Latest Blog Posts for Healthskills

• Pacing: why do people use it?
  on Jul 26, 2016 in Uncategorized
  Do you recommend pacing as a strategy for your clients/patients? If so, would you please consider taking part in a survey I’m conducting, looking at health professional’s beliefs about the underlying motivations for using pacing. The find...
• Getting stuck with language
  on Jul 24, 2016 in ACT - Acceptance & Commitment Therapy Coping strategies Pain Pain conditions Professional topics Research Resilience/Health Science in practice acceptance biopsychosocial Chronic pain Clinical reasoning Health science Therapeutic approaches
  In my last post I talked about the ways in which humans learn to relate abstract concepts and experiences together (symbolic relations). I pointed out that we learn to take another person’s point of view as part of developing empathy, and that...
• Words are never enough – but does that stop us?
  on Jul 17, 2016 in ACT - Acceptance & Commitment Therapy Clinical reasoning Education/CME Pain Professional topics Research acceptance biopsychosocial Health healthcare pain management Therapeutic approaches treatment
  Pain may be said to follow pleasure as its shadow; but the misfortune is that in this particular case, the substance belongs to the shadow, the emptiness to its cause. CHARLES CALEB COLTON, Lacon I can bear any pain as long as it has meaning. HARUKI...
• Ambiguity and uncertainty
  on Jul 10, 2016 in Assessment Clinical reasoning Coping strategies Pain Pain conditions Professional topics acceptance ambiguity healthcare pain management Research Therapeutic approaches treatment uncertainty
  Humans vary in how comfortable we are with uncertainty or ambiguity: Tolerance of ambiguity is a construct discussed in cognitive and experimental research literature, and refers to the willingness to prefer black and white situations, where “t...
• Values and why they matter in pain management
  on Jul 3, 2016 in ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Professional topics Uncategorized
  I’m away from my desk, visiting Auckland this week, so this post will not be in my usual format. Having time away allows me breathing space to think about things (even more than usual), and I’ve been thinking about values and their place...
• Did it help? Questions and debate in pain measurement
  on Jun 26, 2016 in Assessment Coping strategies Pain Pain conditions Science in practice biopsychosocial Clinical reasoning Research values
  Pain intensity, quality and location are three important domains to consider in pain measurement. And in our kete*of assessment tools we have many to choose from! A current debate (ongoing debate?) in the august pages of Pain (International Associati...
• What is our goal in pain management?
  on Jun 19, 2016 in ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping Skills Coping strategies Pain Pain conditions Professional topics Research Resilience/Health acceptance pain management Therapeutic approaches treatment values
  One of the cool things about having worked in chronic pain management since the mid-1980’s is that I’ve seen a few things come and a few things go.  Some things remain, of course, and the things that seem most long-lived are debates abou...
• The positive power of what we say during treatment
  on Jun 12, 2016 in Coping strategies Pain Research Science in practice acute pain Chronic pain conditioning expectations mental imagery placebo procedures treatment verbal instruction
  Expectations form one of the important predictors of response to treatment, especially in the case of treatments for pain. A person’s belief or expectation that a treatment will reduce their pain is thought to be part of the response to placebo...
• A new definition of pain
  on May 29, 2016 in News Pain Pain conditions Professional topics biopsychosocial Clinical reasoning Health pain management Research
  The IASP definition of pain has been revolutionary. It has helped shift the focus away from mechanisms involved in producing the experience we all know, towards defining the nature of that experience. The definition is relatively simple, easy to reme...
• How do help someone change their beliefs about pain?
  on May 9, 2016 in Chronic pain Clinical reasoning Coping strategies Professional topics biopsychosocial coping strategies healthcare Pain pain management Therapeutic approaches
  This post is my little attempt to educate clinicians! Some of you will know I really don’t like the term “pain education” or “educating” people. The reason doesn’t go back as far as the original definition of ̶...

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