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AA's Tips Regarding A Pain Management Program

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JCole View Drop Down
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Joined: 03 Oct 2007
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    Posted: 05 Sep 2009 at 7:54pm
Pain Management Program (PMP)


Chronic pain results in chronic disability and loss of earning power. PMPs are a group of multidisciplinary interventions that aim to reduce the distress and disability associated with chronic pain and help to develop a self management strategy to improve function and quality of life. It is a holistic approach and pain relief is only a part of the big picture.


1. Improve patients’ understanding of their pain

2. To change behaviors that may be increasing or maintaining the distress and difficulties

3. Reduce pain related distress

4. Improve physical functioning and disability

5. Return to valued activities

6. Review and reduce medication

7. Develop ways to manage exacerbation

The Team:

Usually includes the patient, pain physician (anesthesiologist), clinical psychologist, physiotherapist and sometimes a pain nurse, CRNA or Anesthesiologist Assistant.


Cognitive Behavioral Interventions

• Cornerstone of PMP • Initial goal is to identify and evaluate the behavioral patterns and beliefs that contribute to the patients difficulties. Once identified, patients are encouraged to re evaluate their thoughts and beliefs. This may involve engaging in feared activities, reflecting on outcomes and developing new helpful behavioral patterns and beliefs.


• Involves improving the patients’ knowledge of their own pain which includes the complex etiology, limitations in understanding chronic pain and the basis of various treatment modalities

Physical reconditioning

• For many patients with chronic pain, lifestyle includes episodes of under activity due to fear of pain exacerbation interspersed with bouts of over activity during periods of relatively less pain. In a PMP, patients are encouraged to engage in a graded exercise program realizing the benefits of moderate activity and the detrimental effects of under or over activity

Self management plan

• Patients are encouraged to develop self management plan during exacerbations so that the disability is minimized and functionality improved.

------------------------------------------------------------------------------------------------------------------- = Doctorate Of Nurse Anesthesia Practice


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