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Title: A Service Evaluation Of The Intrathecal Baclofen Service
e-poster Number: INSIM120
Category: Pain
Author Name: Ashish Gulve
Institute: James Cook University Hospital
Co-Author Name: Samntha West, Prof Sam Eldabe, Dr Anu Kansal, Sarah Clark
Abstract :
Introduction: The James Cook University Hospital pain clinic has been providing care for patients with severe spasticity since 2006. The purpose of this service evaluation was to try and ascertain patient satisfaction levels, to review the self-reported reduction in spasticity as well as looking the Modified Ashworth Score as documented by the team.
Methods: The data was collected face to face during review appointments as well as by telephone. Questions were asked to the patients orally by nursing staff. The Modified Ashworth Score was used to review the patient’s level of spasticity. Data pertaining to the Modified Ashworth Score was gained on the day for patients who were seen face to face and from the last recorded Modified Ashworth Score for those who were contacted by telephone. Patients were examined by both nurses and doctors. Patients who were unable to communicate or did not have the cognitive ability to interact were not included.
Results: There are currently 66 patients undergoing Intracthecal Baclofen therapy at JCUH. 3 of these patients have a combination of baclofen and clonidine. We surveyed 62 patients for this audit. In terms of satisfaction with therapy, 47% of patients reported being very satisfied, 42% were satisfied, 5% were unsure and 5% were not satisfied. 72 % of patients self-reported 50–100% reduction in spasticity. 6% of the patients reported unwanted side effects.
Conclusion: In our review of the ITB service, majority patients had excellent relief from spasticity with high patient satisfaction rate.
