Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This course uses evidence-based science with creative and experiential learning to better understand chronic pain conditions and how they can be prevented through self-management in our cognitive, behavioral, physical, emotional, spiritual, social, and environmental realms. The goal of this course is to blend creative, experiential, and evidence-based teaching strategies to help participants understand chronic pain conditions and how a human systems approach can be applied to self-management strategies to reduce risk factors, enhance protective factors, and prevent chronic pain. There are four major objectives to the course; 1. Describe the prevalence, personal impact, and health care dilemma associated with chronic pain. 2. Recognize the clinical characteristics and underlying etiology of several common pain conditions and the peripheral, central, and genetic mechanisms of chronic pain 3. Based on the literature associated with risk and protective factors in the seven realms of our lives, learn specific strategies in each realm that can be employed daily to prevent chronic pain and enhance wellness. 4. Appreciate the value of a human systems approach to health care and how it can provide a basis for integrative, interdisciplinary, and individualized care to preventing pain and enhancing wellness. CONTINUING EDUCATION CREDIT OPTION Accreditation Statement: University of Minnesota, Interprofessional Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. American Medical Association (AMA) The University of Minnesota, Interprofessional Continuing Education designates this enduring material for a maximum of 24.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Nurses Credentialing Center (ANCC) This activity is awarded up to 24.0 ANCC contact hours. Other Health Care Professionals Other health care professionals who participate in this CE activity may submit this certificate statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education. Registration and disclosure information is available here at http://z.umn.edu/chronicpain and pay the additional fee. Then, email your Coursera certificate statement of completion to cme@umn.edu.
Patient Interview 1: Angie
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来自 University of Minnesota 的课程
Preventing Chronic Pain: A Human Systems Approach
87 个评分
从本节课中
The Problem of Chronic Pain (Week 2)
与讲师见面
Dr. James Fricton, DDS, MSProfessor and Pain Specialist
University of Minnesota, HealthPartners Institute, and Minnesota Head and Neck Pain Clinic
Well, I'd like to welcome Angie here.
She has been a patent within our clinic for the past couple years.
And she can tell a little bit about her story.
So thank you for being here today Angie and telling us.
Tell us about your pain.
>> Well, I have a lot of pain everywhere.
Typically in my jaw.
In my temples and in my neck and shoulders.
I do have a previous injury in my back as well that tends to
flare up every now and then, but kind of a lot of, lot of places.
>> Yeah, and how often does it occur?
>> daily.
>> And when it's, it's there all the time, or is it just-
>> It's-
>> There for hours?
>> The jaw pain is the most prevalent of the pain.
But that one sometimes I can get under control.
But sometimes it's there days upon days, and.
>> And how intense is it on a, on a average?
>> If I could rate it on a scale of one to ten, I'd probably put it at about a five.
>> And does it fluctuate too?
>> It does, some days are better than others,
but at its worst, it's, it's, been at a ten-.
>> Yeah.
>> Before, so.
>> And how, what are the things that make it worse?
>> Any sort of movement, really.
I mean, talking, eating, yawning any sort of movement
>> Mm-hm.
>> Really.
>> So you have other pains also.
Tell us about your headaches and your neck and shoulder pain.
The headaches I believe, come from my
muscles, which I've been told, that's, that's-.
>> Mm-hm >> Typically where they come from.
And so, if I've been doing something, you know, like
sitting at my desk with poor posture, anything like that.
That'll bring on a pretty bad migraine.
My migraines typically happen on the left side of my head.
And I get it in my temple area, and typically it
will radiate from my jaw, and the base of my neck.
>> Mm-hm.
>> So.
>> So, how does it impact your life?
the, what changes?
>> Well, I do have a family at home.
Just extra curricular activities aren't really there, or
either that or I'm not involved in them.
A lot of times it's kind of just a feeling of defeat.
Just kind of you're not able to really do anything
that you enjoy because you're in pain all the time.
And you don't want to be around other people and
cause them, you know, have them feel your pain,.
>> Yeah.
>> You know, because you're complaining about the pain, but.
>> What about emotionally?
How does it impact?
>> emotionally, I do have a little bit of depression.
And I, I do have a bit of anxiety.
I do see a therapist about it which helps tremendously.
because that can kind of help with stress management and
things like that, but, emotionally, it's, it's taken its toll.
>> Well, tell us how the pain impacts your lifestyle, such
as your sleep patterns or your daily activities and your work.
>> I do have trouble falling to sleep, if I, especially if I'm already in pain.
typically, when I lay down to go to bed, it's,
hard to find a comfortable position, for my neck and shoulders.
And, then if my jaw is hurting, throbbing
or whatever, it's, it's really hard to fall asleep.
But it does affect, so it affects my sleep.
And work life just really, you know, I sit down in front of my computer
and if I'm already in pain, it's like I don't want to do anything today.
But I have to, so I have to just
kind of fight through it and it's just pretty difficult.
>> Mm-hm.
So what do you do for self management of the pain?
>> Well, I've purchased a couple of items off of
Amazon that were recommended to me by the physical therapist.
And those tend to help tremendously.
I do a lot of stretching.
I've learned how to stretch my jaw in a way
that it's not over-stretching it to, to make it hurt worse.
because I was, I was doing everything wrong.
Even though I thought I was doing it right-
>> Yeah.
>> I did my own research.
But then I came here and found out that hey, you probably shouldn't be doing that.
But mediation and I do a lot of reading, trying relaxing.
And one thing, if I could give one answer for this is really just kind of
taking myself out of that place and time and saying, how am I feeling right now.
>> Mm-hm.
>> Just doing a self-check and going, hey, am I clenching?
Am I tensing up?
Am I using the right posture?
What am I doing?
And then typically I find that I am in fact [LAUGH] out of line.
So, I'll, I'll fix it and then just really kind of
try and pay attention to it the rest of the day.
>> How about exercises?
Do you do, exercise every day?
>> Exercise everyday.
I do do a lot of cardio.
I am unable to do like weightlifting and things like that at this
point, just because my muscles are so, injured, I guess I would say.
I mean they're really extremely tight and they don't want to work, and.
>> Mm-hm.
>> Lifting weights aggravates it quite a bit, and so I
don't typically do the weights yet, but I hope to get there.
>> Yeah, so how does the pain affect you at work?
Do you make any ergonomic changes to help reduce it?
>> Ergonomics, I, my place of work, I'm fortunate enough that they have
somebody there that will come to your desk and set you up ergonomically correct.
>> Mm-hm.
>> And I did do that, and that has actually helped tremendously.
They set up my keyboard to make sure that my wrists were, were in the right area.
My seat was the correct height at my desk.
And I also actually have the oppor, or, ability to raise my desk.
>> Mm-hm.
>> So that I can stand while I'm working, and so I do that kind of stuff too.
>> Yeah, very good.
>> So.
>> Well and how about the approach that you found at our
clinic here in terms of, working with you as a, as a team?
>> I cannot say enough good things about what I found at this clinic.
And that's, that's not a joke.
I'm a, I have struggled with pain for 15 years.
>> Mm-hm.
>> 15 years.
And I have always been told, by every
provider, I can't help you with this, go here.
Oh, well you have this problem?
Well, you need to go here.
And so finally, I just did a Google search and
I said, I need help with, you know, my jaw.
And this clan, this clinic popped up and it said Minnesota Head, Neck and Pain.
And I went, well, I have all of the above.
So I made an appointment and found out that every
person, you know, between, you know, your mind, with like psychology.
Your body with physical therapy, your head with the neurologist and
you, with, you know, jaw issues, you're all under one roof.
Everybody talks to each other.
>> Mm-hm.
>> Everybody knows what's going on with you.
And it's just, it's been a tremendous help, and a great, great experience.
And it's just, it's changed my life.
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