Dr Charlotte Hill
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Pain Medicine Physician (SPMP) and Anaesthetist, Dunedin, NZ
Charlotte is a Specialist Pain Medicine Physician (SPMP) and Anaesthetist based in Dunedin. She has previously held leadership positions in the Dunedin Acute and Persistent Pain Services. She is the Deputy Chair of the Faculty of Pain Medicine New Zealand National Committee and Honorary Clinical Senior Lecturer at the University of Otago.
She trained as part of interdisciplinary teams at the Wellington Regional Pain Service, Royal Prince Alfred Hospital Pain Services and, Concord Hospital Pain Services, Sydney, Australia. She has been involved in pain medicine teaching for medical students and nursing graduates and, published as part of the ICD-11 pain taxonomy international assessment. She has maintained a broad range of clinical practice including acute and chronic paediatric and adult pain management. She belongs to several societies and special interest groups including inpatient acute pain management, pelvic and abdominal pain, CRPS and, pain in intellectual and developmental disabilities. |
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Charlotte has presented at several conferences, most recently on the topics of paediatric pain management, cannabis use and acute pain and, interdisciplinary skills and team functioning. She is passionate about prevention of chronic pain and complications of pain treatments. She advocates for evidence-based pain management and, development of high-quality pain services throughout Aotearoa New Zealand, particularly for people marginalised in society and healthcare.
De-prescribing
Prescribers and others who work alongside people who have pain receive training in acute analgesic selection and prescribing. Surprisingly, there is little or no training about the ongoing management of these agents if pain persists.
Medicine aims to be evidence-based. People who have pain have a right to be adequately informed regarding long term use of analgesic agents and, alternative options for pain management. Prescribers have an obligation to manage drugs of dependence and, long term adverse effects.
De-prescribing is an important therapeutic and preventative treatment. It requires training, practice and is a skill and art that takes time to develop. It does not always require a strong therapeutic alliance but must always be individualised and respect the mana of the person. It is dynamic and requires regular re-assessment and alteration. The de-prescriber and the person who experiences pain must be supported by all other members of the interdisciplinary team including whanau to be successful.
This small group activity will provide basic practical advice on how to approach de-prescribing for three case studies. Whether you are a prescriber, person who experiences chronic pain or, a collaborative member of the interdisciplinary team, you are a crucial part of the de-prescribing process which is, sometimes, the most effective therapeutic intervention.
Medicine aims to be evidence-based. People who have pain have a right to be adequately informed regarding long term use of analgesic agents and, alternative options for pain management. Prescribers have an obligation to manage drugs of dependence and, long term adverse effects.
De-prescribing is an important therapeutic and preventative treatment. It requires training, practice and is a skill and art that takes time to develop. It does not always require a strong therapeutic alliance but must always be individualised and respect the mana of the person. It is dynamic and requires regular re-assessment and alteration. The de-prescriber and the person who experiences pain must be supported by all other members of the interdisciplinary team including whanau to be successful.
This small group activity will provide basic practical advice on how to approach de-prescribing for three case studies. Whether you are a prescriber, person who experiences chronic pain or, a collaborative member of the interdisciplinary team, you are a crucial part of the de-prescribing process which is, sometimes, the most effective therapeutic intervention.
