OT in the Home: Managing Chronic Pain and Fatigue
Presented by Krista Covell-Pierson
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Chronic pain and fatigue are two of the most common—and most disabling—conditions impacting clients in their homes. These conditions disrupt daily routines, limit engagement in meaningful activities, and increase the risk for deconditioning, depression, and hospitalization. Occupational therapy practitioners are uniquely positioned to address these challenges using holistic, function-based approaches that promote self-management and participation. This course provides practical strategies for assessing and treating chronic pain and fatigue in the home, including evidence-based assessments, patient-centered goal development, and interventions focused on energy conservation, activity pacing, and environmental modification. Emphasis is placed on mental health, self-efficacy, and collaboration with care partners. Designed for OTs working in home health, outpatient care, or community-based practices, this course supports clinicians in improving safety, independence, and quality of life for clients living with chronic conditions.
Learning Objectives
- Identify common pain mechanisms and psychological factors contributing to chronic pain in clients receiving home-based occupational therapy
- Recognize three evidence-informed occupational therapy strategies that can support pain management and functional participation
- List client education topics that promote self-management of chronic pain, including activity pacing, body mechanics, and stress reduction
- Select client-centered goals that support engagement in meaningful occupations such as dressing, cooking, or caregiving while living with chronic pain
Meet your instructor
Krista Covell-Pierson
Krista Covell-Pierson is the owner and founder of Covell Care and Rehabilitation, an innovative mobile outpatient practice designed to help adults and older adults live safer, more independent, and engaged lives at home and in their communities. She developed this one-of-a-kind model from the ground up, integrating…
Chapters & learning objectives
1. Why Should OTPs Address Chronic Pain and/or Fatigue in the Home?
This chapter explores the widespread impact of chronic pain and fatigue across diagnoses such as arthritis, fibromyalgia, MS, and more. Learners will examine the occupational consequences of these conditions and why OT is critical in mitigating risks such as falls, depression, and loss of meaningful roles. Foundational frameworks, including PEO and ecological models, are introduced to support practice.
2. Where Do We Start to Address Chronic Fatigue and Pain at Home?
In this chapter, clinicians are guided on how to build a robust occupational profile and identify key areas of functional disruption through observation and conversation. The complexity of co-occurring conditions is explored, along with practical tips for tailoring assessments, observing patient routines, and considering social and environmental influences that affect pain and fatigue.
3. Assessments to Use in the Home
This chapter introduces five evidence-based assessments to evaluate pain, fatigue, and their effects on daily function, including the COPM, ABC Scale, PSFS, MFIS, and Brief Pain Inventory. Learners will gain insights on selecting appropriate tools and using assessment findings to guide treatment planning and patient-centered goal setting.
4. Treatment Interventions
This chapter presents function-focused treatment strategies for managing pain and fatigue in the home environment. Topics include pacing, activity grading, energy conservation, breathing techniques, and positioning. Clinicians are also encouraged to support emotional well-being, reinforce role identity, and integrate mindfulness and creative routines into care.
5. Where Do We Go From Here?
The final chapter outlines discharge planning and long-term support strategies for clients managing chronic pain and fatigue. Learners will explore how to provide patients with a roadmap for continued success that includes referrals to specialists, support groups, and community resources. The importance of ongoing education and advocacy for OTPs in this area is emphasized.
More courses in this series
OT in the Home: Guided Safety and Environmental Assessments
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OT in the Home: Foundations of Assistive Tech and Equipment
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OT in the Home: Interventions for Low Vision
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OT in the Home: Addressing Progressive Neurological Conditions
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OT in the Home: Managing Chronic Pain and Fatigue
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OT in the Home: Pelvic Health Strategies for General Practitioners
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OT in the Home: Addressing Depression, Anxiety, and Isolation
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OT in the Home: Reducing Caregiver Burden and Connecting Resources
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