Filtered By:
Therapy: Occupational Therapy

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 1744 results found since Jan 2013.

The ethics of Canadian entry-to-practice pain competencies: how are we doing?
CONCLUSIONS: The lack of competencies related to pain has implications for advancing skillful and ethical practice. The lack of attention to pain competencies limits the capacity of health care professionals to alleviate suffering, foster autonomy and use resources justly. Influencing professional bodies to increase the number of required entry-to-practice pain competencies may ultimately have the greatest impact on education and practice. PMID: 23457683 [PubMed - indexed for MEDLINE]
Source: Pain Research and Management - January 1, 2013 Category: Anesthesiology Authors: Watt-Watson J, Peter E, Clark AJ, Dewar A, Hadjistavropoulos T, Morley-Forster P, O'Leary C, Raman-Wilms L, Unruh A, Webber K, Campbell-Yeo M Tags: Pain Res Manag Source Type: research

The Efficacy of Interdisciplinary Rehabilitation for Improving Function in People with Chronic Pain.
Conclusions. Comprehensive interdisciplinary outpatient rehabilitation can significantly improve function in people with chronic pain. PMID: 27242925 [PubMed]
Source: Pain Research and Treatment - June 2, 2016 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Occupational Therapy's Unique Contribution to Chronic Pain Management: A Scoping Review.
Abstract Occupational therapy (OT) makes a unique contribution to chronic pain (CP) management due to its overarching focus on occupation. The aim of this scoping review was to describe current knowledge about this contribution by documenting OT roles, models, assessments, and intervention methods used with adults living with CP. A systematic search exploring 10 databases and gray literature from 2006 to 2017 was conducted. Fifty-two sources were retained and analysed. Results bring forward the main role of OT being improving activities and participation (76.9 %), the Canadian Model of Occupational Performance (9....
Source: Pain Research and Management - December 14, 2018 Category: Anesthesiology Authors: Lagueux É, Dépelteau A, Masse J Tags: Pain Res Manag Source Type: research

“ I know my pain doesn ’ t mean I ’ m damaging myself – but I still have pain ”
In the excitement of helping people understand more about pain neuroscience, which I truly do support, I think it’s useful to reflect a little on the history of this approach, and how it can influence the experience people have of their pain. If we go right back to the origins of pain self management, in the groovy 1960’s and 1970’s – the first truly significant work in chronic pain self management came from Wilbert Fordyce (Fordyce, Fowler & Delateur, 1968). Bill Fordyce was a clinical psychologist working in the Department of Physical Medicine and Rehabilitation, University of Washington, Seat...
Source: HealthSkills Weblog - September 25, 2016 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Education/CME Pain conditions Science in practice acceptance biopsychosocial healthcare pain management Research Therapeutic approaches Source Type: blogs

Empathy and catastrophising influence pain inhibition
This study examined conditioned pain modulation in partners observing their partner undergoing a painful experience. It was carried out by Gougeon, Gaumond, Goffaux, Potvin and Marchand (2016) in an attempt to understand what happens to the pain experience of people watching their loved ones in pain. The experimental protocol was (1) baseline; (2) assessing pain VAS 50; (3) pre-CPT heat pain testing (thermode preimmersion at a fixed temperature); (4) CPT (either at 201Cor71C); and (5) post-CPT heat testing (thermode postimmersion at the same fixed temperature). What they did was ask the participants to submerge their right...
Source: HealthSkills Weblog - January 22, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Coping strategies Pain Pain conditions Professional topics Resilience Science in practice catastrophising conditioned pain modulation empathy mindfulness observed pain Source Type: blogs

Thinking the worst – and willingness to do things despite pain
This study didn’t incorporate contexts of activity – the why question. I think that’s a limitation, however, examining values is not super easy, however it’s worth keeping this limitation in mind when thinking about the results. The results suggest that when someone is willing to do something even if it increases pain, or while pain is elevated, this has an effect on their performance, disability, the interference they experience from pain, and their mood. The results also suggest that catastrophising, while an important predictor of pain-related outcomes, is moderated by acceptance. My question now...
Source: HealthSkills Weblog - March 11, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Occupational therapy Pain conditions Professional topics Research Resilience/Health Science in practice biopsychosocial disability function h Source Type: blogs

Better ways to meet the needs of people with chronic pain
In this study, participants were randomised into two groups – one group received usual care, while the other received automated symptom monitoring via voice-recorded phone calls or the internet, along with one face-to-face meeting with a nurse care management, who discussed medications with a pain physician, followed by a phone call to discuss the care plan, and two other calls, one at one month and one at three months. Additional calls were provided on the basis of symptom records.  Patients in the intervention group benefited, with reduced scores on pain severity and interference as recorded by the Brief Pain Inve...
Source: HealthSkills Weblog - July 20, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Groupwork Pain conditions Research function healthcare Occupational therapy pain management physiotherapy self management Source Type: blogs

Complex regional pain syndrome: yes, it’s complex
Complex regional pain sydrome or “CRPS” (pronounced CRIPS) is an enigma. It’s complex. It involves different body systems. It’s very, very painful, and it can be incredibly disabling. It has had lots of different names over the years – in 1982 when I trained it was called “causalgia” or “Sudeck’s atrophy”, but in 1993 the International Association for the Study of Pain developed guidelines for diagnosing and managing this complex pain problem. Since then we’ve heard a lot about CRPS, at least those of us working in the pain management field have. I am not so...
Source: HealthSkills Weblog - July 6, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Pain conditions Research pain management Source Type: blogs

Interrupted by Pain
If there’s one thing I loathe, it’s being interrupted when I’m in the middle of something. There I am, working away at something, in the flow, knowing where I’m going and what I’m doing then BANG! something gets in the way! I wasn’t aware, but there is a science of interruptions – mainly studied within ergonomics or human factors research (the study of work and humans) – and this science has begun to unravel some of the issues associated with interruptions. Interruptions are not only annoying, they’re also a good way to provoke mistakes! Pain is, as Geert Crombez and ot...
Source: HealthSkills Weblog - June 15, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: 'Pacing' or Quota Cognitive skills Coping strategies Pain conditions Research attention Chronic pain memory mindfulness Occupational therapy pain management Source Type: blogs

How does chronic pain management work? A self concept hypothesis
In my previous post looking at how chronic pain management works, I put forward the hypothesis that “What DOES change is [people's] self efficacy or belief that they CAN do what’s important in their lives – by hook or by crook. And even more importantly, they have something to DO that’s important to them. Maybe something that hasn’t been studied in sufficient detail is what a person wants to be able to do, what’s their motivation, what are their valued occupations? That’s a hypothesis about therapeutic change I think we need to ponder.” Later in the comments I mentioned the idea of renegotiating sel...
Source: HealthSkills Weblog - August 31, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Coping strategies Motivation Research Resilience/Health Return to Work biopsychosocial Chronic pain Clinical reasoning function pain management rehabilitation treatment Source Type: blogs

Back to basics about psychosocial factors and pain – iv
Part of the definition of pain is that it is “a sensory and emotional experience” – in other words, emotions of the negative kind are integral to the experience of pain. Is it any wonder that poets and authors have written so eloquently about the anguish of unrelieved pain? As I write this, I’ve been pondering the way “psychosocial” has been used when discussing pain, as if those factors aren’t experienced by “normal” people, as if the way we feel about pain and the way people who struggle with their pain feel are two entirely different things. Chris Eccleston, someone ...
Source: HealthSkills Weblog - September 24, 2017 Category: Anesthesiology Authors: adiemusfree Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice Therapeutic approaches biopsychosocial Clinical rea Source Type: blogs

Occupational therapists ’ knowledge of pain
I am mightily bothered by health professionals’ lack of knowledge about pain. Perhaps it’s my “teacher” orientation, but it seems to me that if we work in an area, we should grab as much information about that area as possible – and pain and pain management is such an important part of practice for every health professional that I wonder why it’s so often neglected. So, to begin exploring this, I completed a search looking at occupational therapists’ knowledge of pain – and struck gold,  kinda. Angelica Reyes and Cary Brown conducted a survey of Canadian occupational therapi...
Source: HealthSkills Weblog - April 15, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Education Education/CME Occupational therapy Pain conditions Professional topics Research biopsychosocial Chronic pain Health pain management Source Type: blogs

Clinical reasoning in pain – emotions
The current definition of pain includes the words “unpleasant sensory and emotional experience” so we would be surprised if we encountered a person with pain who wasn’t feeling some sort of negative emotion, am I right? Yet… when we look at common pain assessments used for low back pain, items about emotions or worries are almost always included as indicators of negative outcomes (for example, STarTBack – Worrying thoughts have been going through my mind a lot of the time, I feel that my back pain is terrible and it’s never going to get any better, In general I have not enjoyed all the thing...
Source: HealthSkills Weblog - April 29, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Clinical reasoning Coping strategies Health Humour Pain biopsychosocial Occupational therapy pain management rehabilitation Research Therapeutic approaches treatment Source Type: blogs

The demise of practical pain management
Cast your mind back to the last time you decided to create a new habit. It might have been to eat more healthy food, to do daily mindfulness, to go for a walk each day. Something you chose, something you decided when, where and how you did it, something that you thought would be a great addition to your routine. How did it go? How long did it take to become a habit you didn’t need to deliberately think about? How did you organise the rest of your life to create room for this new habit? What did other people say about you doing this? While we all know a reasonable amount about motivation for change – impo...
Source: HealthSkills Weblog - May 29, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Health Motivation Occupational therapy Physiotherapy Professional topics Psychology Resilience/Health biopsychosocial pain management Therapeutic approaches Source Type: blogs

Biopsychological pain management is not enough
I recently read a preprint of an editorial for Pain, the IASP journal. It was written by Prof Michael Nicholas, and the title reads “The biopsychosocial model of pain 40 years on: time for a reappraisal?” The paper outlines when and how pain became conceptualised within a biopsychosocial framework by the pioneers of interprofessional pain management: John Loeser (1982) and Gordon Waddell (1984). Nicholas points out the arguments against a biopsychosocial model with some people considering that despite it being a “holistic” framework, it often gets applied in a biomedical and psychological way. In ot...
Source: HealthSkills Weblog - July 17, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Coping strategies Interdisciplinary teams Low back pain Motivation Occupational therapy Physiotherapy Psychology Science in practice Therapeutic approaches biopsychosocial pain management Research Source Type: blogs