Pain management in Ethiopia By Rediet Shimeles Workneh M.D Addis - PowerPoint PPT Presentation

Feb 07, 2023 •1.02k likes •1.17k views

Pain management in Ethiopia By Rediet Shimeles Workneh M.D Addis Ababa University Ethiopia 16 January 2019 Zero Pain conference, Butare Disclosure None Outline Background Current practice Challenges Way forward Pain

Pain management in Ethiopia By Rediet Shimeles Workneh M.D Addis Ababa University Ethiopia 16 January 2019 Zero Pain conference, Butare
Disclosure • None
Outline • Background • Current practice • Challenges • Way forward
Pain management in Ethiopia • Highly neglected • Knowledge, skill and attitudinal gap among health care providers • Culturally Variable • Economic burden of untreated pain is not well understood • Pain research
• Assessment of Acute Pain Management and Associated Factors among Emergency Surgical Patients in Gondar University Specialized Hospital Emergency Department, Northwest Ethiopia, 2018 70 % of patients report moderate to severe pain after receiving analgesic
Pain Education • Not included in the undergraduate medical curriculum • No included in Anesthesiology curriculum • Lack inservice pain trainings • Other medical specialities give no emphasis on pain management
Challenges • Knowledge, skill, attitude towards pain management • Shortage of drugs and lack of regular supply Ethiopia- extreemly minimal opiod use In 2003 Ethiopia had one of the lowest morphine /capita consumption 0.0005mg compared with the global mean of 5.85mg. Again in 2006, the consumption was reported as 0.0002mg/capita; Uganda 0.3136mg/capita; Mali 0.0181mg /capita; Sudan 0.0230 Kenya; 0.1292mg/ Capita
Challenges… • Bureaucratic system that doesn’t harbour change • Shortage of manpower
Done so far • Recruitmed a team of pain interested anesthesiologists • Just started acute pain service in November 2018 ( mostly orthopaedic and labour ward) • Developed a national perioperative pain guideline • Identified a space for chronic pain unit • Some advocacy work CME on pain management to surgical society of Ethiopia • Pain management is incorporated in Anesthesiology curriculum • Incorporated to Induction program of residents from different specialities
Done so far • Collaboration with the Ministry of health • Identified potential international partners
Remains to be done • Create Multidisciplinary team for pain management • Advocacy • Research and education • Protocols and Guidelines • Create a system that works – consultation and patient followup • Collaboration- local and international • Short term pain management trainings – scale up country-wide
Summary • Pain management is not well understood in Ethiopia • Challenges are expected • We are on the right track with a lot of work remaining. • Being part of the change needed is extremely rewarding.
Thank you

Recommend

Patient Satisfaction with their Pain Management: The Effect of Provision of Pain Management Advice

Patient Satisfaction with their Pain Management: The Effect of Provision of Pain Management Advice David Taylor 1,2 , Marina Lee 2 , Olivier Grover Johnson 2 , Juen-Li Ding 2 , Aadith Ashok 2 1 Austin Health, Australia 2 University of Melbourne,

953 views • 15 slides

Feasibility study of a novel pain assessment tool for improving prehospital pain management M

Feasibility study of a novel pain assessment tool for improving prehospital pain management M Iqbal, P A Spaight, R Kane, Z Asghar, A N Siriwardena Nottingham Conference Centre 04 February 2015 Background Pain - common Poorly assessed

476 views • 19 slides

Chronic pain management: Evidence for CBT Michael K. Nicholas, PhD Assoc. Prof. & Director

Chronic pain management: Evidence for CBT Michael K. Nicholas, PhD Assoc. Prof. & Director of ADAPT Pain Management Program University of Sydney Pain Management & Research Institute Royal North Shore Hospital In the Himalayas, Sherpas

560 views • 28 slides

Pain Practice Management Increasing Value, Efficiency and Health in your Pain Practice Ashley M.

Pain Practice Management Increasing Value, Efficiency and Health in your Pain Practice Ashley M. Classen, DO, FAOCA Adjunct Clinical Professor Department of Surgery Anesthesiology / Interventional Pain Medicine University of North Texas Health

294 views • 10 slides

The Management of Pain and Pain Care in the Czech Republic Prof. Richard Rokyta, MD, PhD, DSc,

The Management of Pain and Pain Care in the Czech Republic Prof. Richard Rokyta, MD, PhD, DSc, FCMA President of Czech Pain Society Charles University, 3 rd Faculty of Medicine, Department of Normal, Pathological and Clinical Physiology,

521 views • 20 slides

Div iversion & Pain Management February ry 5, , 2020 th Annual Conference MDONS 30 th

Div iversion & Pain Management February ry 5, , 2020 th Annual Conference MDONS 30 th Linda Vanni, MSN, RN-BC, ACNS-BC, NP, AP-PMN Nurse Practitioner, Pain Management Professional Pain Education & Consulting, LLC Conflict of In

884 views • 56 slides

Disclosures Nothing to Disclose Coordination of Pain Management Strategies with Patients'

6/1/2013 Disclosures Nothing to Disclose Coordination of Pain Management Strategies with Patients' Primary Care Physician Melanie M. Henry, M.D., M.P.H. UCSF Associate Professor of Anesthesia & Pain Medicine 2 4 Chronic Pain Definition

260 views • 9 slides

Ethiopia and Saudi Arabia Ethiopia, Africas highest growth country, Strong platform of

Swiss Mining Institute November 2018 Arabian Nubian Shield Ethiopia and Saudi Arabia Ethiopia, Africas highest growth country, Strong platform of partners, contractors & company management base for African Union, worlds largest

1.1k views • 31 slides

Pain Management UCLH Members meeting October 2014 Ali Mofeez Consultant in Pain Medicine and

Pain Management UCLH Members meeting October 2014 Ali Mofeez Consultant in Pain Medicine and Anaesthesia Anna Mandeville Senior Pain Psychologist Viki Mitchell Chair of Pain Steering Group and DCD for Theatres Pain Steering Group Chair

1.79k views • 23 slides

Med edic icatio tion M Management f for or P Pain: Opiate Analgesics and Safe Prescribing

Med edic icatio tion M Management f for or P Pain: Opiate Analgesics and Safe Prescribing Joanna G. Katzman, MD, MSPH Director, UNM Pain Center Director, Project ECHO Chronic Pain and Headache Management Program Associate Professor, Neurology;

591 views • 33 slides

Medication Management for Pain : Opiate Analgesics and Safe Prescribing Joanna G. Katzman, MD,

Medication Management for Pain : Opiate Analgesics and Safe Prescribing Joanna G. Katzman, MD, MSPH Director, UNM Pain Center Director, Project ECHO Chronic Pain and Headache Management Program Associate Professor, Neurology; Department of

493 views • 36 slides

In Interv rventional Pain Management Primary Spine and Joint Conference Carlton K. McQueen MD

In Interv rventional Pain Management Primary Spine and Joint Conference Carlton K. McQueen MD Fourth Corner Pain Management Bellingham, WA Dolores-Presentation 77 years old 1 year history of back and bilateral leg pain. Obese,

534 views • 42 slides

Synopsis A COMPREHENSIVE PAIN MANAGEMENT APPROACH HOWARD KONOWITZ, MD BOARD CERTIFICATION:

Complex Regional Pain Syndrome Evidence Based Care Synopsis A COMPREHENSIVE PAIN MANAGEMENT APPROACH HOWARD KONOWITZ, MD BOARD CERTIFICATION: INTERNAL MEDICINE, ANESTHESIOLOGY, PAIN MANAGEMENT National Guidelines and international evidence

482 views • 15 slides

Persistent pain cycle pain Peripheral sensi2sa2on Central

Pain: NWH Community Pharmacy Engagement Event January 2015 1 What is pain? Time-based classifica2on of pain

462 views • 10 slides

CHRONIC PAIN MANAGEMENT: TO O LS FO R A C A R E M A N A G ER N IC O LE C A R TER BSN , R N

CHRONIC PAIN MANAGEMENT: TO O LS FO R A C A R E M A N A G ER N IC O LE C A R TER BSN , R N CHRONIC PAIN MANAGEMENT Be st pra c tic e mo de ls fo r c hro nic pa in ma na g e me nt re q uire a multidisc iplina ry a ppro a c h

313 views • 15 slides

Pain Management in Primary Care Pain was primary reason for 40% of doctor visits in a Finnish

Pain in Primary Care Pain Management in Primary Care Pain was primary reason for 40% of doctor visits in a Finnish study from 2001 Most common reason for visiting doctor Robert M. Taylor, MD Not enough pain specialists to treat all

426 views • 13 slides

The Unifying e-Payment Platform for Ethiopia EthSwitch S.C. The 5 th Ethiopia Banking & ICT

The Unifying e-Payment Platform for Ethiopia EthSwitch S.C. The 5 th Ethiopia Banking & ICT Summit 2018 ICT for Excellence and Innovation April 27, 2018 Addis Ababa, Ethiopia The ethioPay Ecosystem Major Building Blocks

1.31k views • 12 slides

Pain Management in Geriatric Rehab Presented by Dr. Shoshana Izkhakov, PT, OCS PRN Physical and

Pain Management in Geriatric Rehab Presented by Dr. Shoshana Izkhakov, PT, OCS PRN Physical and Occupational Therapy At Montgomery Park Outline Epidemiology of pain Goals of rehab in the elderly Challenges in identifying pain in the

583 views • 41 slides

Interprofessional and Integrative Pain Management Joanna G Katzman, MD, MSPH Associate Professor

Interprofessional and Integrative Pain Management Joanna G Katzman, MD, MSPH Associate Professor University of New Mexico School of Medicine Director, UNM Pain Center Project ECHO Pain Disclosure No Conflict of Interest Nothing to

540 views • 27 slides

TIME TO STANDARDIZE OUR PRACTICES OF PAIN MANAGEMENT IN EUROPE DR C. WOOD Hpital Robert

TIME TO STANDARDIZE OUR PRACTICES OF PAIN MANAGEMENT IN EUROPE DR C. WOOD Hpital Robert Debr Paris, France PAIN IN NON PALLIATIVE SITUATIONS In developed contries chronic pain afflicts about 20% of the adult population BUT only

640 views • 26 slides

Pain and Substance Use Disorder ECHO Principles of Pain Management and Substance Use Disorders

Pain and Substance Use Disorder ECHO Principles of Pain Management and Substance Use Disorders Dr. Ken Zoucha MD Dr. Tina Chasek LIMHP, LADC About BHECN The Behavioral Health Education Center of Nebraska (BHECN), pronounced beacon,

636 views • 29 slides

internal displacement National Disaster Risk Management Commission of Ethiopia March 04, 2019

Presentation on national efforts in the collection and analysis of data on internal displacement National Disaster Risk Management Commission of Ethiopia March 04, 2019 Overview of IDP in Ethiopia Based on the 2019 Humanitarian Requirement

436 views • 22 slides

11/10/20 Triple Threat or Epiphany? The Need for a Biopsychosocial Approach to Pain Management

11/10/20 Triple Threat or Epiphany? The Need for a Biopsychosocial Approach to Pain Management Kevin L. Zacharoff, MD, FACPE, FACIP, FAAP 1 Disclosure Nothing to disclose 2 Learning Objectives Describe the debate between treating pain

733 views • 13 slides

10/23/20 Triple Threat or Epiphany? The Need for a Biopsychosocial Approach to Pain Management

10/23/20 Triple Threat or Epiphany? The Need for a Biopsychosocial Approach to Pain Management Kevin L. Zacharoff, MD, FACPE, FACIP, FAAP 1 Disclosure Nothing to disclose 2 Learning Objectives Describe the debate between treating pain

553 views • 13 slides