With my colleagues at PPSG, it is our aim to give you real time views of issues that relate to pain policy and their impact on patient care, especially palliative care. This will take a global perspective, including US issues particularly as to their potential impact on the rest of the world.
And it won’t just be the countries that we associate with poor opioid access. Australia is well known for its ready access to opioids and adherence to the Single Convention for Narcotic Drugs, with its statement that opioids are essential for the medical treatment of patients. However there are recent issues within the State of South Australia regarding restrictions in the management of pain control that question this status.
From the Sunday Mail (the weekend newspaper). http://www.adelaidenow.com.au/ipad/painkiller-controls-leave-many-in-agony/story-fn6bqvxz-1226008723808
From a South Australian Politician: http://www.geoffbrock.com.au/assets/Uploads/press/BROCK_PressRelease_ChronicPain_%20January2011.pdf
From the Drug and Alcohol Services of South Australia. http://www.dassa.sa.gov.au/webdata/resources/files/procedure_granting_pain_authorities_18aug2010.pdf
So there appears to be significant issues with what seems to be appropriate pain control. Where is the “balance” in this current administrative approach. Over time we will explore some of the issues that may relate to this. Appreciate your comments as to why this may be happening.