文档介绍：The “Pain Management Plus” Approach
Patient history
59 year old man
17 year history of depression and anxiety
14 year history of Hepatitis C
14 year history of shoulder pain (accident)
8 year history of leg and muscle pain
Pancreatitis
Irritable bowel syndrome
Diabetes type 2
Hypertension
/ 尼龙板棒 pom板棒环氧板尼龙板尼龙棒/ 高压油管金属软管液压接头
Treatments
Pain medication . dihydrocodeine, morphine for pancreatitis
Pharmacological intervention for mood disorder
UNTREATED
Adjustment difficulties
Thoughts and beliefs regarding life with illness
The link between mood and pain
Systemic formulation
Contextual factors
Largely feeling socially isolated; protecting family system
Family belief system – role of illness as life threatening
Personal belief system: . “What’s going to happen next?”
Lifecycle stage of individual and of illness
Making meaning of adversity
strengths: resilience:
not blaming others, learning from failures, taking responsibility for his own feelings, seeing self as “ a fighter” BUT
viewing crisis/ill health as unmanageable AND
little confidence in ing difficulties;
also using a limited relational view of illness/adversity . support only from sister.
Systemic formulation - resilience
Learning optimism through the instillation of hope:
adaptation and adjustment, mastering the possible THEREFORE
Developing locus of control with regards to illness (. lear