Posted on July 4, 2008 by adiemusfree
There are many people who have completed a pain management programme, know how to do things like breathing, working to quota (pacing), relaxation strategies, distraction and exercise - but when they are asked about returning to work say ‘I can do these things at home, but not at work’.
I have many books on pain management [...]
Filed under: 'Pacing' or Quota, Chronic pain, Cognitive behavioral therapy, Coping Skills, Motivation, Relaxation, Return to Work, psychology, therapy | Tagged: CBT, generalising, mindfulness, occupational therapy, pain management, Return to Work, therapy, vocational management, work | No Comments »
Posted on June 27, 2008 by adiemusfree
This is the last post in this mini-series on why I use science when deciding what interventions to use as a therapist. As I did yesterday and the day before, I refer to William Palya’s book on research methods - it’s easy to read, available on the internet for free, and although it gives only [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: ethics, philosophy, reasoning, science, therapy, truth | No Comments »
Posted on June 26, 2008 by adiemusfree
Yesterday I blogged about why I am so keen to use science to help me work ethically with clients. I talked about the basic onuses that we accept when we decide to become therapists, and showed how these are no more than what I would hope to receive if I saw a therapist or plumber [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: evidence, healthcare, science, theory, therapy, truth | No Comments »
Posted on June 25, 2008 by adiemusfree
I caught myself wondering in the last few days about why I am so keen to pursue science and evidence-based approaches to health care. I’m definitely consistent about wanting to know why something works, and equally consistent about knowing that it works - at the same time I meet people every day who don’t believe [...]
Filed under: Clinical reasoning, psychology, research, therapy | Tagged: Clinical reasoning, ethics, science, therapy | No Comments »
Posted on June 23, 2008 by adiemusfree
Self regulation is something we learn to do to achieve goals - it’s all about establishing what the goal is, find out how close we are to the goal, the gap between where we are and where we want to be, and what we need to do to get there. This is a reasonably [...]
Filed under: Chronic pain, Cognitive behavioral therapy, Coping Skills, Relaxation, therapy | Tagged: Chronic pain, Coping Skills, exercise, meditation, mindfulness, pain management, relaxation, therapy | 3 Comments »
Posted on June 20, 2008 by adiemusfree
It’s Friday here in New Zealand - last day of my working week - so in the tradition of many places, I’m having a ‘casual Friday’. ‘Cos you can’t see what I’m wearing, you’ll have to take my word for it, but I’m dressing down, and chilling out in preparation for a relaxing weekend. [...]
Filed under: Humour, off topic, therapy | Tagged: blogs, photography, ramble, relax, therapy | No Comments »
Posted on June 19, 2008 by adiemusfree
If this post is anything to go by, and from the ones I’ve read, it is, then dipping in and out of Science-based medicine is a very good thing.
The authors are respected scientists and doctors who write eloquently and thoughtfully about issues to do with those gray areas between science and [...]
Filed under: Clinical reasoning, Education/CME, News, therapy | Tagged: blogs, disability, health, medicine, sceptics, science, therapy | No Comments »
Posted on June 19, 2008 by adiemusfree
Something I’ve noticed many times is the number of people experiencing chronic pain who also smoke. It used to be thought that people who smoke perhaps had poorer health behaviours which lead them to be less fit, less careful about eating well, and perhaps to having poorer responses to stressors generally. And I’ve [...]
Filed under: Chronic pain, Coping Skills, Education/CME, Low back pain, News, therapy | Tagged: acute pain, Chronic pain, healthcare, quitting, recovery, research, risk factors, smoking, therapy | No Comments »
Posted on June 18, 2008 by adiemusfree
Having looked all over the place for some suitable activities for people to become aware of their own pain behaviour and then learn to change it, I decided to put together one of my own. Now, unlike the posts I’ve made recently, I have no research to determine its effectiveness, but I hope you’ll [...]
Filed under: Chronic pain, Cognitive behavioral therapy, Groupwork, psychology, therapy | Tagged: activity, awareness, behavioural, Chronic pain, groups, pain behaviour, therapy | No Comments »
Posted on June 17, 2008 by adiemusfree
Even in health care, the loudest voice with the largest opinion can be the most persuasive - even with limited (or selective) use of scientific evidence. Sadly, fads exist in pain management too.
To counter our human biases we need to be critical of all research, and ask some serious questions about accepted practice as [...]
Filed under: Clinical reasoning, Education/CME, research, therapy | Tagged: appraisal, evidence, health, outcomes, research, science, therapy | No Comments »