Question

According to your Life Care Planning and Case Management Handbook, there are six-steps that should be prescribed inthe comprehensive treatment program for an individual with chronic pain. Describe the six steps

Answer

 

1. Exercise. The program should include strength conditioning, and checking the effects of the central nervous system related to serotonin and norepinephrine release. The program should also include pool exercises and contain a weight loss element.

2. Diet. The individual should be encouraged to keep a food journal for at least 2 weeks. After the two weeks, diet change recommendations should be made as needed.

3. Sleep restoration. Sleep should be restored in order to enhance the individual’s ability to cope with the stresses of chronic pain.

4. Pharmacological agents. Medications should be prescribed if needed.

5. Physical therapy and outpatient modalities. Physical therapy, use of a transcutaneous electric nerve stimulation unit (TENS unit), or percutaneous electrical stimulation unit (PES unit) should be considered. Annual physical therapy re-evaluations and injections to the spinal canal may be needed for some.

6. Orthotics and other adaptive equipment. Support orthosis, adaptive aids, mobility aids, and other equipment may be needed for the individual with chronic pain.

 

Ward and Weed. (2004). “Life Care Planning Issues for People with Chronic Pain.” In R. Weed (2004) Life Care Planning and Case Management Handbook 2nd edition. (p. 455-481). Boca Raton, FL: CRC Press.

Lester and Litwack. (2009). “Life Care Planning Issues for People with Chronic Pain.” In R. Weed (2009) Life Care Planning and Case Management Handbook 3rd edition. (p. 589-612). Boca Raton, FL: CRC Press.

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