1. Supported in part by Arkansas Blue Cross and Blue Shield
and the Office of the Arkansas Drug Director and in partnership with the Arkansas Academy of Family Physicians (AAFP), the Arkansas Medical Society (AMS), the Arkansas State Medical Board (ASMB), the Arkansas Department of Health (ADH) and its Division of Substance Misuse and Injury Prevention (Prescription Drug Monitoring Program—PDMP)
Continuing Education Credit: TEXT:
Event ID:

2. AR-IMPACT website: arimpact.uams.edu
AR-IMPACT address:
Facebook: AR-IMPACT
Joining the Conference:
Click to join:
Or call in: , then enter

3. Faculty Disclosure of Financial Relationships:
The planners of this RSS, Corey Hayes, Michael Cucciare, Johnathan Goree, Leah Tobey, Teresa Hudson, Marti Morrison and Cathy Buzbee have no financial relationships with commercial interests to disclose. A planner of this RSS, Shona Ray-Griffith, MD, has a financial relationship with a commercial interest to disclose: Neuronetics, Inc. – Contracted Research. The speaker of this RSS has no financial relationships with commercial interests to disclose. The accreditation compliance reviewers of this RSS, Karen Fleming and Courtney Bryant, have no financial relationships with commercial interests to disclose.

4. Continuing Education
Accreditation: In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation: The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1 ANCC contact hour. Nurses must attend the entire session in order to receive credit.
This knowledge-based activity will provide pharmacists up to 1.0 contact hours or 0.1 CEU. ACPE# JA L01-P
AAFP Credit: Submit your AMA credit
Pharmacists: Please us your NABP number and month and day of birth

5. Other General Information
CISCO IPhone App
CISCO Meeting Information
Please mute your microphone in CISCO
Able to ask questions through CISCO Chat

6. Self-care management for patients with chronic pain
Leah Tobey, PT, DPT, cert DN

7. Objectives
1. Discuss the importance of educating patients on self-care management for chronic pain
2. Highlight the importance of non-pharmacologic strategies and self-care ideas
3. Discuss low health literacy and how it is correlated with poor health outcomes

8. Poll Everywhere questions
To: Send the text: LEAHTOBEY999

9. https://www. polleverywhere

11. What does self management look like?
“A healthy way to live with chronic pain is to work at managing the physical, mental, and emotional concerns rooted in your particular condition.” (Lefort, et al.)
Knee replacement
Hip pain
Back Surgery
Social factors
Individual thought & behavior

13. Alternative Pain relief: Physical management
Epsom soaks
Physical Therapy
Exercise
Dry Needling: PT
Monthly massage
therapy
Personal Training
Self-help
Alternative Pain relief: Physical management
Strengthening & Stretching
Acupuncture
Chiropractor
Self-pacing for energy
Deep Breathing

14. Alternative Pain relief: psychosocial management
Take Action
Make plans & carry them out
Socialize
Prioritize
Move your Mood
Self-help
Alternative Pain relief: psychosocial management
Positive thinking
Mindfulness
Avoid personal put downs
Counseling
Psychiatry

15. Self management definitions
“In health care, self-care is any necessary human regulatory function which is under individual control, deliberate and self-initiated.”(Wikipedia)
“The ability of an individual, in conjunction with family, community, and health care professionals, to manage symptoms, treatments, and lifestyle changes.” (dictionary)
The practice of taking action to preserve or improve one's own health. Self care is creating awareness, reframing your thoughts, changing your environment. (An American Addition Centers Resource: mentalhelp.net)
“Providing adequate attention to one's own physical and psychological wellness (Beauchamp & Childress, 2001). Beyond being an aspirational goal, engaging in self-care has been described as an "ethical imperative" (Norcross & Barnett, 2008) and is part of the APA's Ethics Code (2002).

16. Alternative pain relief….Physical Therapy?

17. UAMS Physical Therapy Clinics:
Spine Center
Institute on Aging
Autumn Road
Colonel Glenn

18. Alternative pain Relief Physical Therapy
Recognize the trigger of your pain
PT’s differential diagnosis to find the driver of the pain
Patient’s self-awareness & self-management

19. Patient Education Example- patient with back pain:
Pt needs to understand:
Her/his common causes of back pain
Action planning & problem solving techniques
Topics frequently discussed in PT:
Anatomy of the spine
Pain mechanisms
Exercises for managing back pain
Pt with LBP

20. Educational topics The importance of maintaining physical activities
Importance of resuming daily activities
Use of medicines for controlling back pain
Rx or OTC
Physical methods of pain control
Ice, TENS, heat
Mind-body techniques for pain control
Imagery
Meditation
Use of proper posture and body mechanics
goal example: Pt to demonstrate correct hip hinge with squat while lifting 10# without increased pain.
1990 Augustus White’s Your Aching Back

21. Educational topics continued
Stretching exercises
Strengthening exercises
The importance of aerobic exercise
Managing sleep difficulties
Managing sexual difficulties due to back pain
Managing flare-ups of back pain
Handling emotional & interpersonal effects of back pain
Managing work problems associated with back pain

22. The Why is important…
Unable to recall conditions or limitations, course of action, etc.
Understanding diagnosis
Poor health literacy
~37% adult Arkansas heave low health literacy (AR Dept of Health)
Inactivity
Higher mortality risk
Lower QOL scores
Higher pain ratings
Sedentary lifestyle
Poor eating habits
Knowledge is power
Moderate level of activity
Lower mortality risk
High QOL scores
Lower pain ratings
Active lifestyle
Mindful nutrition
Self-pacing

23. Health literacy Educational pamphlets on pain management
IOA grant booklet
Available for purchase as a starter
Educational handouts on common ways to manage pain
Diagnosis specific
This helps you as a clinician document educational efforts toward health literacy
Patients can keep a journal
Sleep journal
Pain journal
Improves self-awareness & management
General exercise suggestions
30’/day (10’ min increments)
150 minutes of moderate exercise/wk

24. Self Care Forum: whole systems approach; NHS Mandate for integration of selfcare throughout the NHS (

25. Conclusion
Encourage patients to take an active role in protecting their well-being & happiness, in particular during periods of stress or pain. (Oxford living dictionary)
“autonomy in self-care and insulin administration"

26. Questions about the Topic
Continuing Education Credit: TEXT:
Event ID: