Chronic Pain Management Strategies

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1 Chronic Pain Management Strategies Angela Gilbert, Psy.D. Licensed Psychologist Kensington Medical Center 2nd Annual Diabetes Wellness Day

2 What We Will Cover Today What Is Chronic Pain And Chronic Pain Management? Diabetes Common Pain Syndromes Cognitive Behavioral Strategies Sleep Mindfulness/Meditation Practices Movement Mindfulness Skills Training This image cannot currently be displayed.

3 What is Chronic Pain? Chronic Pain Is Defined As Any Pain Lasting More Than Twelve Weeks Most Common Forms With Diabetes Are Peripheral Neuropathy And Back Pain Acute Vs. Chronic Pain Most Effective Chronic Pain Management Strategies

4 Chronic Pain Management Medical Management Collaborative Care Models Lifestyle and Health Behaviors Exercise, Movement and Physical Therapy Cognitive Behavior Therapies (CBT)

5 Diabetes Common Pain Syndromes Neuropathy Most Common In Hands And Feet Tingling, Numbing, And Pins And Needles Can Worsen With Poorly Controlled Blood Sugar Increases Risk Of Injury And Infection Back Pain Lifestyle And CBT Strategies Are Effective With Most Types Of Chronic Pain Syndromes!

6 Cognitive Behavioral Strategies Movement/Exercise Research Shows Exercise Predicts Function Removing Barriers To Increasing Movement Sleep Healthy Sleep Decreases Pain CBT For Insomnia Is Highly Effective Mindfulness Practices Core Skill For Pain Management

7 Sleep CBTI/Sleep Hygiene Highly Effective (Lag Time) Uses Learning Theory Components Wind Down Routine Minimizing Time Awake In Bed Sleep and Sex ONLY In Bed Coping with Busy Brain Adequate Sleep Is Crucial To Effective Pain Management!

8 Mindfulness Practices Mindfulness Sensory Awareness - Here and Now Meditation Mind Body Medicine These Practices Elicit Restorative States Conducive To Health!

9 Why Practice Mindfulness? Decrease Stress Response To Pain Reduce Emotional Distress Associated With Pain Improve Sleep Use Distraction To Cope With Pain Reduce Tension In Muscles Improve Attention And Concentration Pacing

10 How Does Mindfulness Work? By Focusing Attention, We Slow The Nervous System, Eliciting Relaxation Response This Is a Restorative State The Practice Develops Attentional Control Skills

11 What is Mindfulness Practice? Key Concepts Awareness of here and now Mindfulness as restorative Practice develops skill

12 What is Mindfulness Practice? Key Goals Develop ability to focus Elicit relaxation response Redirect attention after distractions

13 What is Mindfulness Practice? Key Attitude Passive attitude No judgment, no mistakes Learning process

14 A Variety Of Mindfulness Practices Meditation Physical Methods Provider Administered Breathing Exercises Mindfulness Meditations Body Scan Visualization/Imagery Autogenic Training Prayer Yoga, various types Qi Gong, Tai Chi Walking meditations Sports psychology: visualization & mental rehearsal for performance enhancement Guided Imagery Biofeedback Clinical Hypnosis Progressive Muscle Relaxation Alexander Technique, Feldenkrais

15 Practice: Breathing Exercises

16 Practice: Guided Imagery

17 Establish Your Mindfulness Practice 1 Set aside a specific time 2 Find a quiet place 3 Reserve judgment

18 In Summary, These Health Behaviors Are Highly Effective For Improving Self Management of Diabetes Sleep and Energy Chronic Pain Mood, Well-being, and Quality Of Life General Health

19 Questions?

20 Presenter Bio Angela Gilbert, Psy.D Doctorate, Florida Institute of Technology. Practicing Psychologist for 25 years Specialties include Heath Psychology/Chronic Pain Management, Outcome-Oriented Psychotherapy, Clinical Hypnosis, Trauma Recovery/Post-traumatic Stress Disorder My successes with chronic pain over 20 years include the practices of yoga, mindfulness, acupuncture, massage, physical activity and good sleep Contact Information Kaiser Permanente Medical Center, Kensington Pain Medicine Department

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