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Page 662 – Stanford Medicine X

Pain Wise: Patient-centered integrated care in post-op pain management

Sangeeta Agarawal san@helpsyhealth.com
Patricia Bach pbachpsyd@gmail.com
Jessie Kittle jkittle@stanford.edu
Alicia Staley acstaley@gmail.com


Postoperative pain is a significant clinical issue, impacting more than 80% of all patients undergoing surgical procedures. However, optimal pain management can be challenging, with less than half of patients reporting acceptable relief from postoperative pain. The impact of this phenomenon is tremendous, affecting the patient’s healing process, family, and quality of life as well as the caregiver team, which is challenged to effectively assist in pain mitigation. In light of this ubiquitous issue, patient-centered, perioperative systemic intervention with an integrated care approach is optimal.

The purpose of this panel is to offer a unique patient-provider perspective regarding effective postoperative pain management from the approach of an integrated care team. The panel will consist of four individuals from diverse medical and patient backgrounds. The panel will include Ms. Sangeeta Agarawal, an Oncology nurse and health educator for surgery preparation at UCSF, Dr. Patricia Bach, a RN/neuropsychologist and former president of Psychologists in Long-term Care, Dr. Jessie Kittle, a Stanford Internist who is investigating state-of-the art effects of hypnosis on post-op pain mitigation, and Ms. Alicia C. Staley, a Cancer survivor, patient advocate, and patient advocacy manager at Cure Forward.

Inspired by Ms. Staley’s first person patient experiences, the panel will introduce the life cycle of pain, as well as types of pain most frequently experienced postoperatively. Evidence-based research and approaches to perioperative pain mitigation from healthcare systems around the globe will be discussed, with concurrent strategies to facilitate care reimbursement. In addition, panelists will address options for various pain interventions available during the pre and postoperative period. Critical to the presentation will be the role of patient and family preparedness for surgery, as well as expectations and options for post-op recovery, including a focus on current exciting research with hypnosis for pain management. The panel will conclude with an interactive audience discussion focused on creative collaboration for postoperative pain management. 
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