Referrals to a Regional Rehabilitation Clinic in South Western New South Wales, Australia
Sacred Heart Rehabilitation Service, St Vincent’s Hospital, Sydney, Australia
- *Corresponding Author:
- Yuriko Watanabe
Sacred Heart Rehabilitation Service
St Vincent’s Hospital, 170 Darlinghurst Road
Darlinghurst, NSW 2010, Australia
Tel: +61 2 8382 9516
Fax: +61 2 8382 9431
E-mail: [email protected]
Received Date: October 18, 2013; Accepted Date: October 28, 2013; Published Date: November 30, 2013
Citation: Watanabe Y (2013) Referrals to a Regional Rehabilitation Clinic in South Western New South Wales, Australia. Int J Phys Med Rehabil 1:167. doi: 10.4172/2329-9096.1000167
Copyright: © 2013 Watanabe Y. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
An outreach fly-in fly-out rehabilitation medicine service has been established at a regional centre in south western, New South Wales, Australia to support local practitioners. This service includes an outpatient clinic, and an inpatients case conference and consultations. This study examined new referrals to the regional rehabilitation clinic over a 12 month period. There were 94 new patients with the median age of 57.5 years. The main reason for referral was noncancer pain assessment and management (60 patients, 63.8%); followed by post hospital discharge follow up (26 patients, 27.7%). The majority of patients with pain were already on opioid therapy at the time of initial consultation. 18 patients were found to be on a high dose of opioids (>100 mg/day of oral morphine or equivalent) with no recent pain specialist input. Risks of opioid related problems were assessed and identified in those patients with a high dose of opioid therapy. Reasons and barriers influencing opioid therapy for non-cancer chronic pain in the regional area are discussed. Further study is required to establish specialist rehabilitation medicine needs from local general practitioners perspective in regional areas.