Maria Teresa Flor de Lima

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1 Maria Teresa Flor de Lima Regional Plan against Pain AZORES, PORTUGAL

2 Corvo Flores Where we are? Graciosa Faial Avaliação S. Jorgedo PRCDor Terceira Pico M.ª Teresa Flor de Lima S Miguel 600 Km 4 hours from EUA 2 hours from Lisboa Sta Maria 2

3 How many inhabitants? Faial H Avaliação do PRCDor Horta habitantes: Terceira M.ª Teresa Flor de Lima S ta. Maria S. Miguel Terceira Graciosa S. Jorge Pico Faial Flores Corvo ,3% 56,0% 22,8% 1,8% 3,7% 5,7% 6,1% 1,5% 0,2% H Angra do Heroísmo S. Miguel H Ponta Delgada resultados preliminares do Censo

4 Portugal Since 1999 National Day against Pain. Since 2001 we had a Nacional Plan for Pain Control (revised in 2008 and 2013) instrategy.pdf 2003 guideline Pain = 5th Vital Sign 2004, 2010 National Program for Palliative Care * 2012 National Law for Palliative Care *

5 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)

6 Education Courses to all nurses and physicians in small groups in the place of work ( 3 Hospitals and 17 Community Health Centers) Public: 362 physicians in hospitals and 151 Familiy Doctors; 899 nurses in hospitals and 501 in community. Conferences, workshops, Congresses Involvement of Chronic Disease Patient Associations information in National Days and International Days about Pain and about Palliative Care

7 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

8 Resources - Regional government approved specific resources - Civic organizations - Financial resources from local institutions and stakeholders Positive factors: Local and national media; Networking; Commemorative days; Campaigns

9 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

10 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

11 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

12 Example

13 Example

14 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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