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CHRONIC PAIN MANAGEMENT PROGRAM
Mission and Philosophy
Pain is a diverse, multi-factoral problem, and as varied
as the individuals who suffer. The Comprehensive Pain
Management Program (CPMP) is designed to meet the physical,
psycho social and vocational needs of persons served.
This program uses a trans-disciplinary team approach
to address the phenomenon of pain in many levels. The
ultimate goal is to increase function and to diminish
pain and its influence over day to day activities. The
treatment team is goal oriented, well coordinated, integrating
physical, social-behavioral and educational interventions.
Patients are treated in a consistent, behavior-orientated
therapeutic milieu, and are encouraged to assume maximal
responsibility for their own health care, goal setting,
and achievement. The CPMP emphasizes returning patients
to work or other productive life activities, and reducing
dependencies upon inappropriate medications and the
health care system. Patients and their family members
are considered part of the team, and are included as
an integral part of the program.
Scope
The scope and intensity of services varies according
to patient needs. Services commonly offered to all persons
served include screening assessment, appropriate intervention,
education, discharge planning and follow-up.
CPMP utilizes members of the medical staff, nursing
services, psychology services, physical and occupational
therapy, therapeutic recreation, vocational services,
case management and others in providing the best possible
comprehensive care to the patient. Services are provided
on an outpatient basis according to the patient needs.
Program Goals and Objectives
Overall Goals include:
Reduce Pain influence on general lifestyle
Decrease dependence on health care systems
Successful community reintegration
Enabling objective to meet these goals may include
(but are not limited to)
Increased physical capacity, endurance, and functional
status
Educating patient and family on effects of pain on interpersonal
relationships
Maximize medical improvement while formulating cost-effective
maintenance program
Maximize vocational potential
Increasing self-management skills
The Comprehensive Pain Management Program (CPMP)
at Innovative
Physical Therapy and Sports
Medicine Centers is organized as an
interdisciplinary manner to deliver a consistent, coherent,
structured schedule of treatment activities for persons
with pain. Emphasis is placed on education and teaching
self-care measures to prevent recurrence of the pain
syndrome. The goals and objectives for this program:
Provide means/techniques for pain management:
- Improve understanding of pain mechanisms and ways
to control pain
- Establish an appropriate therapeutic medication
profile
- Provide therapeutic intervention to reduce soft
tissue and structural restrictions
- Provide a tailored stretching, aerobic, and weight
strengthening exercise program
- Provide an appropriate relaxation training and stress
management, (e.g., biofeedback, self-hypnosis, etc.)
- Improve pacing of activities
Increase physical capacity and endurance:
- Increase number of UP hours per day (e.g., increase
time out of bed and off couch or recliner)
- Increase physical endurance for all activities (e.g.,
increase standing tolerance, sitting tolerance, distance
and time able to walk, and ability to lift and carry
loads)
- Improve awareness and performance of body mechanics
in Activities of
- Daily Living (ADL) and work-related tasks
- Improve nutritional understanding and dietary intake,
weight loss or gain as appropriate
- Provide an appropriate relaxation training and stress
management, (e.g., biofeedback, self-hypnosis, etc.)
- Improve pacing of activities.
Education and promote - more independent, appropriate
psycho social functioning as indicated:
- Improve understanding of life stresses and their
relation to pain and pain control (e.g., stress management)
- Improve self-image (e.g., assertive training)
- Decrease sick-role behaviors.
- Initiate reintegration of the patient into an appropriately
supportive family structure
- Improve social skills
- Reduce depression and anxiety
Promote more self-responsibility and decrease
dependence on health care systems for health and health
care:
- Decrease visits to physicians, physical therapists,
etc., for pain related problems
- Decrease hospitalizations and surgical operations
for pain related problems
- Reintegration with community via health club and
community programs as indicated
Maximize vocational potential and promote return
to substantial, gainful employment or other meaningful
productive life activities:
- Assess work history and job potential as appropriate
- Enhance constructive use of leisure and recreational
activities as appropriate
- Provide resources for volunteer activities, as appropriate
Provide cost-effective evaluations and treatments
to address the whole person with chronic pain syndrome:
- Provide a comprehensive medical evaluation of patients
with chronic pain to enable appropriate treatment
decisions to be made
- Provide psychological screening and therapy as indicated
- Provide a "therapeutic wellness milieu"
with consistent guidelines, in order to optimize treatment
goals
- Establish program assessment and treatment outcome
measures to correlate with goals and objectives
- Assess treatment costs and correlate with treatment
outcomes
- Establish a follow-up program for patients and their
families, to promote optimal patient follow through
and health care maintenance.
Various treatment options have been developed to address
the special needs of each population. They share a common
approach by teaching alternative modes of controlling
pain and providing an interdisciplinary rehabilitation
team that specializes in pain management.
- Outpatient Services that tailors
the program specifically to patient assessed needs
- Medication Trials
- Psychology Services
- Specialized Pain Procedures by
an Pain Anesthesiologist
- Orthopedic Services
- Therapy Services Individual and
Groups. Aquatics also available
- Nutritional Weight Management Services
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