247 9960   Fax: 6247 6439	Addictive Behaviour Program
	Details:	requires a GP referral letter for in-patients and also available as a 5 hour day program held twice a week provides opportunities to practice skills to assist with changing addictive behaviour, to develop support systems and to manage relapses

Advisory Services for Professionals

Assessment Tools

	Pain Assessment	Brief Pain Inventory
	Neuropathic Pain Tools:	DN4
		LANSS neuropathic pain tool
	Opioid Risk Tools:	Opioid Risk Tool
		SOAPP Tool  FAQ and tutorial available but need to be a registered user (free) to access the tool
		Addiction Behaviours Checklist

Resources

	Chronic Pain	Chronic Pain Australia
		Hunter Integrated Pain Service information for both doctors and patients
		Opioids for Chronic Non Cancer Pain -  McMaster University Canadian Guidelines
		Pain information for clinicians   - US website-need to be a registered user to access parts of this website
		Partners Against Pain  - US website with Healthcare Professionals information
		Prescription Opioid Policy
		Residential Aged Care Facilities -Pain Management Strategies 2005
		The PMG Kit for Aged Care  to accompany The Australian Pain Society's Pain in Residential Aged Care Facilities: Management strategies.
	Alcohol and Other Drugs	Alcohol and Other Drugs Handbook for Health Professionals Australian Government Department of Health and Ageing 2004. (Only Available electronically) Part 2: Chapter 9 Heroin and Other Opioids Chapter 11 Benzodiazepines  Part 4: Chapter 17 Managing Chronic Pain Chapter 18 Coexisting Mental Illness
		Alcohol and Other Drug Withdrawal Practice Guidelines 2009   Chapter 6.8 People who experience chronic pain  Chapter 11 Opioid withdrawal Chapter 12 Benzodiazepines

GP Education

Clinical Attachment at DHHS Alcohol and Drug Service in 2011

• contact hours can be face to face or a combination of face to face with other media such as video conferencing, teleconferencing and case study discussions over the phone or by email

• For further information contact the .

For the Clinical Attachment to qualify for:

• RACGP Category 1 activity (40 points), Supervised Clinical Attachment forms need to be completed. For further information contact Joanna Rosewell on 6278 1644 or email 

• ACRRM PDP points, Supervised Clinical Attachment forms need to be completed. For further information please contact Julie Powers on 07 3105 8200 Fax: 07 3105 8299 or email 

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Community Services

	Arthritis Tasmania	127 Argyle Street, Hobart
	Ph: 6231 2988    Fax: 6234 4899	Arthritis InfoLine: operates 9am-5pm, Monday-Friday 1800 011 041
	Email: info@arthritistasmania.com.au

Consumer Support and Information

 ADIS (Alcohol and Drug Information Service) Ph: 1800 811 994

Arthritis Tasmania Community For information on Self Management and Activity Programs Ph: 1800 011 041 or email 

Australian Drug Foundation (ADF)

• information about alcohol and other drugs, and drug prevention

• also provides access to the Australian Drug Information Network (ADIN)

Australian Pain Management Association Inc (APMA)  Pain Link Helpline Ph: 1300 340 357 provides access to trained volunteers

Chronic Pain Australia  Ph: 1800 218 921 -national phone support and information line Community advocacy and support organisation for people living with Chronic Pain. 

Explain Pain David Butler and Dr Lorimer Moseley 2003 -presents educational models based on the biopsychosocial approach. Resource is available for viewing at General Practice South.

Hunter Integrated Pain Service  information for consumers  plus other linked information

Living with Chronic Conditions and Pain - Department of Veterans' Affairs 

Manage Your Pain Dr Michael Nicholas et al 2006 -discusses practical and positive ways of adapting to chronic pain. Resource is available for viewing at General Practice South.

Med School for you has a range of information for consumers including a focus on pain management.  Also has links to other Canadian Pain websites

Partners Against Pain  US website with Patients and Caregivers information

Patient self education 

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