Mps Therapy – Integrative Pain Management Techniques Reviews

. 2021 February four;22(i):181-190.

doi: 10.1093/pm/pnaa418.

"Living Well with Chronic Pain": Integrative Pain Management via Shared Medical Appointments

Kellie Northward Kirksey, Stephen Yard Dombrowski, Anne Tang, Rocio Lopez, Heather Blonsky, Irina Todorov, Dana Schneeberger, Jonathan Doyle, Linda Libertini, Starkey Jamie, Tracy Segall, Andrew Bang, Kathy Barringer, Bar Judi, Jane Pernotto Ehrman, Michael F Roizen, Mladen Golubić

• PMID: 33543263
• PMCID: PMC7861469
• DOI: 10.1093/pm/pnaa418

Free PMC article

"Living Well with Chronic Hurting": Integrative Hurting Management via Shared Medical Appointments

Josie Znidarsic  et al. Pain Med. 2021 .

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Erratum in

• Corrigendum to: "Living Well with Chronic Hurting": Integrative Pain Direction via Shared Medical Appointments.

  Znidarsic J, Kirksey KN, Dombrowski SM, Tang A, Lopez R, Blonsky H, Todorov I, Schneeberger D, Doyle J, Libertini Fifty, Starkey J, Segall T, Blindside A, Barringer K, Bar J, Ehrman JP, Roizen MF, Golubić Chiliad. Znidarsic J, et al. Pain Med. 2022 January 3;23(one):226. doi: x.1093/pm/pnab145. Hurting Med. 2022. PMID: 34518889 No abstruse available.

Abstruse

Objective: To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic hurting.

Design: This is a retrospective, pre-post review of "Living Well with Chronic Pain" shared medical appointments (August 2016 through May 2018).

Setting: The appointments included eight three-hour-long visits held once per week at an outpatient wellness facility.

Subjects: Patients with chronic, not-cancer-related pain.

Methods: Patients received evaluation and bear witness-based therapies from a team of integrative and lifestyle medicine professionals, as well as education near nonpharmacological therapeutic approaches, the etiology of pain, and the human relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cerebral behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.

Results: A total of 178 participants completed the PROMIS-57 questionnaire at the first and the concluding visits. Statistically significant improvements in all domains (Concrete Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and mail service-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at half-dozen and 12 months' follow-up.

Conclusions: Patients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.

Keywords: Chronic Hurting; Opioids; Pain Management.

© The Author(south) 2021. Published past Oxford Academy Press on behalf of the American Academy of Hurting Medicine.

Figures

Effigy 1.

Espoused diagram of participant flow.

Figure ii.

Overview of the group visit structure of the "Living Well with Chronic Hurting" SMAs.

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References

1. 1. Dahlhamer J, Lucas J, Zelaya C, et al.Prevalence of chronic hurting and loftier-touch on chronic pain amidst adults—United States, 2016. MMWR Morb Mortal Wkly Rep 2018;67(36):1001–six. - PMC - PubMed
2. 1. Gomes T, Tadrous G, Mamdani M, Paterson M, Juurlink DN.. The burden of opioid-related mortality in the U.s.a.. JAMA Network Open 2018;one(2):e180217. - PMC - PubMed
3. 1. Soelberg CD, Brown RE, Du Vivier D, Meyer JE, Ramachandran BK.. The US opioid crunch: Electric current federal and state legal issues. Anesth Analg 2017;125(5):1675–81. - PubMed
4. 1. Preuss CV, Kalava A, King KC.. Prescription of controlled substances: Benefits and risks In: StatPearls. Treasure Island (FL: ): StatPearls Publishing; 2020. Available at: https://www.ncbi.nlm.nih.gov/books/NBK537318/ (accessed June 2019).
5. 1. The Joint Commission, Sectionalisation of Healthcare Improvement. Non-pharmacologic and not-opioid solutions for pain management. Quick Condom, Issue 44. 2018. Available at: https://www.jointcommission.org/problems/particular.aspx?Upshot=A3BjHXplZhr%2BL... (accessed October 2019).

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Source: https://pubmed.ncbi.nlm.nih.gov/33543263/

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