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Comprehensive Pain Management Program


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Mission and Philosophy

Pain is a diverse, muitifactorial problem, and as varied as the individuals who suffer., The Comprehensive Pain Management Program (CPMP) is designed to meet the physical, psychosocial and vocational needs of persons served. This program uses a transdisciplinary team approach to address the phenomenon of pain in many levels. The ultimate goal is the 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-oriented 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 dependence 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 both an inpatient and outpatient basis according to 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):
  • Increase 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 Northeast Rehabilitation Hospital is organized in 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 are:
  • 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 weights 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 psychosocial 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 socializing 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
  • Re-integration 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 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 by 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 a Pain Anesthesiologist
  • Therapy Services Individual and groups. Aquatics also available.
  • Inpatient Services may be utilized only if the patient needs a well structured, closely monitored program and/or distance from NRH is such that is precludes an outpatient program:
  • 2 week medication titration track
  • 4 week musculoskeletal injury (benign chronic pain)
  • Comprehensive pain management track for the illness that causes chronic pain.

  • Last Updated: 07/10/01 | ©2000 Northeast Rehabilitation Health Network