Course Description:
On October 9, 2020 the 2020 MFB Fibromyalgia Conference will take place virtually from 7:30 am to 2:00 pm.
Speaker name, title, presentation topic and objectives:
Objectives & Relevance to the Topic of Social Work:
Daniel J. Clauw, MD
Topic: Treating Pain Based on the Underlying Mechanism: Are we there yet?
1. Identify underlying mechanisms responsible for chronic pain
2. Identity the most effective pharmacological treatments for pain based on mechanism
3. Determine the most optimal manner to incorporate non-pharmacological treatment of pain into clinical practice.
This presentation will take a closer look at the underlying mechanisms that are responsible for chronic pain syndrome and address how to them with both pharmacological and non-pharmacological treatments.
Eric Lake, LLP, CADC
Topic: Treating Fibromyalgia with a Rehabilitation Approach including Acceptance and Commitment Therapy (ACT)
1. Identify goals for rehabilitative treatment of fibromyalgia
2. Discuss the psychological considerations in the treatment of fibromyalgia
3. Develop a basic understanding of Acceptance and Commitment Therapy (ACT) in the treatment of fibromyalgia
This topic is relevant to the audience and it clarifies goals related to the treatment of Fibromyalgia, focusing on the use of a rehabilitative model. This is needed to help providers shift from a interventional focus to one that focused on functional improvement. A better understanding of psychological issues related to pain and fibromyalgia promotes better working relationships with patients and a better understanding of factors that can prevent progress. Understanding ACT may provide tools that providers can implement in their own clinical practice to support patients with fibromyalgia.
Erin Spruit, PT, DPT; Lance Jongekrijg, PT, DPT; Mark DeKraker, OTR/L
Topic: Physical and Occupation Therapy Strategies
1. Develop and understanding of mechanical vs centrally generated pain
2. Describe the use of treatment strategies specific to fibromyalgia
3. Describe discharge expectations for individuals with fibromyalgia
4. Discuss the process of an OT Evaluation for individuals with fibromyalgia
5. Explain the progression of OT treatment for individuals with fibromyalgia
6. Identify the role of team conferencing and considerations for discharge specific to individuals with fibromyalgia
Fibromyalgia is a prevalent diagnosis, often with additional overlay of orthopedic diagnoses. A multi-disciplinary approach with emphasis on restoration of function is essential for successful treatment. This presentation will focus on practical ways to improve physical and occupational therapy treatment for individuals with fibromyalgia including better understanding of examination, therapy interventions as well as discharge expectations. It will assist providers decision making on how therapy and conservative treatment can be used to improve functional status.
Evan Parks, PsyD; Rebekah Rajlich, MD
Topic: Adverse Childhood Events (ACES)
1. Discuss the history of the development of the ACE Survey
2. Discuss the impact of Adverse Childhood Events on an individual
3. Identify the health care impactions of Adverse Childhood Events
This presentation will discuss the Adverse Childhood Survey. This survey is used to determine if and what childhood events are impacting an individual. This presentation will help health care providers understand the link between adverse childhood events and changes in brain structure and function in both children and adults as well as understand the stress-response neuropsychological functions on the immune system and the development of chronic pain.
James Hudson, MD & Patient
Topic: Patient Journey lead by Dr. Hudson
1. Identify the barriers experienced by patients in getting the diagnosis of fibromyalgia
2. Explain how to help patients accept the diagnosis
3. Discuss how the biomedical model is inadequate in addressing the needs of Fibromyalgia patients
4. Develop educational resources to help patients learn about Fibromyalgia
5. Demonstrate how to provide ongoing support for self-management of fibromyalgia
Medical providers, physical therapists, occupational therapists and mental health professionals are often unaware of how the patient feels when they come for symptoms of Fibromyalgia and how their response can be either helpful or harmful. This presentation will discuss how these individuals feel when accessing our healthcare system for their symptoms.
Daniel J. Clauw, MD
Topic: Evidence of the Benefits and Risks of Cannabis and Cannabinoids for Treating Pain
1. Identify the potential benefits of cannabinoids in the treatment of chronic pain
2. Assess the risks associated with cannabinoid use
3. Compare the risk:benefit ratio of cannabinoids in chronic pain, and compare this to other available treatments options
This presentation will look at the potential benefits and risks of using cannabinoids in the treatment of Chronic Pain. It will also take into consideration and compare the risk:benefit ratio of cannabinoids to other available treatments options.
Speaker bios:
Daniel Clauw, MD, is a Professor of Anesthesiology, Medicine (Rheumatology) and Psychiatry and Director of the Chronic Pain and Fatigue Research Center at the University of Michigan where he also attended undergrad and medical school. He completed an internal medicine residency and rheumatology fellowship at Georgetown University, where he held roles including Chief of Rheumatology and Vice Chair of Medicine. He and his research team moved to the University of Michigan in 2002 where Dr. Clauw helped grow the clinical and translational research infrastructure, becoming the first Assistant and then Associate Dean for Clinical Research, and the first PI of the University of Michigan Clinical and Translational Sciences Award. This group has identified the critical phenotypic features of individuals whose central nervous system is amplifying or magnifying their pain, and as such has been critical in helping elucidate the importance of the central nervous system in all chronic pain conditions.
Eric Lake, LLP, CADC, is a master’s-level psychologist who specializes in the treatment of chronic pain. He is currently part of the Mary Free Bed Pain Rehabilitation Program in Grand Rapids, Michigan, a behaviorally based, interdisciplinary program that addresses a wide number of pain conditions. He has published articles regarding behavioral pain management in peer reviewed journals. Mr. Lake also has professional experience working as an integrated psychologist in several primary care clinics, affording him a better understanding of the complexities related to treatment in these types of settings. In addition, He has had extensive experience working with individuals with schizophrenia, as well as co-occurring mental illness and substance dependency. He has contributed to the development and implementation of evidence-based treatment for these conditions at state and local levels. Mr. Lake received his master’s degree in Counseling Psychology from Western Michigan University and is a Certified Alcohol and Drug
Erin Spruit, PT, DPT, attended Grand Valley State University for both undergraduate and graduate school attaining a Bachelor of Science degree in Exercise Science and a Doctorate in Physical Therapy. After graduate school, she was the first Orthopedic Physical Therapy Resident at Mary Free Bed from 2017-2018 and has since stayed on to work in the Pain Program as well as the Outpatient Rehabilitation center. She is working towards becoming certified in Mechanical Diagnosis and Therapy through the McKenzie Institute specializing in treatment of the cervical, thoracic and lumbar spine. Erin’s professional interests include working with both adult and pediatric patients who are learning to manage chronic pain related to conditions such as fibromyalgia, amplified musculoskeletal pain syndrome, cervical/thoracic/lumbar pain, and headache management. She is active in the American Physical Therapy Association- Michigan Chapter and is the secretary for the APTA-Michigan Pain Special Interest Group.
Evan Parks, PsyD, has been working at Mary Free Bed Rehabilitation Hospital for the past three years in the Pain Rehabilitation Program. Prior to working at MFB, he spent 15 years living in Budapest, Hungary with his family where he provided mental health services to humanitarian organizations and Non-Government Service organizations (NGOs) throughout the Middle East, former Soviet states, Central Asia, and Eastern Europe. Evan completed his post-doctoral fellowship at Wayne State University School of Medicine and is currently an adjunct assistant professor at MSU College of Human Medicine.
James Hudson, MD, is a board-certified Family Physician who practiced Family Medicine for 28 years in Grand Rapids. During that time, he was also working with the multidisciplinary Pain Rehabilitation Program here at Mary Free Bed. He became a fellow of the American Board of Pain Medicine and helped to establish programs in chronic headache, fibromyalgia and Complex Regional Pain Syndrome. Since 2010 he has been working full time in Pain rehabilitation and has helped Mary Free Bed establish new programs in Kalamazoo, Holland, Traverse City and Troy Michigan as well as working with neurologists at the Hauenstein Neuroscience Center to begin treating patients with Functional Neurological Disorders.
Lance Jongekrijg, PT, DPT completed his undergraduate degree at Alma college and his Doctorate of Physical Therapy at Grand Valley State University. He continued his education by getting certified in Mechanical Diagnosis and Therapy. He now currently works at Mary Free Bed in the multidisciplinary Pain Center for patients with chronic pain.
Mark DeKraker, OTR/L has been an occupational therapist for 30 years and has worked for 22 years at Mary Free Bed. He has both undergraduate and graduate degrees in OT from Western Michigan University, and an undergraduate degree in psychology from Grand Valley State University. In addition to the treatment of chronic pain and fibromyalgia, his work interests include ergonomics, orthopedics and return to work therapy.
Rebekah Rajlich, MD, joined The Pain Center at Mary Free Bed in November 2016. She specializes in the treatment of patients with disabling pain, headaches and fibromyalgia. She is a certified Therapeutic Pain Specialist through the International Spine and Pain Institute. Dr. Rajlich is a graduate of Wayne State University School of Medicine and completed her residency in family medicine at Grand Rapids Medical Education Partners.
Disclosures:
The speakers do not have any relevant financial relationships or non-financial relationships to disclose.
Course Link:
http://www.maryfreebed.com
CE Value (credits): 6
CE Type: Standard, Pain
Sponsor:
Mary Free Bed Rehabilitation Hospital
Contact Information:
Bonita Pawloski
616-840-8292
bonita.pawloski@maryfreebed.com