1.Help patient realize that pain is a subjective experience-phenomenological approach
2.Join with patient to perceive pain reduction as a ‘challenge’ vs despair
3. There are at least 5 ways to measure pain, not one. A. Physical B.Cognitive Appraisals C. Emotions D. Life stressors
E. Fortitude (Strengths)
4.Assist patient to interpret his/her Pain Scale Measurements
5. Help patient establish realistic goals while affirming that everyones challenge is different. Note realistic expectations of reducing pain scale levels as best as possible to 2-4 vs. 7-9 for negative scale ratings and 7-9 vs 2-4 for positive ones.
6. Explore with patient whether s/he will accept or defend against this challenge/Have patient weigh the advantages and disadvantages without judgment
7.If accepts,help patient work through loss. If rejects,explore short and long term consequences
8. Help patient appreciate the multidimensional approach to pain management. Pain Management Lifestyle is Different for each person.
9. Have patient weigh the advantages and disadvantages of each strategy
10. Help patient choose specific strategies/ determine his/her commitment
11.Have patient act on his/her plan
12. Help patient evaluate how it’s going
13. Maintain ability of patient to keep on track of monitoring pain measures while acting on specific pain management strategies.