Improving care for patients with SCD: pain management, ongoing projects & unmet needs
Dec 5, 2024
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Discover innovative strategies for pain management in patients with sickle cell disease and the transformative Universal Care Plan initiative. Learn about the Sickle Eye Project, which aims to tackle visual impairments linked to the condition. Uncover the critical healthcare gaps in sub-Saharan Africa, such as the need for newborn screening. The podcast also emphasizes the psychosocial needs of patients, advocating for integrated mental health services to support their emotional well-being.
Effective pain management for sickle cell disease requires individualized plans that integrate pharmacological methods with complementary therapies for holistic care.
The Universal Care Plan project aims to enhance personalized care accessibility for sickle cell patients, promoting shared decision-making and timely medical information.
Deep dives
Individualized Pain Management Strategies
Effective pain management in sickle cell disease requires individualized pain action plans that integrate both pharmacological and non-pharmacological methods. Specialists emphasize that a comprehensive approach should include medications such as non-steroidals, opioids, and special opioids like buprenorphine, which offers a stable long-duration relief while reducing the risk of dependency. Additionally, resilience skills and complementary therapies, such as heat application and hydration, should form an integral part of these pain management plans. This holistic care model recognizes that each patient's experience of pain is unique and that strategies must accommodate their specific needs and circumstances.
Universal Care Plan Project
The Universal Care Plan project aims to create a digital platform that allows for personalized and universally accessible care plans for sickle cell patients. This initiative facilitates shared decision-making between patients and healthcare providers, ensuring that critical information is available across various healthcare settings, especially during emergencies. For instance, patients can access their care plans through the NHS app, promoting better response strategies during acute pain episodes. The ultimate goal of expanding this project beyond London will allow sickle cell patients nationwide to benefit from consistent care and timely access to relevant medical information.
Addressing Unmet Psychosocial Needs
There is a significant unmet psychosocial need for individuals with sickle cell disease and their families, particularly regarding mental health support. The stress and trauma stemming from chronic pain, hospitalizations, and loss of loved ones highlight the necessity for professional resources to address these concerns within comprehensive care teams. Integrating social workers and mental health specialists can help individuals and families cope more effectively by providing therapeutic support and addressing concrete needs like housing, finances, and education. By embedding these resources into sickle cell care, the healthcare system can better support patients' overall well-being and mental health.
This week’s podcast focuses on strategies to improve care for patients with sickle cell disease (SCD), featuring expert insights from the 19th Annual Scientific Conference on Sickle Cell and Thalassemia (ASCAT 2024), which was held in London, UK. You will hear from Natasha Archer, MD, MPH, Harvard Medical School, Boston, MA, Subarna Chakravorty, MBBS, MRCPCH, FRCPath, PhD, King’s College Hospital NHS Trust, London, UK, Christiana Dinah, BSc, MBBS, MRes, London North West Healthcare NHS Trust, Harrow, UK, Leon Tshilolo, MD, PhD, Centre Hospitalier Monkole, Kinshasa, DR Congo, and Marsha Treadwell, PhD, University Of California San Francisco, San Francisco, CA. They speak about pain management in SCD, ongoing projects including the Universal Care Plan Project and the Sickle Eye Project, and unmet needs in Sub-Saharan Africa and from a psychosocial perspective.