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Printable Handouts
Navigable Slide Index
- Introduction
- Consequences of chronic pain
- Dealing with the chronic pain patient
- Integrating care: what are the problems?
- Recognizing co-morbidities: sleep
- Treating sleep disturbance
- Psychiatric co-morbidity and chronic low back pain
- Alcohol abuse
- Identifying psychiatric problems
- "Psychiatric sedimentation rate"
- Recognizing major depression: 3 core symptoms
- Psychopathology co-morbidities
- Solutions to psychopathology problems
- Stages of change (1)
- Stages of change (2)
- Personality traits
- Personality traits: dependent clingers
- Dependent clingers: treatment strategies
- Dramatizing, emotional, histrionic patients
- Dramatizing patients: treatment strategies
- Personality traits: long suffering, self sacrificing
- Long suffering, self sacrificing: treatment strategies
- Personality traits: borderline personality
- Borderline personality: treatment strategies
- The angry patient: treatment strategies
- How to change a patient from victim to coping
- Goal setting
- Integrating care: practitioner attitude
- Integrating care: physical setting
- The pain examination
- Follow up: touch
- Follow up: examination
- Integrating care: empathy
- Developing a plan: what are the problems?
- Pain education web sites
- Neuropathic pain: treatment algorithm
- Opioid phobia
- Opioids: basics
- Opioids effects on function
- Opioids: chronic pain
- Prescribing opioids (1)
- Integrating practice: opioid refill policy
- Opioids: common and emerging side effects
- Opioid-induce hyperalgesia
- Prescribing opioids (2)
- Tapering opioids
- Potential support of complementary practitioners
- Chronic pain: nonpharmacologic management
- Steps to exercise
- Evidence for the benefit of exercise
- Physical therapy/chiropracty
- Complementary practitioners: who to suggest?
- Complementary medicine: rheumatoid arthritis
- Web sites for complementary medicine
- Lack of a plan and failure to stick to it
- The plan
- Coordination of the multidisciplinary team
Topics Covered
- Dealing with the difficult and complex non-malignant pain patient
- It is important to recognize both psychosocial and psychiatric co-morbidities
- Having the patient become part of the solution and having them set realistic goals is important
- Drugs used are similar to those used for cancer pain management but greater awareness of long term effects of opioids such as hyperalgesia and immune suppression, as well as diversion is important
Links
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Talk Citation
Irving, G. (2009, February 23). Optimal treatment of chronic pain [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 11, 2024, from https://doi.org/10.69645/VHQV3844.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Gordon Irving has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.