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Essential Skills for Pain ManagementSession 2
Thoughts are powerful
Comprehensive Pain Management Department, North Valley WebEx 2020
2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Agenda
Last Week’s Home Practice
Review Session 1
Thoughts Are Powerful
Awareness and AcceptanceSession 2 SMART Plan
3 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Check In - SMART Plan
How did you do with your SMART plan last week?
– Successes
– Challenges
Review Session #1
What is the goal for this workshop?
– Reduce suffering
– Live well and have a meaningful life!
How can I meet this goal?
– Mindfulness
– Values
4 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
What do you know about the mindbody connection?
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What thoughts do you have about your body?
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Thoughts Are Powerful
Thoughts directly cause changes in our body
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What Thoughts Influence Pain?
“I’m damaged”
“It’s degenerative”
“My disc is slipped”
“Maybe my doctor missed something”
“My spine is really bad, that’s what my doctor told me”
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You and Your Thoughts
Thoughts are often automatic
“Don’t believe everything you think”
Thoughts are not facts or always helpful
Let’s practice observing our thoughts
9 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
10 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Acceptance
Acceptance is the willingness to experience your pain for what it is and
live the life you really want
Acceptance is not giving up or quitting
12 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Pain Research
Research shows that accepting your pain results in lower pain intensity, less emotional stress, and improved emotional and physical well-being and functioning.
— Vowels & McCracken,(2008)
Two Parts of the Pain Experience
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Pain Reaction to Pain Suffering*Thoughts* Emotions* Behavioral* Physical
Acceptance and the Pain Experience
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Pain Acceptance Suffering
15 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Why Are You Here?
Values Towards A Meaningful Life
What is important to you?
How do you wish to be or act?
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Mindfulness Meditation
Posture
1. Sit upright in a comfortable position
2. Feet flat on the floor
3. Place hands on thighs or cup in your lap
4. Observe your breath (nose/mouth or belly)
5. Every time your mind wanders away from your breath, say: “Thank you” and return your attention back to your breath
Information-Motivation-Behavior Change Model
17 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Information“What”
Motivation“Want”
Behavioral Plan
“How”
Continue Your Home Practice
(Fisher & Fisher, 1992)
Your SMART Home-Practice
Turn to the SMART worksheet to plan your home-practice for session 2
1. Set a goal for the week
2. Monitor your practice
3. Arrange your environment
4. Recruit support
5. Treat Yourself
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How would your life improve if you had less pain?
When will you get started on your SMART treatment plan?
19 April 3, 2020 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Thank you! See you next week for Session 3