Pain clinic referral to psychological services best addressed with collaboration
A case study of a middle aged female with severe musculoskeletal medical conditions causing severe pain is presented. The referral for psychological services was conducted in con cordance with the medical treatments. In this case, the complex nature of the severe muscu loskeletal medical conditions necessitated intensive care and the collaborative communi cations provided this to the patient. A tabulation of representative treatments is provided with an explanation of the nature of the collaboration. Outcome data in terms of patient self-reported pain ratings and sleep logging provided evi dence of a mild improvement and stability where more negative findings, given the com plexity of the medical conditions was expected.
1. Ahles TA, Wasson JH, Seville JA, et al. A controlled trial of methods of managing pain in primary care patients with or without co-occurring psychosocial problems. Ann Fam Med 2006;4:341-50.
2. Law B. Different skills, same team. Monitor Psychol 2013:40-3.
3. Blumenthal JA, McKee DC. Applications in behavioral medicine and health psychology: a clinician’s source book. New York: Academic Press; 1987.
4. Sternback RA. Pain patient’s traits and treatment. New York: Academic Press; 1987.
5. Von Korff M, Balderson BH, Saunders K, et al. A trial of an activity intervention for chronic back pain. Pain 2005;13:323-30.
6. Gerber L, el-Gabalawy H, Arayssi T, et al. Polyarticular arthritis, independent of rheumatoid factor, is associated with poor functional outcome in recent onset inflammatory synovitis. J Back Musculoskelet Rehabil 2000;14:108-9.
7. Osteoporosis Quality of Life Study Group. Measures of quality of life in women with osteoporosis. Osteoporosis Int 1997;7:478-87.
8. Gould E, Ma T. Back pain. Arch Phys Med Rehabil 2006;87:e38.
9. Kincade S. Evaluation and treatment of acute low back pain. Am Fam Phys 1991;75:1181-92.
10. Gaston-Johansson F. Measurement of pain: the psychometric properties of the Pain-O-Meter, a simple, inexpensive pain assessment tool that could change health care practices. J Pain Symptom Manage 1996;12:172-81.
11. Brey RL, Petri MA. Neuropsychiatric systemic lupus erythematous: miles to go before we sleep. Neurology 2003;61:9-10.
12. Van Wijk RM, Geurts JW, Wynne HJ. Long-lasting analgesia effect of radio frequency treatment of the lumbosacral dorsal root ganglion. J Neurosurg 2001;94 Suppl 2:227-31.
13. Sluijter ME, Cosman ER, Rittman WB, VanKleef M. The effects of pulsed radio frequency field applied to dorsal root ganglion – a preliminary report. Pain Clinic 1998;11:109-17.
14. Martin DD, Willis ML, Mullinax A, et al. Pulsed radio frequency applications in the treatment of chronic pain. Pain Practice 2007;7:31-5.