Pre-Surgical Psychological Screening
We are available for pre-surgical psychological screening evaluations for pain management interventional procedures, including: lumbar or cervical instrumented fusion, spinal cord stimulation (SCS) or intrathecal drug delivery systems (IDDS).
We use comprehensive interview and psychological testing procedures to assist in case conceptualization and treatment plan formation. We also provide informational sessions that involve both the patient and family in order to:
a) prepare/educate about a specific procedure,
b) clarify and reorient the patient to appropriate outcomes expectations,
c) set appropriate and manageable goals, and
d) increase motivation.
Education itself can serve to reduce anxiety about surgical procedures, the recovery process, risks, and alternatives. Sessions may involve distribution of written material about the procedure, presentation of videos depicting surgical methods, and discussion about the patient's particular concerns.
Pre-intervention counseling can also be beneficial to alter negative perceptions and treat specific psychological risk factors for chronic pain and disability that may present barriers to recovery following surgery or device implantation.
In addition, we have an active Implantable Device Trialing Program and Pump Refill Clinic.
Before permanent implantation of a spinal cord stimulator or intrathecal pump, we offer a program that includes:
· A baseline functional assessment period
· Extensive behavioral monitoring during temporary catheter or SCS lead placement
· Review of device function, coverage, side effects, and mental status changes
· Assistance with the decision for permanent implant
We follow patients in our pump refill clinic for routine refills, medication changes, and monitoring. We work closely with technical representatives if device reprogramming is necessary. We monitor for side effects and have on-call contacts at local hospitals for pump myelograms and other medical monitoring procedures. Our pump refill nurse, Ms. Anne Adkins, has over 15 years of experience in this field.