
The FCP Podcast
Information and learning podcast for first contact practitioners in primary care. During the podcast episodes Emma and Richard will be discussing first contact cases commonly seen in General Practice with experienced clinicians with a background in a certain clinical area. The cases will review the approach to history taking, red flags and the appropriate investigations. The cases will be based around the FCP - Paramedics roadmap core clinical competencies, to unsure appropriate knowledge .
These podcast's should serve as a supplement to your learning as a first contact practitioner. You will require further learning, support and self directed study to develop into a qualified FCP.
These podcasts are for health care professionals only and should not be used for medical advice by members of the public. The content is based on the interviewees opinion and interpretation of best clinical practice at the time of the recording. These podcasts should support your learning and should not replace your clinical judgement or local guidelines.
Special thanks to Scott Edwards for audio and Martin Berrisford for editing.
The FCP Podcast
Pain Assessment episode 2 with Dr Graham Dunthorn 'Patient need approach'
We welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management. During the podcast we define chronic pain, symptoms and types of pain. We discuss assessment of a patient with fibromyalgia including history taking, diagnosis , investigations , red flags and referral.
As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.
NICE Guidelines Chronic Pain
https://www.nice.org.uk/guidance/ng193
Royal College of Physicians
https://www.rcp.ac.uk/improving-care/resources/the-diagnosis-of-fibromyalgia-syndrome/
Diagnosis of Fibromyalgia
To make a diagnosis using the ACR 2016 criteria the following need to be present
1 - Widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5 OR WPI 4–6 and SSS score ≥9.
2 - Generalised pain, defined as pain in at least 4 of the 5 body regions, is present 3 - Symptoms have been present at a similar level for at least 3 months.
Symptoms Severity Score (SSS) and Widespread Pain Index (WPI) calculator
https://rheumcalc.com/fibromyalgia/
Live Well With Pain
https://livewellwithpain.co.uk/
Flippin Pain
https://www.flippinpain.co.uk/
Pain Toolkit
https://www.paintoolkit.org/
Rethink Pain
https://rethinkingpain.org/
Fibromyalgia UK
https://www.fmauk.org/