fencing
  • Healthskills is a blog for health providers who want to read about research related to self managing chronic pain.
    What you’ll find here over time:

    * cognitive behavioural therapy
    * chronic pain management
    * relaxation
    * motivation
    * values-based therapy
    * research
    * psychology
    * interdisciplinary teams
    * using exposure therapy

    Head to my 'About', page for more information about who I am and what this blog is based on.

    This week's photograph: Little Schoolhouse
    All photographs (c) Adiemus 2011

fencing

Trust, teamwork and transparency

Teams are a feature of healthcare, and nowhere more so than in pain management.  This is because, at least for chronic pain, no single profession can claim to have all the answers.  Many of us know we need to rely on one another to address patient/client concerns and to provide a consistent approach for the … Read more

fencing

Living well with persistent pain – a problem solving model

Chronic pain is abnormal. Living well with chronic pain seems a myth, a bit of an impossibility. After all, chronic pain starts with the kind of pain that most people would expect to go away – acute pain.  Acute pain is normal and most of us will experience some painful episode today.  Acute pain goes … Read more

fencing

Nerdy, Sciency Stuff

The past three weeks have been a swirl of joyous, passionate neuro-nerdy stuff! And yes, it’s absolutely possible to call neuroscience joyous and passionate (just ask David Butler and the NOI crew). What have I learned? Let’s begin with the obvious: pain is an output of the brain.  What does that mean? It means that … Read more

little schoolhouse

The Graded Motor Imagery Handbook – a review

I love getting presents, and I love books, so what could be better than getting a book to review as a present! Graded motor imagery (GMI) has become incredibly popular in pain management, especially for people with unilateral pain.  It’s a treatment that is intensive for patients/participants, but is non-invasive, means the person with pain … Read more

little schoolhouse

Lorimer Moseley throws the gauntlet down!

This week I’ve been at the NOI Conference 2012 – a real blast! A week of neuroscience-backed biopsychosocial practice, and nerdy passions. My brain is nourished, in fact, it’s replete. And now to digest. Why the headline? Well, throughout the conference, over and over again I heard about physiotherapy and psychology – and nary a … Read more

wired

How occupational engagement might work in pain management

Intuitively, most of us know that when we’re actively involved in doing something we either enjoy or is sufficiently complex enough to need attention, we can lose awareness of things like hunger, thirst – or pain.  In the very early years of occupational therapy, this “distracting” factor of occupation was employed to good effect to … Read more

wired

Mindfulness, catastrophising and disability

Readers of Healthskills will know I have a fascination for mindfulness as an intervention for people who have ongoing pain.  Mindfulness is relatively easy to learn, is portable – is free, and has no calories! Seriously, as a seemingly simple intervention, it has appeal not only because it is readily used, but also because so … Read more

My Nikons last picture

Pain reduction doesn’t (always) reduce disability

The relationship between pain and disability is a particularly vexing one in primary care. It would be great if it was possible to get rid of pain and be assured that any lingering effects on function would be similarly abolished, but it just doesn’t seem to be quite that simple. Many different approaches to managing … Read more

slowdown

Gratitude when you’re in pain? You’ve got to be kidding!

Or – introducing the “parent of all virtues” (Wood, Joseph & Linley, 2007). For some time now I’ve been exploring the contribution of positive psychology on wellbeing in people with chronic pain.  Positive psychology is the ” scientific study of the strengths and virtues that enable individuals and communities to thrive”. (Seligman, ND). It strikes … Read more

Strength

What to do when a patient is “inconsistent”

I’m a practical person, despite occasional flights of fancy dreaming of a health service that really integrates a biopsychosocial approach for pain management, sigh… Anyway, my intention with this short series of posts about “faking” and “inconsistency” is to: point out that pain is personal and subjective and because of this, we can’t know what … Read more

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