LIVING WELL WITH CHRONIC PAIN
This does not mean we should ignore people’s pain or people should just ignore their pain either. This doesn’t mean that we should minimize or trivialize a person’s experience of pain, that pain can’t still be something that is very hard for people to live with and work through, that we can just flip a switch and learn how to live well with chronic pain, or that we should just tell people to “get over it” or “move on”. ️
We should instead recycle our outdated and unattainable views/beliefs that pain always needs to be reduced or removed to have success with treatment, reach goals, or improve life. This means that sometimes we need to shift our focus from getting rid of pain to learning to live well despite having pain.
“When developing goals and plans with people living with pain, rehabilitation professionals should consider an individual's position within the processes involved in learning to live well. Implication for rehabilitation Living well with chronic pain involves a process of making sense, deciding to move on with life, and flexibly persisting. Diagnosis should be accompanied by messages about hurt and harm not being equivalent, and the need for a lifelong approach to managing a chronic problem. An idiographic depiction or formulation of a person's pain and disability provides opportunities for making sense of symptoms and collaborating on treatment goals. Remaining supportive, providing "small acts" demonstrating that the person is unique and being thought of, and encouraging engagement in valued occupations allows patients to experiment with, and start to engage in what is important in their lives. Clinicians should help people extend their coping repertoire and encourage flexibility with how these are applied in the pursuit of valued occupations. The positive motivation that comes from individuals identifying highly valued occupations is an aspect that all clinicians, but particularly occupational therapists, should recognize.”
Lennox thompson B, Gage J, Kirk R. Living well with chronic pain: a classical grounded theory. Disabil Rehabil. 2019;:1-12 - 52 minutes ago