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Pain Busters Workshop. Presented by The Arthritis Society Manitoba/Nunavut Division. Our Mission. To provide leadership and funding for research, advocacy and solutions to improve the quality of life for Canadians affected by arthritis - PowerPoint PPT Presentation

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  • Pain Busters WorkshopPresented byThe Arthritis Society Manitoba/Nunavut Division

  • Our MissionTo provide leadership and funding for research, advocacy and solutions to improve the quality of life for Canadians affected by arthritisVISION: Living well while creating a future without arthritis

  • ARTHRITIS FACTSThe Arthritis Society is a non profit organization with 66 years of service to Manitoba

    We are not funded by government

    We are supported by the generosity of donors from Manitoba and the United Way

  • National Arthritis Facts1 in 6 Canadians are living with arthritis

    1 in 8 have osteoarthritis

    60% are under 65 years of age

    100,000 Canadians each year are diagnosed with arthritis

    There are over ? different types of arthritis?

  • National Facts4.6 million people diagnosed with arthritis3 million with osteoarthritis1.6 million with inflammatory condition

    many people have more than one form of arthritis

  • Provincial Arthritis Facts Manitoba 250,000 people live with arthritis everyday in Manitoba

    Arthritis is the most common cause of long-term disability

  • Future of ArthritisOur next generation will be facing:1in 4 with arthritisOsteoarthritis diagnosed every 60 secondsRheumatoid arthritis diagnosed every 11 hours increase in Rheumatoid arthritis will be increased by 63%Over 10 million with arthritis

  • *Why should I control my arthritis?Controlling your arthritis will help you to:reduce or eliminate paincontinue to participate in daily activitiesprevent the disease from progressingreduce or prevent disabilityMaximize long term quality of life

  • INTRODUCTIONThe Arthritis Society would like to provide you with information to make your own choices in managing your pain.

    Many people feel that there is nothing they can do about their pain.

    We will share ways to minimize, not eliminate your chronic pain.

  • What is Pain?

    Pain starts in different parts of your body but lives in your head.

    Acute Pain injury or surgery

    Chronic Pain over 3 months

  • Chronic Pain-Can be intermittent or persistent (12+ hrs./day) -Most common causes: arthritis, fibromyalgia and low back pain

    -Neuropathic pain: disease or injury to the nervous system itself

    Mayo Clinic says chronic pain may be caused by a process called sensitization.

  • Pain Cycle

  • DAILY PAIN LEVELS:Unmanaged Pain

    Chart1

    8

    5

    3

    10

    5

    8

    7

    Time of Day

    Pain Level

    Daily Pain Levels

    Pain level1

    Daily pain levels

    8

    5

    3

    10

    5

    8

    7

    Pain level1

    Time of Day

    Pain Level

    Daily Pain Levels

    Sheet2

    Sheet3

    Pain level2

    Daily pain levels

    6am3

    9am5

    noon4

    3pm2.5

    6pm2

    9pm4

    midnight3

    Pain level2

    Time of Day

    Pain Level

    Daily Pain Levels

  • DAILY PAIN LEVELS:Managed Pain

    Chart2

    3

    5

    4

    2.5

    2

    4

    3

    Time of Day

    Pain Level

    Daily Pain Levels

    Pain level1

    Daily pain levels

    8

    5

    3

    10

    5

    8

    7

    Pain level1

    Time of Day

    Pain Level

    Daily Pain Levels

    Sheet2

    Sheet3

    Pain level2

    Daily pain levels

    3

    5

    4

    2.5

    2

    4

    3

    Pain level2

    Time of Day

    Pain Level

    Daily Pain Levels

  • Pain Management(physical)Heat:Hot PacksWarm baths or showersElectric blanket or heating padHot water bottleCold:Gel packsFrozen popping corn kernels

  • Pain Management (physical)Cautions to observe:Check if feeling is normal. Can you feel hot and cold?Skin in good condition?Do not apply heat over medication patches, as it can cause rapid absorption and side effects.Do not use hot or cold over any form of heat producing cream or ointment.

  • Pain Management(physical)Consider posture and positioningSupportive chairs

    Physical options:Massage TherapistsLicensed acupuncturist

  • Pain managementDistraction:LemonStairs

    Long time distraction:Gardening, music, movie, bookLearning to relax muscles- Jacobsons Progressive Muscle Relaxation

  • Managing Stress

    A daydream

    A happy event

    How would you spend a million dollars?

  • Symptoms of Depressionloss of interest in friends or activitiesisolation or withdrawaldifficulty or changes in sleep patterns

  • Symptoms of Depressionloss of interest in personal care or appearanceincreased or decreased appetite

  • Symptoms of Depressionunintentional weight loss or gaingeneral feeling of unhappiness, crying

  • Symptoms of Depressionloss of interest in sex, intimacysuicidal thoughtsfrequent accidents

  • Symptoms of Depressionfeeling tired or fatiguedlow self-image, loss of self-esteemfrequent arguments or loss of temperfeeling confused, lack of concentration

  • Dealing with DepressionImportance of contact with othersPlanning ahead for a special eventGetting out of the house everydayDoing something nice for yourselfDoing something nice for othersMovement like walking or stretchingENJOYING LIFE SHOULD BE A PRIORITY

  • Causes of FatigueActive diseaseLack of physical fitnessDepressionPoor nutritionMedicationsStressPoor sleep

  • Fatigue Management

    schedule frequent rest periods during the day

  • Fatigue Managementalternate heavy and light work sit to work, if possiblecommunicate about your fatigue with others

  • Fatigue Managementexamine your lifestyle and philosophy - are you trying to do too much?

  • Fatigue Managementask for helpuse good body mechanics - posturemaintain proper weight

  • Fatigue Managementuse your joints wisely there are many assistive aidsbe organized, plan aheadAsk for help

  • Fatigue ManagementHealthy eating

    Exercise and physical activity

    Managing fatigue helps break the pain cycle

    It rejuvenates both the mind and body

  • Fact!Physical activity can help manage arthritis

  • Exercise =Physical Activity =

  • Benefits of Exercise & Physical ActivityIncreases strength, mobility & balanceDecreases pain and disabilityIncreases blood circulation & joint nutritionDecreases body fatDecreases stressImproves bowel & bladder functionImproves sleep patternsImproves heart & lung efficiency

  • Programs and ServicesWe offer a self management program: Ease the Pain: Take charge of ArthritisPresentations on the different types of arthritis.

    Arthritis friendly exercise programs:Tai Chi for people with arthritis, PACE, Land Arthritis aquatics and Ai Chi - Water

  • PodiatristDietitianPsychologistColleaguesPhysiotherapistNurseRheumatologistFamily PhysicianPharmacistOccupational TherapistThe Arthritis SocietySocialWorkerYOU?CommunityResourcesFamily &FriendsPAIN MANAGEMENT TEAMNursePractitionerSpiritual Leader

    RegisteredMassage Therapist

  • National website: www.arthritis.ca Phone: (in Winnipeg) 204 942-4892 Fax 204 942-4894 Toll free: 1-800-321-1433Address: 105-386 Broadway, Winnipeg, R3C 3R6E-mail: info@mb.arthritis.caContact Us:

  • *Even though there is no cure, a lot can be done to minimize the effects and control the inflammation.There are over 119 different types of arthritis and musculoskeletal conditions.4.6 million diagnosed with arthritis.4.4 affected by osteoarthritis**To participate in daily activities To optimize mobility with minimal or no restrictions

    One may be able to prevent the disease from progressing to the point of joint deformity (which is permanent if it occurs)

    Achieving all of these goals will help to maximize your quality of life.When you have disease , you have painPain causes tense musclesTense muscles causes stressStress makes you frustrated, fearful, angryThis puts you in depression, that makes you very fatiguedThat make the complete cycle of pain.

    This is what an average level of pain looks like over the course of the day. Up and down.This is what we would like to see. That you try and keep the pain at a reasonable level, more at a constant low, than lots of highs and lows.Heat is used to open up the flow of blood. It enables you to move your joints more easily as the muscles are relaxed from the heat

    Cold is used to restrict the blood flow. It would be used to help decrease swelling and inflammation.

    Both modalities can be used for all types of arthritis. You wouldnt use heat on a joint that is already inflamed

    The frozen popping corn is regular popping corn placed in a freezer zip lock bag and put in the freezer. It will take on any shape of joint, knee shoulder etc. They can be left on as they will only stay frozen for about 15 minutes and then they take on your skin temperature. They will not cause any burn to the body. If you bag breaks you will have popping corn in the bed!!! *(Move stage left)In fact properly designed physical activity in combination with other lifestyle changes, such as good nutrition - can actually help you manage your arthritis.

    *To avoid confusion, lets clarify what I mean when I talk about physical activity, and what I mean by exercise.In this presentation, physical activity refers to activities that are a part of your everyday life. They include household, workplace and lifestyle activities that can help you become more active. Examples include gardening, mopping, and dusting.Exercise is a type of physical activity that uses exertion to improve physical fitness. Sample exercises well discuss