OT and Pain Management Clinics- how Occupational Therapy can help people with chronic pain

OT and Pain Management Clinics- how Occupational Therapy can help people with chronic pain

The gate control theory of pain  (Melzack & Wall 1965) proposes that non-painful input closes the “gates” to painful input, which prevents pain sensation from travelling to the central nervous system.  Activation of nerves which do not transmit pain signals but transmit information about touch, pressure & vibration (called non-nociceptive fibres; nociception [no-see-sep-shun] is the perception of pain by beings) can interfere with signals from pain fibres, thereby inhibiting pain. Therefore, stimulation by non-harmful input is able to suppress pain.

fustrated otter

The team in a pain clinic will typically be up of a clinical psychologist, nurse, occupational therapist, physiotherapist, an advising pharmacist, CBT therapist and counsellor. The International Association for the Study of Pain recommends the use of OTs for assessments an treatment of chronic pain (Loesler 1991). A pain clinic can be hospital (inpatient) or community (outpatient) based.
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Article review: “The Model of Human Occupation’s usefulness in relation to sustainable development” by Wagman (2014)

Article review: “The Model of Human Occupation’s usefulness in relation to sustainable development” by Wagman (2014)

This article considers the role occupational therapy can play in sustaining earth’s resources, and what the barriers to people recycling may be. The ability to carry out an occupation can be impacted by climate change, and occupations themselves can also affect climate change by either contributing to or helping preventing it.

recycling otter

Where acceptable to the client, occupational therapists should encourage occupations to be achieved using environmentally sound methods. The  occupational therapist may need to work with professionals who have knowledge int his area since it not an area of expertise for OTs themselves. The authors suggest using the Model of Human Occupation (MOHO) as a good starting framework for occupational therapists who wish to incorporate an environmental perspective in their interventions.

Some aspects of MOHO and the ways they influence sustainable practice are: Read more