The SADoCC is an interdisciplinary clinical service whose primary mission is to provide personalized pain relief and management for patients at the Montreal Heart Institute (MHI) who present with chronic pain related to a cardiac condition. The SADoCC is an interdisciplinary team made up of a nurse clinician, anesthesiologist, physical therapist, psychiatrist and psychologist.
Staff in this service strive to relieve patients' chronic post-operative or post-procedural pain and to treat pain due to refractory angina through individual assessments of each patient, adequate pharmacological treatment, physical therapy (if needed), along with support from a psychologist or psychiatrist. A therapeutic education program is offered to all patients not only to decrease pain but also to limit the impact of pain on daily activities, help patients deal with changes in life roles, and prevent decreased physical fitness, withdrawal from social activities, anxiety and depression. The mission of the SADoCC is to sufficiently control patients' chronic pain so that they can resume as many of their normal life activities as possible.