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Dr. Michael Cousins Presn to Can Pain Summit 042412
1. INTERNATIONAL INITIATIVES
Michael J Cousins AM
MD DSc FRCA FANZCA FFPMANZCA FAChPM (RACP)
Pain Management Research Institute
University of Sydney
Royal North Shore Hospital, St. Leonards
Australia
2. Pain Management inadequate in most of the
world:
• Inadequate access to treatment of acute, chronic
and cancer pain
• Major deficits in knowledge
• People with chronic pain are stigmatised
• Most countries – No National Pain Policy
3. INTERNATIONAL INITIATIVES
• IASP International Pain Summit
– Declaration of Montreal
– Desirable Characteristics of NPS’s
• European Chapters of IASP 2011
“Road map for development of Pain Services”
• Institute of Medicine, USA 2011
“a blueprint for transforming prevention,
care, education & research”
4. And recognizing the intrinsic dignity of all persons:
Article 1: The right of all people to have access to pain management
without discrimination
Article 2: The right of people in pain to acknowledgement of their pain
and to be informed about how it can be assessed and managed
Article 3: The right of … access to appropriate assessment and
management…by adequately trained health professionals
5. HUMAN RIGHTS and PAIN
• Since the Declaration of Montreal
• IFHHRO “Denial of Pain Relief ” 2010-11
• World Medical Association Council Oct 2011
Resolution: Pain management a human right
• “Pain Crisis”
9. Australian Pain Summit
• 150 health care , consumer and other
organizations
• Supported the national strategy
• Similar objectives to the Canadian pain
Strategy
– Awareness and education/destigmatization
– Access to care
– Research
10. National network of healthcare, consumer and related
organisations
Registered not for profit charity
Mission: “To improve quality of life for people with pain and their
families, and to minimise the burden of pain on individuals and the
community, by facilitating implementation of the National Pain
Strategy (NPS)”
11. Painaustralia - Outcomes
• Statewide pain plans: NSW, Qld, WA
– QLD $39 Million over 4 years for statewide plan
• Guidelines for minimum multidisc staff
• Screen and referral guide
• Training and ed
– WA $50,000 support Pain Australia
• Endorse the NPS
• Models of care spinal pain and inflammatory arthritis
– NSW Ministerial task force report October 2011
• Funding expected first half 2012
12. OTHER INITIATIVES IN AUSTRALIA
• Academic Discipline of Pain Medicine - USYD
• Inaugural Pain Symposium (6 hrs) March 2012
– 300 medical & other health science students
• On-line Pain Educn Prog for 1ry Care
RACGP/Faculty Pain Med Sept 2012
• Cancer Pain Guidelines
• Promulgation of WHO Paediatric Guidelines
14. Conclusions
• A national pain strategy is critical in order to
address the major gaps in education, care and
research re pain
• The ideal solution will involve federal
leadership to assure all citizens have access to
the same level of best practice care
• Continued advocacy is essential to assure
good pain care for all because access pain
management is a fundamental human right
