![Nonmedical Interventions cont…
Stress Management
Stress causes
Digestive upset/pain
Back pain
Migraines/headaches
Jaw pain
Interventions
Meditation
Distract Don’t React
Identify your most important values, decide whether
stressing over [this] gets you closer to or further away
from your goals/values](https://image.slidesharecdn.com/painmanagementdocsnipes-170715182218/75/Living-with-Chronic-Illness-or-Pain-Happiness-Isn-t-Brain-Surgery-30-2048.jpg)
Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
The document discusses the prevalence of chronic illness and pain among American adults, outlining characteristics of pain and its effects, including depression, anxiety, and guilt. It introduces various medical and nonmedical interventions to manage these challenges, emphasizing the importance of a comprehensive approach to pain management. Key interventions include mindfulness, good sleep habits, emotional support, and understanding the relationship between stress and pain.
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Living with Chronic Illness or Pain: Happiness Isn't Brain Surgery
- 1. Hosted By: Dr. Dawn-Elise“Doc” Snipes
- 2. Living with Painand Chronic Illness Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Host, Counselor Toolbox President, Recovery and Resilience International
- 3. Objectives Prevalence andcharacteristics of chronic illness Characteristics of pain Effects of pain and chronic illness and possible interventions Depression Anxiety Guilt
- 4. Chronic Illness: TheNew Normal About half of all American adults have a chronic illness according to the National Health Council http://www.nationalhealthcouncil.org/sites/default/files/NHC_Files/Pdf_Files/AboutChronicDisease.pdf Chronic Illnesses include (but are not limited to) Asthma Cancer Chronic pain Diabetes Fibromyalgia Heart disease or high blood pressure Lupus Lyme Disease Mental Illness (Anxiety, depression, PTSD)
- 5. Characteristics of Pain Everyone has pain sometimes Our bodies are incredibly resilient Knowing your pain can help your care team. Acute or Chronic Stabbing, aching, throbbing, burning… Constant or intermittent Stationary or radiating Any numbness
- 6. Effects of Painand Chronic Illness Depression Fatigue Sleep Disturbances Hopelessness/Helplessness Negative thoughts -> Stress -> Serotonin -> Pain Interventions Mindfulness Good sleep habits Circadian rhythm maintenance Identify the things you CAN control and that are GOOD Eat healthfully to support Serotonin functioning
- 7. Effects of Painand Chronic Illness Anxiety Things wont get better It is getting worse Consequences of pain (lost job, relationships, fitness…) Interventions Avoid caffeine and nicotine Educate yourself about the disorder and the PROBABILITY things will get worse Keep a log of the good and bad days Practice distress tolerance skills Use the Challenging Questions Worksheet to address anxiety provoking thoughts
- 8. Effects of Painand Chronic Illness Guilt Self anger for not being able to… Can cause you to lash out at others—push them away so you don’t disappoint them like you disappointed yourself Interventions Think about how you would want your child or best friend to feel if they were in your position Get rid of the shoulds Focus on the things that you CAN do Decide whether it is worth using your energy to be mad at yourself (and the world)
- 9. Summary Everyone experiencespain sometimes Pain indicates that something may be wrong People who experience chronic pain/illness, or an extended bout of pain (such as after shoulder surgery) may experience feelings of depression, anxiety and guilt. There are many different ways to address these feelings Anxiety/fear and anger are your body’s response to some sort of physical, social or self-concept threat. Guilt is anger directed toward yourself Depression is a sense of hopelessness and helplessness that arises when the pain doesn’t seem to remit. Happiness Isn’t Brain Surgery is an educational podcast and not a replacement for medical advice. All health decisions should be made in conjunction with your healthcare provider.
- 10. Connect With Us HappinessIsn't Brain Surgery with Doc Snipes https://docsnipes.com Subscribe to the podcast Subscribe to our YouTube Channel https://youtube.com/allceuseducation Join our Facebook Group https://docsnipes.com/Facebook Join our Community & Access Additional Resources https://docsnipes.com
- 11. Hosted By: Dr. Dawn-Elise“Doc” Snipes
- 12. Living with Painand Chronic Illness Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Host, Counselor Toolbox President, Recovery and Resilience International
- 13. Objectives Review thefollowing effects of pain Grief Self Esteem problems Circacdian Rhythm Disruption Explore mitigating and exacerbating factors
- 14. Effects of Painand Chronic Illness Grief Stages: Denial, Anger, Bargaining, Depression, Acceptance Interventions Work through the stages of grief for each of the losses because of the pain (Physical, self-concept, job, freedom (driving/mobility), dreams…)
- 15. Effects of Painand Chronic Illness Self-Esteem How you feel about the difference between who you want to be and who you are Interventions Make a list of the positive things about you Identify 1 or 2 goals you can work toward Celebrate small things Silence the inner critic
- 16. Effects of Painand Chronic Illness Circadian Rhythm Disruption Not getting out of bed Staying inside in the dark Sleeping too much Interventions Get out of bed at roughly the same time each morning Get dressed in “day-clothes” Turn on lights and sit in front of a window or get outside to get your “day-clock” started If you must take a nap, keep it under 45 minutes to avoid messing up your sleep schedule
- 17. Understanding Your Painor Chronic Illness Exacerbating factors Emotional Mental Physical Environmental Social Mitigating factors – Do these Emotional Mental Physical Environmental Social
- 18. Summary Grief isa complex emotion that accompanies any type of loss Not everyone goes through all the phases Many people between anger and depression Acceptance does not mean liking it, it means incorporating it into your life narrative Self-esteem can fall when a chronic illness or pain keeps you from doing things that are important to you Circadian Rhythm Disruption can happen whenever You are sleeping too much or too little Your body isn’t getting the wake up signals
- 19. Summary Exacerbating factorsmake your problem worse and can include Poor ergonomics Poor sleep Reducing opiates (Temporary) Stress Mitigating Factors Yoga/Stretching Frequent movement Massage Heat/Ice Happiness Isn’t Brain Surgery is an educational podcast and not a replacement for medical advice. All health decisions should be made in conjunction with your healthcare provider.
- 20. Connect With Us HappinessIsn't Brain Surgery with Doc Snipes https://docsnipes.com Subscribe to the podcast Subscribe to our YouTube Channel https://youtube.com/allceuseducation Join our Facebook Group https://docsnipes.com/Facebook Join our Community & Access Additional Resources https://docsnipes.com
- 21. Hosted By: Dr. Dawn-Elise“Doc” Snipes
- 22. Living with Painand Chronic Illness Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Host, Counselor Toolbox President, Recovery and Resilience International
- 23. Objectives Review medicaland nonmedical interventions for pain Note: Any pain intervention should be cleared by your doctor or care team.
- 24. Medical Interventions forPain Tylenol and NSAIDS (Over the counter) Opiates Provide relief by attaching to opioid receptors Body stops making natural (endogenous) opioids when flooded with prescription opiates Over time body reduces amount of opiate being let through (tolerance) (after only several days) When you stop taking prescription opioids the body takes a few days to start making natural opioids again so pain threshold is markedly decreased
- 25. Medical Interventions forPain Muscle Relaxants (Flexeril, Soma) Gabapentin (Neurontin) SSRIs (Cymbalta) Nerve Blocks Accupuncture/Accupressure http://www.webmd.com/pain-management/features/acupuncture-pain-killer#1 Arch Intern Med. 2012;172(19):1444-1453. Acupuncture for Chronic PainIndividual Patient Data Meta-analysis http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1357513
- 26. Nonmedical Interventions forPain and Chronic Illness Guided Imagery Color Imagery: Think of a color that you associate with pain, such as red, and picture the painful area of your body as red. Imagine shrinking, fading or dispersing the red. Symbol Imagery: Think about how the pain feels. Does it feel like a knife sticking in your joint? If so, imagine you are pulling the knife out of your joint and throwing it away Scenic Imagery: Imagine a place that is calming to you using all of your senses
- 27. Nonmedical Interventions forPain and Chronic Illness Mindfulness Alternate focus: Stop thinking about the pain and how to relieve it Deep relaxation breathing through the pain Distractions One moment at a time
- 28. Nonmedical Interventions forPain and Chronic Illness Radical Acceptance Life can be worth living even with painful events Rejecting reality does not change reality. Changing reality requires first accepting reality. Pain can’t be avoided; it is nature’s way of signaling that something is wrong. Rejecting reality turns pain into suffering. Refusing to accept reality can keep you stuck in unhappiness, bitterness, anger, sadness, shame, or other painful emotions.
- 29. Nonmedical Interventions cont… Stretching/Balancing Exercises Chest/Upper Back Right/Left Back/Chest Abs/Lower Back Ice or Heat Packs Massage TENS units Improve sleep Do more things you enjoy
- 30. Nonmedical Interventions cont… Stress Management Stress causes Digestive upset/pain Back pain Migraines/headaches Jaw pain Interventions Meditation Distract Don’t React Identify your most important values, decide whether stressing over [this] gets you closer to or further away from your goals/values
- 31. Summary Pain isinevitable Many people struggle with chronic conditions including TMJ, migraines, depression, fibromyalgia and pain. It impacts your Mood Thoughts Behaviors Relationships Addressing pain will help reduce related Anxiety Depression Anger
- 32. Summary Pain Management Medical Nonmedical Pain management requires a comprehensive approach addressing Physical causes of pain Mood Social supports Sleep Happiness Isn’t Brain Surgery is an educational podcast and not a replacement for medical advice. All health decisions should be made in conjunction with your healthcare provider.
- 33. Connect With Us HappinessIsn't Brain Surgery with Doc Snipes https://docsnipes.com Subscribe to the podcast Subscribe to our YouTube Channel https://youtube.com/allceuseducation Join our Facebook Group https://docsnipes.com/Facebook Join our Community & Access Additional Resources https://docsnipes.com