Changing the Conversation About Pain: The Role of Peer Support and Pain Education in the Integrated Primary Care Team in Pain Treatment
Individuals often believe that their pain is unchangeable and that leads to poor self-efficacy and conflict in treatment. New understanding about pain is beginning to shift pain care itself. Evidence indicates that patient and clinician knowledge of pain science can move those receiving services toward self-care and supports a more positive conversation about opioid tapers as well.
This presentation will explore the use of Oregon State tools and resources for clinician and patient pain education to develop a biopsychosocial-oriented pain care treatment plan. The Oregon Pain Guidance toolkit has videos, written material and shared decision making tools that allow clients and patients to pace their own learning and care plan based on their readiness to change. The tools can be used in self-study, or guided by anyone on the care team and can create a consistent message that decreases the burden on each team member. Come learn a bit more about pain science and use of state tools to easily share the information with your clients or peers. These tools are based on principles of trauma-informed care and motivational interviewing and strive to be more inclusive of diversity.
Hosted by the Northwest MHTTC in partnership with the Mental Health and Addiction Association of Oregon.
Nora Stern, PT, MS PT, is a pain educator and physical therapist with 30+ years of experience in complex pain. Nora is director of Know About Pain Consultation and Educational Products and is chair of the Oregon State Pain Management Commission. With Know About Pain, Nora provides consultation and develops pain education content for inpatient and outpatient care, with a current emphasis on the acute care arena. With OPMC, she was a primary author of the popular “Changing the Conversation about Pain” module, and authored portions of the new pain toolkit for Oregon Pain Guidance. During 25 years of work at Providence Health and Services, she developed pain education innovation for the primary care continuum in her role as pain educator for Providence Oregon, and guided the Persistent Pain team within Providence Oregon Rehab Services as the Pain Program lead. Nora was an initial developer of the Providence Comprehensive Pain Services clinic, using cost-effective group treatment to serve Medicaid and Medicare, as well as conventional fee-for-service care. Nora is committed to improving clinical understanding of pain across disciplines and to helping the public to rethink pain.
Michelle Marikos is a Certified Peer Support Specialist that has lived with chronic pain since 2003; she attended the Mayo Clinic’s Pain Rehabilitation Clinic (PRC) in 2012. Though the PRC program she was able to taper off of high dose opioids and benzodiazepines. Michelle then became an Oregon Pain Guidance (OPG) Steering Committee member in the Fall of 2012, worked on the Southern Oregon Pain Conference planning team 2014-2017, and became a Certified Peer Support Specialist (PSS) in May, 2013. She started and ran a Chronic Pain Support Group that was hosted at the YMCA and at Jackson County Health and Human Services, including working as a PSS at Pain Resiliency Program from 2013-2014. Additionally, Michelle is certified and worked as a Living Well educator. She has served as an Oregon Pain Guidance media campaign advisor and participant in a media campaign that won an EMMY. Michelle has also participated in Jackson Care Connects (JCC) Performance Improvement Project (PIP) call center support video, advised on the Stay Safe Oregon Campaign, participated in HealtInsight’s Medicare and chronic pain video series, and met with and worked with various public officials, including Greg Walden, U.S. Representative for Oregon, and Ron Wyden, U.S. Senator for Oregon.
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