Increasing Occupational Engagement by Addressing Psychosocial and Occupational Factors of Chronic Pain: A Case Report
Background: Chronic pain can significantly disrupt occupational engagement through physical, psychological, and social domains. Because pain is a subjective experience influenced by numerous factors, it has the capacity to become increasingly complex. Evidence supports addressing chronic pain throug...
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| Main Authors: | , |
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| Format: | Book |
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Scholarworks @ WMU,
2022-07-01T00:00:00Z.
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| Summary: | Background: Chronic pain can significantly disrupt occupational engagement through physical, psychological, and social domains. Because pain is a subjective experience influenced by numerous factors, it has the capacity to become increasingly complex. Evidence supports addressing chronic pain through a biopsychosocial approach and promoting health and well-being through occupational engagement. Method: This case report describes the implementation of psychosocial and occupation-focused assessments and interventions for a 68-year-old client with chronic pain and increased symptoms of depression, anxiety, and pain catastrophizing. The use of an occupation-focused time-use assessment (Occupational Experience Profile), psychosocial assessments, and pain assessments guided intervention development. Occupational therapy intervention consisted of evidence-based approaches to address well-being and the pain experience through motivational interviewing, acceptance and commitment therapy, therapeutic exercises, pain neuroscience education, and graded exposure to occupational engagement. Results: The client demonstrated significant progress, and although pain was still present at discharge, he had met all client-directed goals. Outcome measures at discharge indicated improvements in depression, anxiety, catastrophizing thoughts about pain, and occupational engagement. Conclusion: Using a biopsychosocial approach, occupational therapists can incorporate psychosocial and occupation-focused assessments and interventions to increase quality of life and occupational engagement, improve overall well-being, and support clients in living well with chronic pain. |
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| Item Description: | https://doi.org/10.15453/2168-6408.2027 2168-6408 |