This title slide is titled "Pain Management of Chronic Conditions." Its subtitle specifies content for "Military Nurses in Acute Medical Units (UK)."

Pain Management of Chronic Conditions

For Military Nurses in Acute Medical Units (UK)

The agenda slide outlines the presentation's key sections: Objectives, Pain Assessment, NHS Guidelines, Military Data, and Strategies & Activity. Each item includes a brief description, such as evaluating chronic pain in acute settings and reviewing UK best practices.

Presentation Agenda

1. Objectives

Outline key goals and presentation scope.

2. Pain Assessment

Evaluate chronic pain in acute settings.

3. NHS Guidelines

Review UK standards for best practice.

4. Military Data

Analyze armed forces pain statistics.

5. Strategies & Activity

Implement solutions with group discussion. Source: Pain Management of Chronic Conditions: For Military Nurses in Acute Medical Units (UK)

The slide, titled "Learning Objectives," lists key goals for pain management training. These include optimizing pain relief in acute settings, applying NHS/military protocols, using multimodal strategies, and engaging in practical activities.

Learning Objectives

• Optimise pain relief in acute settings
• Apply NHS/military protocols
• Use multimodal strategies
• Engage in practical activity

The slide "Pain Assessment Essentials" recommends using NRS and PQRST tools while reassessing pain levels regularly. It advocates a holistic approach addressing physical, psychological, and social factors, tailored to military veterans' experiences.

Pain Assessment Essentials

• Employ NRS and PQRST assessment tools
• Reassess pain levels regularly
• Adopt holistic view: physical, psychological, social
• Tailor to military veterans' experiences

Source: NHS (2022) Chronic Pain Toolkit. London: NHS England.

The Pain Management Pathway workflow details four phases—Assess (evaluate pain via tools like NRS), Plan (tailor pharma/non-pharma interventions), Implement (deliver and monitor side effects), and Evaluate (reassess and loop back if needed)—primarily owned by Military Nurses with MDT input. Visual aids include checklists, icons, and loops, backed by NHS (15% adverse events) and MoD (80% improved outcomes) data.

Pain Management Pathway

{ "headers": [ "Phase", "Key Actions", "Owner", "Visual Aids" ], "rows": [ [ "1. Assess", "Evaluate pain intensity, location, type using validated tools (e.g., NRS, PQRST)", "Military Nurse", "Checklist icon" ], [ "2. Plan", "Tailor interventions: pharmacological (e.g., paracetamol, opioids per protocol) & non-pharmacological (e.g., positioning, TENS)", "Military Nurse / MDT", "Plan icon with pharm/non-pharm split" ], [ "3. Implement", "Deliver plan safely, monitor for side effects (NHS data: 15% adverse events in chronic pain mgmt)", "Military Nurse", "Checklist & arrow" ], [ "4. Evaluate", "Reassess effectiveness, adjust plan; cycle back if needed (MoD: 80% improved outcomes with eval)", "Military Nurse", "Arrow loop & checklist" ] ] }

Source: Adapted from NHS and military pain management protocols

In England, 28% of adults suffer from chronic pain per NHS data, costing the healthcare system £2.4 billion annually. Additionally, 20% of chronic pain cases are inadequately managed.

NHS Chronic Pain Statistics

• 28%: Adults Affected

in England (NHS)

• £2.4bn: Annual Cost

to healthcare system

• 20%: Inadequate Management

of chronic pain cases Source: NHS (2022); British Pain Society (2021)

The slide contrasts pharmacological and non-pharmacological pain management strategies. Pharmacological approaches recommend paracetamol for mild chronic pain and short-term opioids for moderate-severe cases with caution due to addiction risks (NHS, 2021), while non-pharmacological options include CBT to reframe pain, physiotherapy for mobility, and acupuncture for relief (NICE, 2023).

Pharmacological vs Non-Pharmacological

Source: NHS (2021); NICE (2023)

The "Multimodal Strategies" slide features a grid of four chronic pain management approaches. It covers the WHO Analgesic Ladder for stepwise pharmacology, TENS therapy for non-invasive nerve stimulation, mindfulness practices for psychological coping, and physical therapy for mobility improvement.

Multimodal Strategies

{ "features": [ { "icon": "🪜", "heading": "WHO Analgesic Ladder", "description": "Stepwise pharmacological escalation for optimised chronic pain control (NHS, 2021)." }, { "icon": "⚡", "heading": "TENS Therapy", "description": "Electrical nerve stimulation reduces pain without invasive procedures." }, { "icon": "🧘", "heading": "Mindfulness Practices", "description": "Psychological techniques lower pain perception and enhance coping." }, { "icon": "💪", "heading": "Physical Therapy", "description": "Tailored exercises improve mobility and decrease chronic pain." } ] }

The UK MOD's Military Pain Data slide reveals that 40% of veterans experience chronic pain (2021) and 15% face opioid dependency. It also notes a 25% pain reduction from tailored protocols (2023).

Military Pain Data (UK MOD)

• 40%: Veterans with Chronic Pain

(MOD, 2021)

• 15%: Opioid Dependency Rate

Among veterans

• 25%: Reduction via Tailored Protocols

Pain reduction (2023) Source: MOD (2021, 2023)

This section header slide is titled "Interactive Group Activity." Its subtitle introduces a case study on a veteran with back pain, directing groups to discuss assessment, planning, and barriers.

Interactive Group Activity

Interactive Group Activity

Case Study: Veteran with Back Pain - Discuss Assessment, Planning, Barriers in Groups

Groups review the case study for 5 minutes and identify the top pain management strategy. Participants then present their strategy to the group and debrief by sharing key insights.

Activity Instructions

• ⏱️ Groups review case study (5 mins)
• Identify top pain management strategy
• Present strategy to the group
• Debrief: Share key insights

The slide "Challenges & Solutions" identifies two key issues: military stigma causing under-reported pain and NHS access barriers delaying care. It proposes targeted nurse training programs and telehealth for remote access as solutions.

Challenges & Solutions

• Challenge: Military stigma under-reports pain
• Challenge: NHS access barriers delay care
• Solution: Targeted nurse training programs
• Solution: Telehealth for remote access

Source: NHS England (2023); Ministry of Defence (2022)

The Key Takeaways slide highlights three priorities: prioritise assessment, use multimodal first-line approaches, and leverage the latest NHS/MOD data. It urges applying these today for better outcomes, thanks the audience, and invites Q&A.

Key Takeaways

• Prioritise assessment

• Multimodal first-line
• Use latest NHS/MOD data

Thank you for your attention!

Q&A

Apply these today for better outcomes

This slide, titled "References (Harvard Style)," features a table listing four numbered sources. They include NHS England (2022) Chronic Pain Toolkit, NICE (2023) NG193, MOD (2021) Veteran Health Report, and Smith et al. (2024) BMJ.

References (Harvard Style)

{ "headers": [ "#", "Reference" ], "rows": [ [ "1", "NHS England (2022) Chronic Pain Toolkit." ], [ "2", "NICE (2023) NG193." ], [ "3", "MOD (2021) Veteran Health Report." ], [ "4", "Smith et al. (2024) BMJ." ] ] }