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What’s in it?

The Pain Management Plan is not designed to replace hospital-based programmes.

It is an additional tool to give clinicians and their patients a choice of methods of delivery of pain management.

It can reduce the pressure on hospital-based resources, as many patients can and prefer to work through their programme in their own environment.

The Pain Management Plan guides individuals through setting up their own personal pain management plan using – Goal Setting, Motivational and Self Management Techniques that have been used with success in many similar rehabilitation and self-management programmes.

It is built on cognitive-behavioural principles. It is a new approach for most clinicians which is why the brief training is useful for anyone facilitating it.

Part 1

  • encourages the patient to challenge the common beliefs we know lead to unhelpful responses – such as avoiding ‘wear and tear’ by resting.
  • Explains the difference between acute and long-term pain
  • Explains the downward cycle into immobility and misery – ‘the pain cycle’ – and how to reverse it
  • Looks at barriers to change and how to overcome them
  • Teaches goal setting skills

Part 2

provides a ‘menu’ of self-management advice and solutions. Some of the areas covered are:

  • Beating the stress pain causes
  • Becoming active again
  • Dealing with the worry caused by pain
  • Dealing with low spirits
  • Relationship problems
  • Establishing better sleep patterns

The Diary Section is where users choose and record their daily targets and score their success on a week-by-week basis.

 

The Relaxation CD

Teaches people useful skills to use to help

  • Reduce physical and mental tension
  • Rapidly relax
  • Get better sleep

 

The Process

Initial meeting – takes somewhere between 40 minutes and one hour to build a relationship, assess the patient’s needs, show them how to use the plan and to set some initial goals.

This should be followed by a pattern of further contacts face to face or by phone, over at least 12 weeks. In the multi-centred evaluation we used 4 contacts over 12 weeks, some were phone calls.

Some users require little or no additional help, others may require a few more contacts.

In some Pain Management Centres the Pain Plan is used in a group setting as a patient-held resource in addition to the other established elements of the programme.

Download some sample pages here

If you are working for a Healthcare Organisation you can use the responder on the ‘Contact Screen’ to obtain a sample copy. This requires a postal address at your organisation and an NHS or health provider email address.