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| Session number | Session agenda | Homework |
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| 1 | Introduction
Set individual program goals
Questionnaires
Relaxation: theory & practice
Qi Gong | (i) Program goals
(ii) Relaxation exercise daily |
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| 2 | Review individual program goals
Right & left brain function
Complete questionnaires
Pain diary
Hydrotherapy or gym | (i) Relaxation exercise daily
(ii) 3 min breathing exercise
(iii) Pain diary |
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| 3 | Review goals & pain diaries
Definitions of pain
Physiology of pain
Pain theories
Exercise: assess negative thoughts
Qi Gong | (i) Assess negative thoughts |
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| 4 | Review use of relaxation & breathing
Introduction to collage
Dynamic imagery
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation exercise daily
(ii) Imagery exercise 4x a day |
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| 5 | Review coping exercise
Video: accepting the pain, discussion
Discovering the “silver lining”
Intro to cognitive behavioural approach
Negative self-talk
Flare-up plan
Qi Gong | (i) Positive experiences |
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| 6 | Imagery as a pain management technique
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation tapes daily
(ii) Draw pain picture |
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| 7 | Review positive experiences
Demonstration of cognitive model
Practical application of the model (group work on self-talk)
Qi Gong | (i) Self-talk exercise |
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| 8 | Development of individual pain imagery
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation exercise daily
(ii) Practice pain imagery |
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| 9 | Stress and its relationship with pain
Group work: self-talk exercises
Qi Gong | (i) Self-talk exercise |
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| 10 | Sexuality & pain: guest speaker: sex therapist Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation exercise daily
(ii) Practice pain imagery
(iii) Review program goals |
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| 11 | Review program goals
Role of medications in chronic pain
Stress video
Group work: self-talk exercises
Qi Gong | (i) Reducing stress
(ii) Prepare for collage to be completed in Session 12 |
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| 12 | Collage exercise: group reporting
Medications (cont’d)
Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation exercise daily
(ii) Practice pain imagery |
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| 13 | Guest speaker: former group member
Strategies for improved sleep quality
Review collage exercise
Qi Gong | (i) Sleep strategies
(ii) Self-talk exercise
(iii) Reducing stress |
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| 14 | Energy conservation (OT, Sandy Duncan)
Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym | (i) Relaxation & imagery
(ii) Anger styles |
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| 15 | Therapeutic benefits of humour (video)
Anger management
Review sleep strategies
Discussion: self-talk/stressful situations
Qi Gong | (i) Humour exercise
(ii) Anger exercise |
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| 16 | Review exercise: anger episode analysis
Review humour exercise
Planning for family session1
Relaxation: practice
Hydrotherapy or gym | (i) Continue use of humour
(ii) Relaxation & imagery |
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| 17 | Family session1
Qi Gong | (i) Review/complete cognitive exercises |
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| 18 | Review of family session
Nutrition and pain (nursing)
Introduction to mindfulness meditation
Hydrotherapy or gym | (i) Relaxation: practice |
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| 19 | Discussion of community resources
ACPA video “getting involved”
Final review cognitive strategies
Discussion of other related pain topics
Qi Gong | (i) Review initial goals
(ii) Prepare future goals |
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| 20 | Review individual goals/set future goals
Program evaluation
Graduation: congratulations!
Book follow-up session
Hydrotherapy or gym | (i) Apply strategies learned in 10-week program |
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