internal-medicine-pain-management-2018-tracks

3 / 22

Pain Management 2018
Internal Medicine 2018 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 25
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T he InstituteofMedicine’s report on relievingpain inAmerican
has guided pain assessment and treatment in profound
ways. It is also attempting to provide guidance regarding the
importance of multidisciplinary pain care, recognizing the
primary focus of pain relief from biomedical interventions have
left much of the population without improved skill at managing
pain sensation. The historical shift that emerged a generation
ago moved pain management from a joint involvement with
the patient as participant to the patient as recipient of care,
to physician as primary care provider and responsible pain
control manager. This of course was further reinforced by the
multiple pain medications developed and marketed to alleviate
pain, reduce pain intensity and design a chronic pain cohort
dependent on opioid therapy as their life tool. The evidence of a
failed trajectory is obvious, and much back pedaling is required
in order to more effectively assist patients with skills and tools
designed to assist them on their path. Responsible and ethical
physicians or pain management providers are not basing care
on the primary goal of pain reduction. This year has redefined
pain management care in the United States and many laws now
restrict the liberal availability of opioid analgesics, although
the conditioning that took place over the past twenty years is
now having to be addressed. As the pendulum shifts towards
patients confronting the unreasonable if unattainable desires
of total pain relief, the culture is also recognizing that being
dependent on ineffective opioid analgesia presents with costly
social risks. Additionally, for many patients with neuropathic
pain complaints, opioid analgesia is not recommended.
The realization that offering pain medication as primary
pain treatment response, is being challenged. I would like to
acknowledge the barriers that interfere with offering cognitive
behavioral interventions as first line interventions, and the
attitudes, practices and professional responsibilities that are
necessary for integrating such options.
Biography
F Cal Robinson is a Medical Psychologist with an extensive career in pain
management and pain medicine. His early private practice in Indiana, USA
centered on the assessment and treatment of behavioral medicine disor-
ders. In addition, he was Clinical Director and Co-owner of the Spine & Re-
habilitation Institute. He was recruited in 2001 to the Elliot Health System
and hospital in Manchester, New Hampshire as clinical director of their in-
terdisciplinary pain program. He led the organization to obtain full accredi-
tation with accommodation from CARF, the Commission on Accreditation
of Rehabilitation Facilities for the Interdisciplinary Pain Program. While in
New England, he was active in the New England Pain Association (NEPA)
the regional affiliate society of the American Pain Society. He became the
state representative for New Hampshire, then Vice-President and eventually
President of NEPA for the 2005-2006 year. During that time frame, he was
also the President of the state pain initiative representing New Hampshire,
funded by the American Cancer was recruited in 2006 to the
Marshfield Clinic in Wisconsin as pain psychologist for the western division.
He accepted a one-year contract with the Department of Defense at Elmen-
dorf Hospital in Anchorage, Alaska as the Behavioral Health Consultant in
2010. He was subsequently recruited to become the director of Chronic Pain
and Addiction at the Yale affiliated psychiatric hospital, Silver Hill Hospital, in
Connecticut. Seeing the opportunity to be closer to his daughter and grand-
children who lived in Oakdale, Minnesota, he rejoined the pain management
program at Marshfield Clinic in 2011 as pain psychologist for the western
division.His most recent publication was feature article for the Carlat Psy-
chiatry Report (November 2012), “Chronic Pain, Comorbidity and Treatment
Complexity.” His clinical interests center on the theory and practice of Accep-
tance and Commitment Therapy (ACT) especially for chronic pain, suffering,
abuse and affective disorders. He is Board-Certified in Medical Psychology
from the American Board of Medical Psychology.Join Dr. Robinson for one
of our group sessions on Mindfulness Based Chronic Pain Management.
Integrating cognitive behavioral methods as first line pain
management
F Cal Robinson
Orthopaedic & Spine Center, USA
F Cal Robinson, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-002