The University of Utahs Eric Garland said his teams technique not only helps relieve pain, but can also decrease prescription opioid misuse among chronic pain patients. A variety of therapies are used to treat chronic pain including over-the-counter pain relievers, exercise and diet, alternative medical therapies such as acupuncture, and prescription opiate-based pain medications , which can have serious side chiropractor north york effects and lead to dependency. Garland calls his new intervention technique Mindfulness-Oriented Recovery Enhancement (MORE) and said it is designed to train people to react differently to pain, stress and opioid-related cues. Mental interventions can address physical problems, like pain, on both psychological and biological levels because the mind and body are interconnected, Garland said. Anything that happens in the brain happens in the bodyso by changing brain functioning, you alter the functioning of the body. Eric Garland, from the University of Utah, developed a new mindfulness-focused treatment for people with chronic pain (Nick Steffens) In a study published online in the Journal of Consulting and Clinical Psychology, Garland said the new treatment method led to a 63- percent reduction in the misuse of opioids , as compared to a 32-percent decrease among those who took part in a conventional support group . Patients who were a part of the new treatment group also reported a 22 percent drop in pain-related impairment, something that the researchers said continued for three months after the end of their treatment period. According to Garland, the MORE technique zeroes in on the basic processes involved in both chronic pain and the abuse of opioids, by combining three therapeutic components; mindfulness training, reappraisal and savoring. The mindfulness training component consists of training the patients mind to increase its awareness, gain control over their attention, and learn to control automatic habits. The reappraisal module is the process of taking the meaning of a stressful or negative experience and turning it around in such a way that it is seen as something positive and promotes growth. Savoring is a method of learning that teaches patients to center their attention on positive events in their lives, heightening their sensitivity to naturally occurring positive experiences, such as enjoying a beautiful sunset or the special feeling of closeness with a loved one. Painkillers containing opioids are sometimes prescribed for chronic pain, but can have serious side effects and could promote dependency. (e-Magine Art.com via Flickr/Creative Commons) Right now, Garlands MORE technique is being tested in a preliminary brain imaging trial as a way to help smokers quit the habit.
For the original version including any supplementary north york chiropractor images or video, visit http://blogs.voanews.com/science-world/2014/02/05/can-power-of-the-mind-control-chronic-pain/
Changes to Implementation of Pain Management Provider Registration
On January 17, 2014, the Board announced a modification in its implementation of registration for providers of pain management services. As reported earlier, pain management services are those medical services that involve the prescription of controlled substances in order to treat chronic non-malignant pain by a physician who treats pain. The Board defines the provision of pain management services as: A physician practice which advertises or holds itself out to the public as a provider of pain management services; OR A physician practice which dispenses opioids; OR A physician practice with greater than 50% of the patients being provided pain management; OR A physician practice in which any of the providers of pain management services are rated in the top 10% of practitioners who prescribe controlled substances in Alabama, as determined by the Alabama Prescription Drug Monitoring Database on an annual basis. Until further notice, however, the Board is not requiring the top 10% prescribers to register as providers of pain management services. All other requirements remain in effect; consequently, physicians must still register with the Board if they are engaged in: A physician practice which advertises or holds itself out to the public as a provider of pain management services; OR A physician practice which dispenses opioids; OR A physician practice with greater than 50% of the patients being provided pain management. The Board also reminds physicians that the requirements for registration are for physicians treatingchronic, non-malignant pain, not for physicians who treatacute painormalignancy-related pain. Additionally, the Board’s registration requirements do not apply to a licensed hospice program or any physician providing pain management services for that program, or to any facility maintained or operated by the United States government. To help physicians determine whether registration as a provider of pain management services is required, the Board recently published the following questions on its web site: Do you treat chronic non-malignant pain?If your answer isNO, you do not need to register as a provider of pain management services. If your answer isYES, please proceed to the following question. Do you advertise or hold yourself out as providing treatment for patients with chronic non-malignant pain?If your answer isYES, you should register as a provider of pain management services. If your answer isNO, please proceed to the following question. Does the ultimate user (patient) physically leave your medical practice with an opioid?If your answer isYES, you should register as a provider of pain management services. If your answer isNO, please proceed to the following question.
For the original version including any supplementary images or video, visit http://www.al.com/business/index.ssf/2014/02/changes_to_implementation_of_p.html
Chronic Pain: Why You Shouldn’t Ignore It
It can affect your work — or even prevent you from working at all. Ideally, pain is meant to be felt briefly. That stinging, aching, or throbbing sends helpful messages, like “Drop that red-hot pot handle” or “Remove your hand from the hornets’ nest.” After a while, it goes away. But some pain doesn’t. All it takes is an injury that doesn’t heal correctly, or joint deterioration, or nerve damage, and the pain-signaling system breaks down. Your pain isn’t giving you a helpful message anymore — it just hurts. If you have chronic pain, your gut instincts may work against you. If your knee hurts when you walk, you naturally want to walk less. But if you walk less, your muscles can weaken. The fatigue that comes with pain can immobilize you, causing weight gain and worsening physical health.
For the original version including any supplementary images or video, visit http://www.webmd.com/pain-management/features/chronic-pain-why-you-shouldnt-ignore-it
Oswego Senior Center offers pain management class
“Using the latest pain management devices, telepsychiatry, and a strong EHR and PM, we are able to treat our hard-working population who would otherwise need to drive an additional three hours to Salt Lake City to get these same state-of-the-art services.” Dr. Shay’s practice uses advancements from partners HealthLinkNow and Boston Scientific, including a breakthrough technology for neural stimulation, which has the potential to eradicate opiate prescriptions, and their misuse. But it is the AdvancedMD integrated practice management and EHR solution that helps keep the practice not only viable, but thriving. “Before I used ADP AdvancedMD we needed almost twice the man-hours and a billing service to manage submissions and account receivables, and still it took months on average to get paid,” said Dr. Shay. “Now we get paid on average within two weeks and sometimes in two days. Most importantly I’m able to stay independent.” Dr. Shay notes that the ADP AdvancedMD PM software automatically reviews claims and prompts for when a different code could be more appropriate, or if specific codes could trigger a possible claim rejection based on carrier rules. The availability of the cloud-based EHR software that can be accessed remotely from anywhere means that he can access patient information around the clock, at his fingertips, and can instantly look up the current dosage and prescriptions of every patient, even if one calls over the bayview chiropractic weekend for additional pain medication. “Physicians like Dr.
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Rural Medical Practice Leverages Cloud Technology From ADP AdvancedMD to Deliver Better Patient Care, Strong Profitability
every Tuesday, Feb. 11 until March 18 at the Oswego Senior Center, 156 E. Washington St., Oswego. To register, contact Sandy at 630-554-5602. Learn more at http://www.oswegoseniorcenter.org. Show / Hide Comments 2013 Sun-Times Media, LLC. All rights reserved. This material may not be copied or distributed without permission. For more information about reprints and permissions, visit http://www.suntimesreprints.com . To order a reprint of this article, click here .
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