Labor del médico rehabilitador dentro de una Unidad Multidisciplinar del Dolor

Abstract

Introduction In a Chronic Pain Unit works a multidisciplinary equipment of specialist. In 1947, Bonica made the first multicisciplinary clinic of being based on the success of a collaboration with an orthopedics, a neurosurgerist and a psychiatrist. The objective of this work is to describe the work of the Rehabilitation doctor in the Unit of the Pain Hospital 12 de Octubre. Material and method A description of the organizational chart of work of the rehabilitator doctor in a Unit of the Pain, and the process of evaluation and treatment has taken place that habitually carries out. Also a descriptive analysis of the patients has been made who have been taken care of during 10 months (November 2004-Agost 2005). Results A day per week consists of a collaboration in which the patients after being seen by the stationary equipment of the Unit, receive a valuation an treatment from the rehabilitator point of view. 74 patients with an average age of 59,9 years valued themselves. The main reason for consultation was the one of lumbar pain. Of the valued patients they made rehabilitation 69 % and ortoprotésicas measures in 46 % of the cases were recommended. The degree of satisfaction after the visit with the rehabilitator doctor of the unit was good in 54 % of the patients. Conclusions The experience of the differents specialist and the multidisciplinary viewpoint of the pain, help to improve the attention and treatment of our patients. We have shown how consultant rehabilitation doctor can be useful in a Pain Unit and improves the health care and the range of therapeutic options provided to patients with chronic pain.