Pain Management

• Case Study:

  • chronic pain
  • 6/10 severity
  • 10/10 shooting pain - somatic referred pain?
  • degenerative
  • fear avoidance - stopping running as she fears it'll increase her pain
  • reduced belief in clinicians as it lasted for a while and tone of clinicians terms seem dooming e.g. damaged disc and arthritic joints - reducing effect of therapeutic alliance
  • tramadol has side effects such as hallucinations and can lead to addiction and dependence
  • worries she cant manage having children

  
• Introducing Pain Management:

  • what are pts concerns
  • what do we want to communicate to the pts
  • What might effect how much/the type of information you give
  • How can we strengthen the therapeutic relationship within this interaction
• Introducing Pain Management:

  • Shifting focus from pain reduction to living
  • Pain is complex
  • Chronic pain is not a sign of harm/danger
  • Consequences of reducing functioning can be significant – physically and for living
  • Making changes in living is possible