For Case Managers
Chronic pain has the potential to affect many aspects of a person’s life, such as their mood, self-esteem, relationships, employment, and much more.
“REGAIN” is an outpatient group treatment program designed to address many of these problems and to help individuals with chronic pain regain a sense of purpose and satisfaction out of life. The techniques used in the “REGAIN” program are consistent with the cognitive-behavioural approach, which has been demonstrated to be an effective, evidence-based approach to chronic pain management.
The outcomes following similar programs world wide, have included substantial reductions in medication, improved function in activities of daily living, improved mood and return to work in 63% within 6 months. At least 75% of patients would have improved enough to start rehabilitation and not require “unfit for work” certificates.
The Psychology component of the treatment program is based on cognitive behavioral strategies and includes education about the nature of chronic pain and the cognitive processes of pain behavior including learning how to challenge the unhelpful beliefs that typically develop with a chronic pain condition. The psychologist will aim to overcome psychosocial barriers that are associated with sufferers of persistent pain conditions.
Topics covered include (but are not limited to):
- Education about chronic pain.
- Managing stress, depression, emotions and anger management.
- Reducing fear and avoidance behaviours.
- Relaxation training.
- Goal setting and pacing techniques.
- Cognitive restructuring.
- Distraction techniques.
- Coping skills.
- Problem solving.
- Implementing positive self talk.
- Strategies to improve sleep hygiene.
- Improvement of communication skills.
- Generalization and maintenance of changes.
- Planning for the future.
- Relapse prevention.
The “active” Physiotherapy component consists of an individualized reactivation program which is designed to maximize the client’s functional abilities to minimize further physical de – conditioning.
The reactivation program is based on the Physiology of Pain and aims to restore movement and function to the affected body parts to help increase participant’s activity levels and functional tolerances including; objective measures of sitting, standing, walking and lifting.
Patients will also be prescribed with a home based exercise program specifically relating to their chronic pain condition to help them attain their physical and functional goals.
The reactivation program includes:
- Physical goal – setting (related to RTW or ADLs).
- Posture and body mechanics.
- Basic human anatomy.
- Warm – ups.
- Activity pacing.
- Resistance exercises.
- Functional exercises.
- Core stability.
- Cardiovascular exercises.
- Manual handling training.
- Posture and Gait correction analysis.
- Self management of flare – ups.
Pain Medicine Specialist
The Pain Medicine Specialist component consists of a series of specialised medical education sessions on chronic pain.
There is a strong emphasis on medication reduction with in the treatment program.
Medication reviews are also undertaken through out the treatment program and are aimed at reducing the client’s medication (where appropriate).
Guidance is given so that clients can take an active role in managing their own pain.
A Multidisciplinary Report for each patient is provided following the post treatment review.