Preventing Chronic Pain: A Human Systems Approach

University of Minnesota

About this Course

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Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This course uses evidence-based science with creative and experiential learning to better understand chronic pain conditions and how they can be prevented through self-management in our cognitive, behavioral, physical, emotional, spiritual, social, and environmental realms.
The goal of this course is to blend creative, experiential, and evidence-based teaching strategies to help participants understand chronic pain conditions and how a human systems approach can be applied to self-management strategies to reduce risk factors, enhance protective factors, and prevent chronic pain. There are four major objectives to the course;

1. Describe the prevalence, personal impact, and health care dilemma associated with chronic pain.
2. Recognize the clinical characteristics and underlying etiology of several common pain conditions and the peripheral, central, and genetic mechanisms of chronic pain
3. Based on the literature associated with risk and protective factors in the seven realms of our lives, learn specific strategies in each realm that can be employed daily to prevent chronic pain and enhance wellness.
4. Appreciate the value of a human systems approach to health care and how it can provide a basis for integrative, interdisciplinary, and individualized care to preventing pain and enhancing wellness.

CONTINUING EDUCATION CREDIT
Health Care Professionals
Health care professionals who participate in this CE activity may submit this certificate statement of participation to their appropriate accrediting organizations or state boards for consideration of credit.  The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education.  Email your Coursera certificate statement of completion to your appropriate organization.

Learner Career Outcomes

67%

started a new career after completing these courses

41%

got a tangible career benefit from this course

19%

got a pay increase or promotion

Shareable Certificate

Earn a Certificate upon completion

100% online

Start instantly and learn at your own schedule.

Flexible deadlines

Reset deadlines in accordance to your schedule.

Beginner Level

Approx. 40 hours to complete

English

Subtitles: English

Skills you will gain

Chronic Pain ManagementPlanPain ManagementOpiod Addiction And Abuse Treatment

Learner Career Outcomes

67%

started a new career after completing these courses

41%

got a tangible career benefit from this course

19%

got a pay increase or promotion

Shareable Certificate

Earn a Certificate upon completion

100% online

Start instantly and learn at your own schedule.

Flexible deadlines

Reset deadlines in accordance to your schedule.

Beginner Level

Approx. 40 hours to complete

English

Subtitles: English

Instructor

Instructor rating

4.76/5 (21 Ratings)

Dr. James Fricton, DDS, MS

Professor and Pain Specialist

University of Minnesota, HealthPartners Institute, and Minnesota Head and Neck Pain Clinic

17,420 Learners

1 Course

Offered by

University of Minnesota

The University of Minnesota is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation’s most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.

Syllabus - What you will learn from this course

Content Rating98%(5,078 ratings)

Week

Week 1

3 hours to complete

Introduction to the Course (Week 1)

In this first module, we will introduce you to the course and present an overview of the topics to be discussed and format of the course. We will also present information about receiving Continuing Education, joining the International Myopain Society, and supporting the Campaign for Preventing Chronic Pain

3 hours to complete

9 videos (Total 79 min), 6 readings, 1 quiz

9 videos

Promo Video for the Course4m

Course Overview (v2) 21m

Introduction to the Last Scroll (v2) 7m

International Myopain Society Introduction 3m

The Campaign for Preventing Pain and Addiction4m

1 The Prevalence of Chronic Pain 7m

2 The Health Care Dilemma that Chronic Pain Poses 12m

3 A New Paradigm 9m

Preface to The Last Scroll (v2) 7m

6 readings

Weekly Overview10m

Getting Started10m

Syllabus10m

Paper on Preventing Chronic Pain: The MOOC10m

Meet the Faculty10m

Outline of The Dilemma of Chronic Pain10m

1 practice exercise

Module Quiz: Health Care Dilemma12m

Week

Week 2

4 hours to complete

The Problem of Chronic Pain (Week 2)

4 hours to complete

16 videos (Total 140 min), 3 readings, 2 quizzes

16 videos

1 Assessment of Pain using a Transformative Care Model 14m

2 Characteristics of a Pain Evaluation 16m

3 Patient Interviews 1m

4 Assess Your Seven Realms5m

Last Scroll: The Nightmare from The Last Scroll6m

Patient Interview 1: Angie7m

Patient Interview 2: Bernie7m

Patient Interview 3: Lorrie5m

Patient Interview 4 : Chantelle11m

Patient Interview 5: Lydia8m

1 The Biomedical Model versus a Human Systems Approach 8m

2 Holistic complexity: "The whole is greater than the sum of its parts" 12m

3 Chaos Theory: Small changes, big impact 7m

4 How do you want to be? 3m

Cybernetics: the cycles of our lives 17m

Last Scroll: Balance in the Seven Realms v26m

3 readings

Weekly Overview10m

Outline:The Personal Impact of Chronic Pain10m

Outline: The Balance between Health and Illness10m

2 practice exercises

Module Quiz: Personal Impact of Chronic Pain16m

Module Quiz: The Balance Between Health and Illness16m

Week

Week 3

5 hours to complete

Common Pain Conditions and their Mechanisms (Week 3)

5 hours to complete

14 videos (Total 185 min), 4 readings, 2 quizzes

14 videos

1 Myofascial Pain: Clinical characteristics 11m

2 Myofascial Pain: Causes 15m

3 Myofascial Pain: Perpetuating factors 22m

4 Myofascial Pain: Trigger point examination 18m

5 Myofascial Pain: Management strategies 23m

Clinic Trigger Points Demo 1m

Last Scroll: The Rule of Moderation v32m

1 The Impact 13m

2 Common Orofacial Disorders 12m

3 Temporomandibular Disorder 12m

4 Risk and Protective Factors 15m

5 Treatment of TMD 21m

6 Prevention of TMD 8m

Last Scroll: Rule of Being: Virtues, Vices, and Energy v2l5m

4 readings

Weekly Overview10m

Outline: Myofascial Pain10m

Update on myofascial pain and fibromyalgia10m

Handout: TMD and Orofacial Pain10m

2 practice exercises

Module Quiz: Myofascial Pain30m

Module Quiz: TMD and Orofacial Pain 26m

Week

Week 4

6 hours to complete

Common Pain Conditions and their Mechanisms (Week 4)

6 hours to complete

16 videos (Total 275 min), 3 readings, 2 quizzes

16 videos

1 What You Can Do to Prevent Headaches: An introduction 2m

2 Understanding Your Headache 8m

3 Headache Diagnosis 6m

4 Headache Triggers and Contributing Factors 5m

5 What About Muscle Dysfunction? 7m

6 Transformation of Episodic to Chronic Heachache 18m

7 Managing Headaches: An individualized treatment plan 8m

8 Treatment Planning: Simple to complex 6m

Last Scroll: The Vacation v25m

1 Presentation 25m

2 Diagnosis 35m

3 Severity 23m

4 Misconceptions 24m

5 Medication Management (1:02:57)1h 2m

6 Lifestyle Management29m

Last Scroll: The Rule of Gatherings3m

3 readings

Weekly Overview10m

Handouts for Headache10m

Handout: New Developments in the Management of Fibromyalgia Syndrome10m

2 practice exercises

Module Quiz: Headache16m

Module Quiz: Fibromyalgia16m

Week

Week 5

3 hours to complete

Common Pain Conditions and their Mechanisms (Week 5)

3 hours to complete

11 videos (Total 144 min), 2 readings, 2 quizzes

11 videos

1 Arthritis: Understanding and expectations 11m

2 Arthritis: Risk and protective factors 7m

3 Strategies to Manage Arthritis Pain 5m

4 Screening for Functional Mobility 6m

Last Scroll: The Attraction v24m

1 Chronic Pain Scope and Nature of the Problem 14m

2 Peripheral and Central Neural Mechanisms of Pain 25m

3 Molecular Pathways of Persistent Pain 29m

4 The Overlapping Features of Chronic Pain Conditions 9m

5 Personalized Care for Chronic Pain 24m

Last Scroll: The Human Spirit v25m

2 readings

Weekly Overview10m

Handout on Arthritis10m

2 practice exercises

Module Quiz: Arthritis10m

Module Quiz: Chronic Pain Mechanisms20m

Week

Week 6

4 hours to complete

Risk and Protective Factors in the Seven Realms (Week 6)

4 hours to complete

13 videos (Total 128 min), 3 readings, 2 quizzes

13 videos

1 Musculoskeletal Pain Mechanisms 12m

2 Repetitive Strain 12m

3 Postural Strain 10m

4 Exercise 6m

5 Preventing Injury 13m

Clinic Demo: Exercises 6m

Clinic Demo: Stretching 7m

Last Scroll: The Blessing of Health4m

1 The Cognitive Dimension of The Pain Experience: Understanding and expectation 13m

2 Self-efficacy and Self-management 8m

3 Resilience and Adaptation to Change 14m

4 Embracing Change: Improving resilience 12m

Last Scroll: Energy Thieves v25m

3 readings

Weekly Overview10m

Handouts on the Body10m

Outline for The Mind10m

2 practice exercises

Module Quiz: Body20m

Module Quiz: The Mind: The Cognitive Dimension38m

Week

Week 7

4 hours to complete

Risk and Protective Factors in the Seven Realms (Week 7)

4 hours to complete

12 videos (Total 151 min), 3 readings, 2 quizzes

12 videos

1 The Cycles of the Social Lives We Live 7m

2 Neuroplasticity: Mechanisms for Social Risk 8m

3 Abuse, Conflict, and Social Stressors: Inner Conflict and Pain 8m

4 Post-Traumatic Stress (PTSD) and Chronic Pain 11m

5 Occupational Stress, Secondary Gain, Disability and Chronic Pain 16m

6 Social Support and Positive Relationships: Protective Factors 15m

Last Scroll: The Conflict5m

1 Negative Emotions are Risk Factors for Chronic Pain 17m

2 Protective Factors: Managing negative emotions and harnessing positive psychology for healing16m

3 Self-management of Chronic and Daily Emotional Challenges for Physical Relief 19m

4 Experiential Exercises for Self Regulation17m

Last Scroll: Emotion and Fear v25m

3 readings

Weekly Overview10m

Handouts for Society and Pain10m

Handouts for Emotions and Pain10m

2 practice exercises

Module Quiz: Society10m

Module Quiz: Emotional Challenges14m

Week

Week 8

4 hours to complete

Risk and Protective Factors in the Seven Realms (Week 8)

4 hours to complete

16 videos (Total 165 min), 3 readings, 2 quizzes

16 videos

1 The Lifestyle Treadmill 9m

2 Sleep and Chronic Pain 12m

3 Diet and Chronic Pain 20m

4 Obesity, Eating Disorders, and Chronic Pain 13m

5 Chemicals: Medication, Smoking, Alcohol and Recreational Drug Use 10m

6 Daily routines (Activity Level, Balance, Pacing, Timing, and Variation) 10m

Video Exercise: Guided Relaxation 10m

Last Scroll: Prosperity v25m

1 Environmental Risks and their Impact on Chronic Pain 10m

2 Motor Vehicle Accidents and Chronic Pain 11m

3 Personal Accidents and Chronic Pain 6m

4 Medical and Dental Treatment Risks and Chronic Pain 6m

5 Infection Risk: Staying Clean, Infection Free, and Healthy 8m

6 Pollution: Air, Noise, Vibration, and Weather 14m

7 Protect Yourself: Environmental Changes to Prevent Chronic Pain 9m

Last Scroll: The Festival v26m

3 readings

Weekly Overview10m

Handout: Lifestyles and Pain10m

Handout: Environment and Pain10m

2 practice exercises

Module Quiz: The Lifestyle Realm20m

Module Quiz: The Environment20m

Week

Week 9

3 hours to complete

Risk and Protective Factors in the Seven Realms (Week 9)

3 hours to complete

13 videos (Total 109 min), 3 readings, 2 quizzes

13 videos

1 Restoring Wellbeing: The Roles of Hope and Purpose in Recovering from Chronic Pain 10m

2 The Perils of Perception: The Effects of Stress on Mind, Body, and Emotions 11m

3 Coming Back to Yourself: The Efficacy of Compassion and Mindfulness 15m

4 Exercises: Breathing, Relaxation, and Mindfulness Meditation 20m

Last Scroll: The Blessing of Love v2 Last4m

1 Outcome Present State Test (OPT) Model 5m

2 Knowledge Representation and Framing 6m

3 Clinical Reasoning Web 7m

4 Listening and Understanding People's Stories 2m

5 Creating and Activating Clinical Reasoning Dynamics 3m

6 The Complementary Nature of Problems and Outcomes 4m

7 The Four Cs of Clinical Judgment 11m

Last Scroll: The Leaning Tower and Fear v25m

3 readings

Weekly Overview10m

Handout: Spirit and Pain10m

Handout: The Patient's Story10m

2 practice exercises

Module Quiz: Spirit: Gaining insight, hope, and purpose16m

Module Quiz: The Patient's Story24m

Week

Week 10

6 hours to complete

Implementing Transformative Care (Week 10)

6 hours to complete

20 videos (Total 265 min), 4 readings, 1 quiz

20 videos

1 Addressing Issues the with our Current Health Care System 13m

2 Implementing Transformative Care: The Case of Mona Lisa 16m

3 What Interventions Work for Chronic Pain? 16m

4 What about Opioids to Prevent Chronic Pain? 8m

5 What about Surgery to Prevent Chronic Pain? 7m

6 Developing a Transformative Treatment Plan 10m

7 Take-home Messages about Chronic Pain 9m

Last Scroll: Energy of the 7 Realms v24m

Transformative Care: Patient Interview 1: Janet18m

Transformative Care: Patient Interview 2: Brianna20m

1 Provider Interview: Dr. Karen Lawson20m

2 Provider Interview: Dr. Miles Belgrade10m

3 Provider Interview: Dr. Stefan Friedrichsdorf11m

4 Provider Interview: Dr. Mary Jo Kreitzer16m

5 Provider Interview: Dr. Matt Monsein15m

6 Provider Interview: Dr. Bill Manahan17m

1 Why improve our health care system?11m

2 Barriers to improving health care 11m

3 Transforming our health care system 12m

4 Who can improve the health care system? 11m

4 readings

Weekly Overview10m

Handout: Implementing Transformative Care10m

Handout: Improving the health care system10m

Course Evaluation10m

1 practice exercise

Module Quiz: Transformative Health Care20m

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Preventing Chronic Pain: A Human Systems Approach