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Occupational Therapy and Chronic Pain Management: Chronic Migraine

presented by Megan Kenney, MOT, OTR/L

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Financial: Megan Kenney works as the director of chronic pain management and the assistant director of outpatient occupational therapy at UPMC Centers for Rehab Services in Pittsburgh, Pennsylvania. Megan works as an adjunct instructor in the department of occupational therapy at the University of Pittsburgh’s School of Health and Rehab Sciences. Megan receives compensation from MedBridge for this course.

Nonfinancial: Megan Kenney has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 22 Minutes; Learning Assessment Time: 43 Minutes

This course will highlight biopsychosocial approaches to chronic pain management and examine the interaction and relationship between physical, functional, and emotional factors affecting individuals with chronic migraine. Intervention strategies using the biopsychosocial approach will be presented, detailing how to address the multifactorial nature of chronic pain conditions. This course will describe a framework that can be applied when working with individuals with chronic pain in various settings and will be beneficial and most applicable to nurses, occupational therapists, and physical therapists who are working with individuals with chronic pain in acute care, inpatient rehabilitation, long-term care, home health, and outpatient settings.

Meet Your Instructor

Megan Kenney, MOT, OTR/L

Megan Kenney is an occupational therapist who graduated from the University of Pittsburgh's School of Health and Rehab Science Occupational Therapy program in 2012. She currently works with UPMC Centers for Rehab Services as the chronic pain program director and assistant outpatient occupational therapy program director. Megan also works with the University of Pittsburgh's occupational…

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Chapters & Learning Objectives

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1. The Biopsychosocial Nature of Chronic Pain for the Individual With Chronic Migraine

This chapter will introduce the biopsychosocial model and will explain why it is important to address chronic pain intervention using this approach—specifically, why it’s important to look at these factors when working with individuals with chronic migraine. The biopsychosocial model describes a holistic, macro view of the client/patient relationship versus focusing on impairment-based intervention or acute-based intervention (remediation) that we typically see in the medical model or the traditional model of care, where it’s expected that intervention will return the client/patient to their baseline, which is assumed to be normal.

2. Contributing Factors: Physical, Functional, and Emotional

This chapter will describe the multifactorial nature of chronic pain, explaining the importance of addressing factors that are affecting the client’s experience with pain, including physical, functional, and emotional changes or deficits. This is important to help learners understand that intervention is typically less successful or unsuccessful if approaching chronic pain from one perspective alone.

3. Intervention That Addresses the Needs of the Individual With Chronic Migraine

This chapter will use the framework of the biopsychosocial approach and the concepts of the multifactorial nature of chronic pain to inform a comprehensive intervention for an individual with chronic migraine. The intervention example will be the creation of a daily routine: identifying triggers and factors to reduce symptom exacerbation, education on soft-tissue management to the neck and head to assist with management of muscle tension, and creation of a flare management plan. This is important to demonstrate how the concepts from chapter 1 and chapter 2 can be applied in a real-life setting.

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