#188 Health for All Means Pain Care for All, with Dr. Allen Finley

In this video, Dr. Andrea Furlan discusses the Principles of Health for All Means Pain Care for All, a plan to include pain in national health plans worldwide.

The World Health Assembly and WHO have previously agreed that:

It is the ethical duty of health care professionals to alleviate pain and
suffering” (WHA 67.19)

“...universal health coverage implies that all people have access, without
discrimination, to nationally determined sets of needed treatment, promotive, preventive, rehabilitative and palliative essential health services.” (WHO EB152/CONF./1, Strengthening rehabilitation in health systems)

Noting the importance of analgesia in surgery and anaesthesia, and that a
large proportion of the global population has limited access to opioid
analgesics for pain relief; that patients with moderate and severe pain often
do not receive the treatment they need; that 5500 million people (83% of the world"s population) live in countries with low to non-existent access to
analgesics; that 250 million (4%) have moderate access; that 460 million (7%) have adequate access; and that insufficient data are available for 430 million people (7%)” (WHA 68.150)

In ICD-11, pain has finally been recognized as a reportable condition in its own right.

Pain is a near-universal experience of patients in hospital before, during, and after surgery or other treatment for trauma, disease, and medical conditions including cancer, or resulting from medical procedures and investigations. Untreated pain causes immediate suffering and long-term disability, shortens life, and has significant costs to society and the economy. WHO played an important role in recognizing access to pain care as a human right in 2004, but many inequities still exist due to lack of resources, provider education, and many other factors.

We know that prevention and treatment of acute pain reduces overall morbidity and mortality, improves recovery from injury or surgery, shortens hospital stay, and reduces the risk of chronic pain development.

We also know that multimodal pain management, including regional analgesia and psychological and physical therapy, is most effective in alleviating suffering and reducing the need for opioids in acute pain, although opioids remain essential in palliative and end-of-life care. In chronic pain, multimodal management is essential, and opioids are rarely beneficial (and can be harmful).

We feel that global progress in pain care can only be made if countries
recognize pain as an essential component of health system plans and
Universal Health Coverage. Countries must ensure optimal training of
sufficient numbers of physicians, nurses, physical therapists, psychologists, and other healthcare workers in the assessment and management of pain.

Multimodal pain interventions must be available to everyone.

All people in every country must have access to analgesic medications,
including but not limited to those included in the Essential Medicines Lists for Adults and Children.

Healthcare facilities should ensure consistency, quality, and equity in pain
assessment and management, and record and report barriers to effective pain management.

We can reduce the global burden of pain and relieve suffering everywhere, if we make this step forward.

Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.

#drAndreaFurlan #DrFurlan #DoctorFurlan

Let’s meet on Social Media:

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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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[biscottiluigi]

Yes, please. There are so many people who are suffering needlessly!

[krishnaprashar]

Dr Andrea 🙏🙏I always follow you yes you are good Dr far me
i am suffering from Remotoid arthritis now i feel better 🙏🙏

[StanleyCharles-hr]

Hello Dr Andrea Furlan and Dr Allen Finley

[fluffdumpling]

So, when will chronic pain sufferers be treated better than street addicts?

[PoojaSharma-evoq]

Hi Mam, please make a video on temporal arteritis..exercises, home remedies, diet.please🙏🙏💖

[HilkatÇağlayan]

Çok güzel faydalı bir is yapıyorsunuz yolunuz açık işleriniz rast gitsin başarı yoldaşınız olsun🎉🎉

[bodymind]

Very true.. very true..a well-known phenomenon.. experienced by a child taking vaccine right upto old age where it's almost a 24 hour phenomenon..but as if hitherto unknown.. that's why not included in classification which dr Andrea trying to highlight