Maria Teresa Flor de Lima - Active Citizenship Network

Maria Teresa Flor de Lima
Regional Plan against Pain
AZORES, PORTUGAL
02-10-2014
1
Corvo
Where we are?
Flores
Graciosa
Faial
S. Jorge
Avaliação
do PRCDor
Terceira
Pico
M.ª Teresa Flor de Lima
S Miguel
Sta Maria
4 hours from EUA
600 Km
2 hours from Lisboa
2
How many inhabitants?
Avaliação do PRCDor
Terceira
Faial
Horta
H
H
Angra do
Heroísmo
M.ª Teresa Flor de Lima
S. Miguel
246 102 habitantes:
Sta. Maria
S. Miguel
Terceira
Graciosa
S. Jorge
Pico
Faial
Flores
Corvo
5 547
137 699
56 062
4 393
8 998
14 144
15 038
3 791
430
2,3%
56,0%
22,8%
1,8%
3,7%
5,7%
6,1%
1,5%
0,2%
H
Ponta
Delgada
resultados preliminares do Censo 2011
3
Portugal
Since 1999 National Day against Pain.
Since 2001 we had a Nacional Plan for Pain Control (revised in 2008 and 2013)
http://www.iasppain.org/files/Content/NavigationMenu/Advocacy/InternationalPainSummit/PortugalPa
inStrategy.pdf
2003 guideline Pain = 5th Vital Sign
2004, 2010 National Program for Palliative Care *
2012 National Law for Palliative Care *
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Regional Plan against Pain
Since 2009 we had a Regional Plan for Pain Control aplying nationl and
international guidelines.
The Plan is for Acute Pain, Chronic Pain and Delivery Pain.
The Regional Plan for Pain Control has a Coordinator.
A priority was
education of professionals
public information (campaigns, partnerships, patients Associations)
2013 this Plan was selected as a Good Practice in a national competition
(selected in the first group - eleven programs - in a total of 75)
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Education
Courses to all nurses and physicians in small groups in the place of work ( 3
Hospitals and 17 Community Health Centers)
362 physicians in hospitals and 151 Familiy Doctors;
899 nurses in hospitals and 501 in community.
Conferences, workshops, Congresses
Public:
Involvement of Chronic Disease Patient Associations
information in National Days and International Days about Pain and
about Palliative Care
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Outcomes
Professionals are aware about pain evaluation and treatment,
pain impact, drugs and technical;
They refer more patients to Pain Units;
Healthy life styles and Live Quality Improvement in citizens;
Public knows which is the impact of Chronic Pain.
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Resources
- Regional government approved specific resources
- Civic organizations
- Financial resources from local institutions and stakeholders
Positive factors:
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Local and national media;
Networking;
Commemorative days;
Campaigns.
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Resources
Civic organizations
The power of Patients Associations
Here represented by Dr. Ivone Coutinho
- Social and community integration of diabetics and the protection of their rights;
- Encourage and promote education, prevention and scientific research in the scope
of diabetes;
-To enhance alert to Chonic Pain in diabetic persons;
- Information, support and capacity-building of individual patients;
- Help to deal with their conditions, including their social, psychological, and other
impacts.
Federation of Chronic Disease Patients Associations
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Added Value
- Improving the dissemination of chronic disease control;
- Professionals and public know better what is Chronic Pain, his consequences
and that we can minimize this impact;
- Patients are alert to the need of treatment, to the prevention of risk factors
and to early treatment;
- Define measures for improvement of quality of life for patient with
chronic pain;
- with screenings, it is possible to implement initiatives low cost, getting
volunteers among students.
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Lessons and Messages
To get a well motivated team, and to believe that ideas are good.
To come from national level to regional and to local levels with
interested leaders.
Find carefully our partners and influence others.
To get the support of the politicians and Institutions.
To be obstinate and persevering.
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Example
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Example
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We must operate hand in hand
Make Patients to be alert to
The need of Pain treatment
The prevention of risk factors
Coping with the pain impacts
Get better Quality of Life
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