Managing Chronic Pain Through a Self-Management and Skill Training Program Cape Breton Regional Pain Services

1. Dr. Brenda Durdle, Reg. Psychologist Belinda Beaton, Physiotherapist Managing Chronic Pain Through a Self-Management and Skill Training Program@Cape Breton Regional Pain Services

2. Brief History About 20% of population suffer chronic pain Until 2008, Pain Clinic at CB Regional: 2 Anesthesiologists / Pain Specialty 2 nurses In 2008-2009: Multidisciplinary Team: 09/08 Psychologist 02/09 Physiotherapist 05/09 Coordinator 10/09 Kinesiologist

3. Pain Self-Management Program Self-Management�a growing trend in health care First PSM group�April 2009 Subsequent groups�August, 2009; January 2010; & May 2010 Groups�9 patients, referred by pain specialists in the clinic 9 weeks�2 hours education and 2 sessions in physiotherapy group per week

4. EXPANSION September 2010�obtained space N = 40 Pain Clinic patients (referrals as before) Pain patients from another clinic Pain Clinic wait list patients Groups to date: September, 2010 and January & April, 2011 3 per year and possibly adding evening

5. Additional speakers�Dietician, Occupational Therapist, Pharmacist, Lay Person-WCB Expertise Post Group Support: Canadian Pain Association monthly-2 communities

6. Pain Self-Management Group PSM program is designed to help people: gain confidence in their ability to control their pain gain an understanding of how their pain affects their lives build confidence to deal with the medical management, role management, and emotional management of their conditions become their own therapist (101) Sessions are interactive, and focus on building skills, sharing experiences and support What is self-management of chronic illness? . In self-management, you and your doctor are partners in care. Your doctor can provide valuable advice and information to help you deal with your illness. However, the treatment plan that works best for one person with your condition won�t necessarily work best for you. Talk to your doctor about the different treatment options available and help him or her create a plan that�s right for you. After all, nobody knows more than you do about your feelings, your actions and how your health problems affect you. In self-management, you and your doctor are partners in care. Your doctor can provide valuable advice and information to help you deal with your illness. However, the treatment plan that works best for one person with your condition won�t necessarily work best for you. Talk to your doctor about the different treatment options available and help him or her create a plan that�s right for you. After all, nobody knows more than you do about your feelings, your actions and how your health problems affect you.As part of self-management, it�s also your responsibility to ask for the help you need to deal with your illness. This support can come from friends and family members, as well as from your doctor or a support group for people with your health problem. What is self-management of chronic illness? .

7. Cognitive Behavioral Therapy (CBT) Role of Psychologist: Individual & PSM Group CBT�collaborative approach suited to Self Management Involves assisting patients to understand how negative thinking impacts mood & thereby affects behaviour Assist to develop balanced thinking and to dispute or change negative thoughts May include behavioural techniques such as: Breathing, Progressive Muscle Relaxation Training, Guided Imagery, Visualization Mindfulness Meditation (formal & informal) CBT-101 Coping / Communication Skills: Assertiveness, Anger Management