Preventing Chronic Pain: A Human Systems Approach

1 Assignment

• Module Quiz: Personal Impact of Chronic Pain

1 Discussions

• Discussion: Personal Impact

9 Videos

• 1 Assessment of Pain using a Transformative Care Model
• 2 Characteristics of a Pain Evaluation
• 3 Patient Interviews
• 4 Assess Your Seven Realms
• Patient Interview 1: Angie
• Patient Interview 2: Bernie
• Patient Interview 3: Lorrie
• Patient Interview 4 : Chantelle
• Patient Interview 5: Lydia

2 Readings

• Weekly Overview
• Outline:The Personal Impact of Chronic Pain

1 Assignment

• Module Quiz: The Balance Between Health and Illness

1 Discussions

• Discussion: Human Systems, cybernetics, and chaos theory

5 Videos

• 1 The Biomedical Model versus a Human Systems Approach
• 2 Holistic complexity: "The whole is greater than the sum of its parts"
• 3 Chaos Theory: Small changes, big impact
• 4 How do you want to be?
• Cybernetics: the cycles of our lives

1 Readings

• Outline: The Balance between Health and Illness

1 Assignment

• Module Quiz: Myofascial Pain

1 Discussions

• Discussion: Trigger Points

6 Videos

• 1 Myofascial Pain: Clinical characteristics
• 2 Myofascial Pain: Causes
• 3 Myofascial Pain: Perpetuating factors
• 4 Myofascial Pain: Trigger point examination
• 5 Myofascial Pain: Management strategies
• Clinic Trigger Points Demo

3 Readings

• Weekly Overview
• Outline: Myofascial Pain
• Update on myofascial pain and fibromyalgia

1 Assignment

• Module Quiz: TMD and Orofacial Pain

1 Discussions

• Discussion: Temporomandibular and Orofacial Pain

6 Videos

• 1 The Impact
• 2 Common Orofacial Disorders
• 3 Temporomandibular Disorder
• 4 Risk and Protective Factors
• 5 Treatment of TMD
• 6 Prevention of TMD

1 Readings

• Handout: TMD and Orofacial Pain

1 Assignment

• Module Quiz: Headache

1 Discussions

• Discussion Question: Headache

8 Videos

• 1 What You Can Do to Prevent Headaches: An introduction
• 2 Understanding Your Headache
• 3 Headache Diagnosis
• 4 Headache Triggers and Contributing Factors
• 5 What About Muscle Dysfunction?
• 6 Transformation of Episodic to Chronic Heachache
• 7 Managing Headaches: An individualized treatment plan
• 8 Treatment Planning: Simple to complex

2 Readings

• Weekly Overview
• Handouts for Headache

1 Assignment

• Module Quiz: Fibromyalgia

1 Discussions

• Discussion: Fibromyalgia

6 Videos

• 1 Presentation
• 2 Diagnosis
• 3 Severity
• 4 Misconceptions
• 5 Medication Management (1:02:57)
• 6 Lifestyle Management

1 Readings

• Handout: New Developments in the Management of Fibromyalgia Syndrome

1 Assignment

• Module Quiz: Arthritis

1 Discussions

• Discussion: Barriers to recovery

4 Videos

• 1 Arthritis: Understanding and expectations
• 2 Arthritis: Risk and protective factors
• 3 Strategies to Manage Arthritis Pain
• 4 Screening for Functional Mobility

2 Readings

• Weekly Overview
• Handout on Arthritis

1 Assignment

• Module Quiz: Chronic Pain Mechanisms

1 Discussions

• Discussion: Chronic pain mechanisms

5 Videos

• 1 Chronic Pain Scope and Nature of the Problem
• 2 Peripheral and Central Neural Mechanisms of Pain
• 3 Molecular Pathways of Persistent Pain
• 4 The Overlapping Features of Chronic Pain Conditions
• 5 Personalized Care for Chronic Pain

1 Assignment

• Module Quiz: Body

1 Discussions

• Discussion: Exercise, posture, and reducing strain

8 Videos

• 1 Musculoskeletal Pain Mechanisms
• 2 Repetitive Strain
• 3 Postural Strain
• 4 Exercise
• 5 Preventing Injury
• Clinic Demo: Exercises
• Clinic Demo: Stretching
• Last Scroll: The Blessing of Health

2 Readings

• Weekly Overview
• Handouts on the Body

1 Assignment

• Module Quiz: The Mind: The Cognitive Dimension

1 Discussions

• Self-efficacy

4 Videos

• 1 The Cognitive Dimension of The Pain Experience: Understanding and expectation
• 2 Self-efficacy and Self-management
• 3 Resilience and Adaptation to Change
• 4 Embracing Change: Improving resilience

1 Readings

• Outline for The Mind

1 Assignment

• Module Quiz: Society

1 Discussions

• Discussion: Social support and pain

6 Videos

• 1 The Cycles of the Social Lives We Live
• 2 Neuroplasticity: Mechanisms for Social Risk
• 3 Abuse, Conflict, and Social Stressors: Inner Conflict and Pain
• 4 Post-Traumatic Stress (PTSD) and Chronic Pain
• 5 Occupational Stress, Secondary Gain, Disability and Chronic Pain
• 6 Social Support and Positive Relationships: Protective Factors

2 Readings

• Weekly Overview
• Handouts for Society and Pain

1 Assignment

• Module Quiz: Emotional Challenges

1 Discussions

• Positive Psychology: Applied

4 Videos

• 1 Negative Emotions are Risk Factors for Chronic Pain
• 2 Protective Factors: Managing negative emotions and harnessing positive psychology for healing
• 3 Self-management of Chronic and Daily Emotional Challenges for Physical Relief
• 4 Experiential Exercises for Self Regulation

1 Readings

• Handouts for Emotions and Pain

1 Assignment

• Module Quiz: The Lifestyle Realm

1 Discussions

• Discussion: Lifestyle Improvements

7 Videos

• 1 The Lifestyle Treadmill
• 2 Sleep and Chronic Pain
• 3 Diet and Chronic Pain
• 4 Obesity, Eating Disorders, and Chronic Pain
• 5 Chemicals: Medication, Smoking, Alcohol and Recreational Drug Use
• 6 Daily routines (Activity Level, Balance, Pacing, Timing, and Variation)
• Video Exercise: Guided Relaxation

2 Readings

• Weekly Overview
• Handout: Lifestyles and Pain

1 Assignment

• Module Quiz: The Environment

1 Discussions

• Discussion: Environmental Circumstances

7 Videos

• 1 Environmental Risks and their Impact on Chronic Pain
• 2 Motor Vehicle Accidents and Chronic Pain
• 3 Personal Accidents and Chronic Pain
• 4 Medical and Dental Treatment Risks and Chronic Pain
• 5 Infection Risk: Staying Clean, Infection Free, and Healthy
• 6 Pollution: Air, Noise, Vibration, and Weather
• 7 Protect Yourself: Environmental Changes to Prevent Chronic Pain

1 Readings

• Handout: Environment and Pain

1 Assignment

• Module Quiz: Spirit: Gaining insight, hope, and purpose

1 Discussions

• Discussion: Effects of Stress

5 Videos

• 1 Restoring Wellbeing: The Roles of Hope and Purpose in Recovering from Chronic Pain
• 2 The Perils of Perception: The Effects of Stress on Mind, Body, and Emotions
• 3 Coming Back to Yourself: The Efficacy of Compassion and Mindfulness
• 4 Exercises: Breathing, Relaxation, and Mindfulness Meditation
• Last Scroll: The Blessing of Love v2 Last

2 Readings

• Weekly Overview
• Handout: Spirit and Pain

1 Assignment

• Module Quiz: The Patient's Story

1 Discussions

• Understanding the patient's story

8 Videos

• 1 Outcome Present State Test (OPT) Model
• 2 Knowledge Representation and Framing
• 3 Clinical Reasoning Web
• 4 Listening and Understanding People's Stories
• 5 Creating and Activating Clinical Reasoning Dynamics
• 6 The Complementary Nature of Problems and Outcomes
• 7 The Four Cs of Clinical Judgment
• Last Scroll: The Leaning Tower and Fear v2

1 Readings

• Handout: The Patient's Story

1 Assignment

• Module Quiz: Transformative Health Care

1 Discussions

• Discussion: Transformative Care

10 Videos

• 1 Addressing Issues the with our Current Health Care System
• 2 Implementing Transformative Care: The Case of Mona Lisa
• 3 What Interventions Work for Chronic Pain?
• 4 What about Opioids to Prevent Chronic Pain?
• 5 What about Surgery to Prevent Chronic Pain?
• 6 Developing a Transformative Treatment Plan
• Integrated Health Coaching
• 7 Take-home Messages about Chronic Pain
• Transformative Care: Patient Interview 1: Janet
• Transformative Care: Patient Interview 2: Brianna

2 Readings

• Weekly Overview
• Handout: Implementing Transformative Care

6 Videos

• 1 Provider Interview: Dr. Karen Lawson
• 2 Provider Interview: Dr. Miles Belgrade
• 3 Provider Interview: Dr. Stefan Friedrichsdorf
• 4 Provider Interview: Dr. Mary Jo Kreitzer
• 5 Provider Interview: Dr. Matt Monsein
• 6 Provider Interview: Dr. Bill Manahan

1 Discussions

• Discussion: Changing Health Care

4 Videos

• 1 Why improve our health care system?
• 2 Barriers to improving health care
• 3 Transforming our health care system
• 4 Who can improve the health care system?

2 Readings

• Handout: Improving the health care system
• Course Evaluation