Preventing Chronic Pain: A Human Systems Approach

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Description

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About this course: Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This course uses evidence-based science with creative and experiential learning to better understand chronic pain conditions and how they can be prevented through self-management in our cognitive, behavioral, physical, emotional, spiritual, social, and environmental realms. The goal of this course is to blend creative, experiential, and evidence-based teaching strategies to help participants understand chronic pain conditions and how a human systems approach can be applied to self-management strategies to reduce risk factors, enhance protective factors, and prevent chronic pai…

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When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This course uses evidence-based science with creative and experiential learning to better understand chronic pain conditions and how they can be prevented through self-management in our cognitive, behavioral, physical, emotional, spiritual, social, and environmental realms. The goal of this course is to blend creative, experiential, and evidence-based teaching strategies to help participants understand chronic pain conditions and how a human systems approach can be applied to self-management strategies to reduce risk factors, enhance protective factors, and prevent chronic pain. There are four major objectives to the course; 1. Describe the prevalence, personal impact, and health care dilemma associated with chronic pain. 2. Recognize the clinical characteristics and underlying etiology of several common pain conditions and the peripheral, central, and genetic mechanisms of chronic pain 3. Based on the literature associated with risk and protective factors in the seven realms of our lives, learn specific strategies in each realm that can be employed daily to prevent chronic pain and enhance wellness. 4. Appreciate the value of a human systems approach to health care and how it can provide a basis for integrative, interdisciplinary, and individualized care to preventing pain and enhancing wellness. CONTINUING EDUCATION CREDIT OPTION Accreditation Statement: University of Minnesota, Interprofessional Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. American Medical Association (AMA) The University of Minnesota, Interprofessional Continuing Education designates this enduring material for a maximum of 24.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Nurses Credentialing Center (ANCC) This activity is awarded up to 24.0 ANCC contact hours. Other Health Care Professionals Other health care professionals who participate in this CE activity may submit this certificate statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education. Registration and disclosure information is available here at http://z.umn.edu/chronicpain and pay the additional fee. Then, email your Coursera certificate statement of completion to cme@umn.edu.

Created by:  University of Minnesota
  • Taught by:  Dr. James Fricton, DDS, MS, Professor and Pain Specialist

    University of Minnesota, HealthPartners Institute, and Minnesota Head and Neck Pain Clinic
Level Beginner Language English How To Pass Pass all graded assignments to complete the course. User Ratings 4.7 stars Average User Rating 4.7See what learners said Coursework

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University of Minnesota The University of Minnesota is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation’s most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.

Syllabus


WEEK 1


Introduction to the Course (Week 1)



In this first module, we will introduce you to the course and present an overview of the topics to be discussed and format of the course. We will also present information about receiving Continuing Education, joining the International Myopain Society, and supporting the Campaign for Preventing Chronic Pain


9 videos, 6 readings expand


  1. Reading: Weekly Overview
  2. Reading: Getting Started
  3. Reading: Syllabus
  4. Reading: Paper on Preventing Chronic Pain: The MOOC
  5. Reading: Meet the Faculty
  6. Video: Promo Video for the Course
  7. Video: Course Overview (v2)
  8. Video: Introduction to the Last Scroll (v2)
  9. Video: International Myopain Society Introduction
  10. Video: The Campaign for Preventing Pain and Addiction
  11. Discussion Prompt: Discussion: Introduce Yourself
  12. Video: 1 The Prevalence of Chronic Pain
  13. Video: 2 The Health Care Dilemma that Chronic Pain Poses
  14. Video: 3 A New Paradigm
  15. Video: Preface to The Last Scroll (v2)
  16. Discussion Prompt: Discussion: Barriers to dealing with chronic pain
  17. Reading: Outline of The Dilemma of Chronic Pain

Graded: Module Quiz: Health Care Dilemma

WEEK 2


The Problem of Chronic Pain (Week 2)



16 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Outline:The Personal Impact of Chronic Pain
  3. Video: 1 Assessment of Pain using a Transformative Care Model
  4. Video: 2 Characteristics of a Pain Evaluation
  5. Video: 3 Patient Interviews
  6. Video: 4 Assess Your Seven Realms
  7. Video: Last Scroll: The Nightmare from The Last Scroll
  8. Video: Patient Interview 1: Angie
  9. Video: Patient Interview 2: Bernie
  10. Video: Patient Interview 3: Lorrie
  11. Video: Patient Interview 4 : Chantelle
  12. Video: Patient Interview 5: Lydia
  13. Discussion Prompt: Discussion: Personal Impact
  14. Reading: Outline: The Balance between Health and Illness
  15. Video: 1 The Biomedical Model versus a Human Systems Approach
  16. Video: 2 Holistic complexity: "The whole is greater than the sum of its parts"
  17. Video: 3 Chaos Theory: Small changes, big impact
  18. Video: 4 How do you want to be?
  19. Video: Cybernetics: the cycles of our lives
  20. Video: Last Scroll: Balance in the Seven Realms v2
  21. Discussion Prompt: Discussion: Human Systems, cybernetics, and chaos theory

Graded: Module Quiz: Personal Impact of Chronic Pain
Graded: Module Quiz: The Balance Between Health and Illness

WEEK 3


Common Pain Conditions and their Mechanisms (Week 3)



14 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Outline: Myofascial Pain
  3. Video: 1 Myofascial Pain: Clinical characteristics
  4. Video: 2 Myofascial Pain: Causes
  5. Video: 3 Myofascial Pain: Perpetuating factors
  6. Video: 4 Myofascial Pain: Trigger point examination
  7. Video: 5 Myofascial Pain: Management strategies
  8. Video: Clinic Trigger Points Demo
  9. Video: Last Scroll: The Rule of Moderation v3
  10. Discussion Prompt: Discussion: Trigger Points
  11. Reading: Handout: TMD and Orofacial Pain
  12. Video: 1 The Impact
  13. Video: 2 Common Orofacial Disorders
  14. Video: 3 Temporomandibular Disorder
  15. Video: 4 Risk and Protective Factors
  16. Video: 5 Treatment of TMD
  17. Video: 6 Prevention of TMD
  18. Video: Last Scroll: Rule of Being: Virtues, Vices, and Energy v2l
  19. Discussion Prompt: Discussion: Temporomandibular and Orofacial Pain

Graded: Module Quiz: Myofascial Pain
Graded: Module Quiz: TMD and Orofacial Pain

WEEK 4


Common Pain Conditions and their Mechanisms (Week 4)



16 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handouts for Headache
  3. Video: 1 What You Can Do to Prevent Headaches: An introduction
  4. Video: 2 Understanding Your Headache
  5. Video: 3 Headache Diagnosis
  6. Video: 4 Headache Triggers and Contributing Factors
  7. Video: 5 What About Muscle Dysfunction?
  8. Video: 6 Transformation of Episodic to Chronic Heachache
  9. Video: 7 Managing Headaches: An individualized treatment plan
  10. Video: 8 Treatment Planning: Simple to complex
  11. Video: Last Scroll: The Vacation v2
  12. Discussion Prompt: Discussion Question: Headache
  13. Reading: Handout: New Developments in the Management of Fibromyalgia Syndrome
  14. Video: 1 Presentation
  15. Video: 2 Diagnosis
  16. Video: 3 Severity
  17. Video: 4 Misconceptions
  18. Video: 5 Medication Management (1:02:57)
  19. Video: 6 Lifestyle Management
  20. Video: Last Scroll: The Rule of Gatherings
  21. Discussion Prompt: Discussion: Fibromyalgia

Graded: Module Quiz: Headache
Graded: Module Quiz: Fibromyalgia

WEEK 5


Common Pain Conditions and their Mechanisms (Week 5)



11 videos, 2 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handout on Arthritis
  3. Video: 1 Arthritis: Understanding and expectations
  4. Video: 2 Arthritis: Risk and protective factors
  5. Video: 3 Strategies to Manage Arthritis Pain
  6. Video: 4 Screening for Functional Mobility
  7. Video: Last Scroll: The Attraction v2
  8. Discussion Prompt: Discussion: Barriers to recovery
  9. Video: 1 Chronic Pain Scope and Nature of the Problem
  10. Video: 2 Peripheral and Central Neural Mechanisms of Pain
  11. Video: 3 Molecular Pathways of Persistent Pain
  12. Video: 4 The Overlapping Features of Chronic Pain Conditions
  13. Video: 5 Personalized Care for Chronic Pain
  14. Video: Last Scroll: The Human Spirit v2
  15. Discussion Prompt: Discussion: Chronic pain mechanisms

Graded: Module Quiz: Arthritis
Graded: Module Quiz: Chronic Pain Mechanisms

WEEK 6


Risk and Protective Factors in the Seven Realms (Week 6)



13 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handouts on the Body
  3. Video: 1 Musculoskeletal Pain Mechanisms
  4. Video: 2 Repetitive Strain
  5. Video: 3 Postural Strain
  6. Video: 4 Exercise
  7. Video: 5 Preventing Injury
  8. Video: Clinic Demo: Exercises
  9. Video: Clinic Demo: Stretching
  10. Video: Last Scroll: The Blessing of Health
  11. Discussion Prompt: Discussion: Exercise, posture, and reducing strain
  12. Reading: Outline for The Mind
  13. Video: 1 The Cognitive Dimension of The Pain Experience: Understanding and expectation
  14. Video: 2 Self-efficacy and Self-management
  15. Video: 3 Resilience and Adaptation to Change
  16. Video: 4 Embracing Change: Improving resilience
  17. Video: Last Scroll: Energy Thieves v2
  18. Discussion Prompt: Self-efficacy

Graded: Module Quiz: Body
Graded: Module Quiz: The Mind: The Cognitive Dimension

WEEK 7


Risk and Protective Factors in the Seven Realms (Week 7)



12 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handouts for Society and Pain
  3. Video: 1 The Cycles of the Social Lives We Live
  4. Video: 2 Neuroplasticity: Mechanisms for Social Risk
  5. Video: 3 Abuse, Conflict, and Social Stressors: Inner Conflict and Pain
  6. Video: 4 Post-Traumatic Stress (PTSD) and Chronic Pain
  7. Video: 5 Occupational Stress, Secondary Gain, Disability and Chronic Pain
  8. Video: 6 Social Support and Positive Relationships: Protective Factors
  9. Video: Last Scroll: The Conflict
  10. Discussion Prompt: Discussion: Social support and pain
  11. Reading: Handouts for Emotions and Pain
  12. Video: 1 Negative Emotions are Risk Factors for Chronic Pain
  13. Video: 2 Protective Factors: Managing negative emotions and harnessing positive psychology for healing
  14. Video: 3 Self-management of Chronic and Daily Emotional Challenges for Physical Relief
  15. Video: 4 Experiential Exercises for Self Regulation
  16. Video: Last Scroll: Emotion and Fear v2
  17. Discussion Prompt: Positive Psychology: Applied

Graded: Module Quiz: Society
Graded: Module Quiz: Emotional Challenges

WEEK 8


Risk and Protective Factors in the Seven Realms (Week 8)



16 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handout: Lifestyles and Pain
  3. Video: 1 The Lifestyle Treadmill
  4. Video: 2 Sleep and Chronic Pain
  5. Video: 3 Diet and Chronic Pain
  6. Video: 4 Obesity, Eating Disorders, and Chronic Pain
  7. Video: 5 Chemicals: Medication, Smoking, Alcohol and Recreational Drug Use
  8. Video: 6 Daily routines (Activity Level, Balance, Pacing, Timing, and Variation)
  9. Video: Video Exercise: Guided Relaxation
  10. Video: Last Scroll: Prosperity v2
  11. Discussion Prompt: Discussion: Lifestyle Improvements
  12. Reading: Handout: Environment and Pain
  13. Video: 1 Environmental Risks and their Impact on Chronic Pain
  14. Video: 2 Motor Vehicle Accidents and Chronic Pain
  15. Video: 3 Personal Accidents and Chronic Pain
  16. Video: 4 Medical and Dental Treatment Risks and Chronic Pain
  17. Video: 5 Infection Risk: Staying Clean, Infection Free, and Healthy
  18. Video: 6 Pollution: Air, Noise, Vibration, and Weather
  19. Video: 7 Protect Yourself: Environmental Changes to Prevent Chronic Pain
  20. Video: Last Scroll: The Festival v2
  21. Discussion Prompt: Discussion: Environmental Circumstances

Graded: Module Quiz: The Lifestyle Realm
Graded: Module Quiz: The Environment

WEEK 9


Risk and Protective Factors in the Seven Realms (Week 9)



13 videos, 3 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handout: Spirit and Pain
  3. Video: 1 Restoring Wellbeing: The Roles of Hope and Purpose in Recovering from Chronic Pain
  4. Video: 2 The Perils of Perception: The Effects of Stress on Mind, Body, and Emotions
  5. Video: 3 Coming Back to Yourself: The Efficacy of Compassion and Mindfulness
  6. Video: 4 Exercises: Breathing, Relaxation, and Mindfulness Meditation
  7. Video: Last Scroll: The Blessing of Love v2 Last
  8. Discussion Prompt: Discussion: Effects of Stress
  9. Reading: Handout: The Patient's Story
  10. Video: 1 Outcome Present State Test (OPT) Model
  11. Video: 2 Knowledge Representation and Framing
  12. Video: 3 Clinical Reasoning Web
  13. Video: 4 Listening and Understanding People's Stories
  14. Video: 5 Creating and Activating Clinical Reasoning Dynamics
  15. Video: 6 The Complementary Nature of Problems and Outcomes
  16. Video: 7 The Four Cs of Clinical Judgment
  17. Video: Last Scroll: The Leaning Tower and Fear v2
  18. Discussion Prompt: Understanding the patient's story

Graded: Module Quiz: Spirit: Gaining insight, hope, and purpose
Graded: Module Quiz: The Patient's Story

WEEK 10


Implementing Transformative Care (Week 10)



20 videos, 4 readings expand


  1. Reading: Weekly Overview
  2. Reading: Handout: Implementing Transformative Care
  3. Video: 1 Addressing Issues the with our Current Health Care System
  4. Video: 2 Implementing Transformative Care: The Case of Mona Lisa
  5. Video: 3 What Interventions Work for Chronic Pain?
  6. Video: 4 What about Opioids to Prevent Chronic Pain?
  7. Video: 5 What about Surgery to Prevent Chronic Pain?
  8. Video: 6 Developing a Transformative Treatment Plan
  9. Video: 7 Take-home Messages about Chronic Pain
  10. Video: Last Scroll: Energy of the 7 Realms v2
  11. Video: Transformative Care: Patient Interview 1: Janet
  12. Video: Transformative Care: Patient Interview 2: Brianna
  13. Discussion Prompt: Discussion: Transformative Care
  14. Video: 1 Provider Interview: Dr. Karen Lawson
  15. Video: 2 Provider Interview: Dr. Miles Belgrade
  16. Video: 3 Provider Interview: Dr. Stefan Friedrichsdorf
  17. Video: 4 Provider Interview: Dr. Mary Jo Kreitzer
  18. Video: 5 Provider Interview: Dr. Matt Monsein
  19. Video: 6 Provider Interview: Dr. Bill Manahan
  20. Reading: Handout: Improving the health care system
  21. Video: 1 Why improve our health care system?
  22. Video: 2 Barriers to improving health care
  23. Video: 3 Transforming our health care system
  24. Video: 4 Who can improve the health care system?
  25. Discussion Prompt: Discussion: Changing Health Care
  26. Reading: Course Evaluation

Graded: Module Quiz: Transformative Health Care
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