Innovative Approach to Treating Pain Disorders with Collaborative Care
Explore a collaborative approach to treating pain disorders, emphasizing the role of healthcare providers in understanding and addressing clients' needs. Discover strategies for interacting with clients, treatment plans, outcome measurement, and the importance of communication among providers.
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Presentation Transcript
Treatment of Clients Experiencing Pain Disorders A Collaborative Approach to Care June 2, 2018 * Tex-CHIP Training Series
The Treatment of Pain Disorder Symptoms Through Counseling
Understanding Provider Role in Treating Pain Disorders Evaluator/Consultant Data collector Educator Facilitator Motivator Reinforcer Outcomes Analyst
Considerations when Interacting with Clients Patient is often frustrated/suspicious of healthcare providers. -Angry/Unmotivated due to lack of answers, They treat me like I am crazy! I have tried everything! -Remember- They are hurting, often feel misunderstood. Critical to balance empathy and understanding with being directive and authoritative. Co-occurring disorders prevalent with Chronic Pain Patients Patients with chronic pain may be highly focused on medication options. -Emphasize benefits of self managed care techniques. Focus on what patient CAN control. Redirect, redirect, redirect!!!! Stick with it!!!!
Our Treatment Plan Healthcare Domain: Behavioral Health Provider: LPC Goals: Interventions: Objective: Provide alleviation of presenting chronic pain symptoms as indicated by client report of: (a) Unbearable back pain d/t a fall (b) Depressive Symptoms (c) Social/Familial Discord (d) Sleep Difficulties a.) Reduce the impact pain has on daily life. a) CBT-CP b) Cognitive Coping Techniques b) Maximize daily function and improve quality of life. c) Relaxation Training c) Decrease negative thinking and painful emotions (e.g., anger, anxiety, & depression) d.) Sleep Hygiene Education d.) Learn skills for coping better with pain.
Measuring Outcomes/ Success Demographics Interview/Self Report Pain Numeric Rating Scale (Pain NRS) Subjective Units of Distress Scale (SUDS) Pain Catastrophizing Scale (PCS) West-Haven Yale Multidimensional Pain Inventory - Interference (WHYMPI/MPI-INT) Beck Depression Inventory - Second Edition (BDI-II) Patient Health Questionnaire (PHQ-9) World Health Organization Quality of Life Brief (WHOQOL- BREF) Working Alliance Inventory Short Revised (WAI-SR)
Communication Needed From Other Providers Referral from PCP PCP Exercise Clearance Collaboration of Treatment Planning Nutrition Education Social Work/ Case Management exploring resources Pharmacist and Psychiatrist
