Making a Cultural Shift in How We Consider & Manage Chronic Pain: Pain is Not a Symptom Problem

Outcomes

As a result of participating in this activity, learners will be better able to:

• Move towards a more 'whole person'-oriented approach to pain care
• Address the lived experiences of persons with pain and high-impact chronic pain
• Navigate and apply the overlapping guidelines and emerging research for the treatment of pain

Desirable Physician Attributes

• Professionalism [ACGME/ABMS] As manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
• Systems-based practice [ACGME] Awareness and responsiveness to larger context and system of health care, use of system resources
• Patient Care [ACGME/ABMS] Provide care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health
• Provide Patient-centered Care [IOM] Identify, respect, and care about patients’ differences, values, preferences and expressed needs; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health

Pain management domains and core competencies

• 1. Multidimensional nature of pain: What is pain?
  • Describes how cultural, institutional, societal, and regulatory influences affect assessment and management of pain

• 2. Pain assessment and measurement: How is pain assessed and measured?
  • Uses and models language that destigmatizes pain, reflects a whole-person perspective, builds a therapeutic alliance, and promotes behavior change

Accreditation & Designation

Release date: This activity was released 8/19/2022.

Termination date: The content of this activity remains eligible for CME Credit until 8/18/2025, unless reviewed or amended prior to this date.

Claiming Credit: Watch the entire presentation and complete the Improvement Plan/Evaluation.

Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure of Financial Relationships

Neither the presenter, reviewers nor any other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, any financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Additional Reading

• Cheng, J., Rutherford, M., & Singh, V. M. (2020). The HHS Pain Management Best Practice Inter-Agency Task Force report calls for patient-centered and individualized care.
• Manchikanti, L., Singh, V., Kaye, A. D., & Hirsch, J. A. (2020). Lessons for better pain management in the future: learning from the past. Pain and Therapy, 9, 373-391.
• U.S. Department of Health and Human Services (2019, May). Pain Management Best Practices Inter-Agency Task Force Report: Updates, Gaps, Inconsistencies, and Recommendations. Retrieved from U. S. Department of Health and Human Services website
• Mackey, S. (2014). National pain strategy task force: the strategic plan for the IOM pain report. Pain Medicine, 15(7), 1070-1071.
• IOM (Institute of Medicine). 2011. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press.