Pain BC. Changing Pain. Changing Minds.
December 2017 Update
From Our Executive Director, Maria Hudspith 
 
The holidays can be a time of joy, celebration, and time with friends and family. They can be a time to give, to receive, and to reflect on the year gone past. They can also be a time that brings us face to face with sadness, loss, stress, limitations and other challenges. For people living with pain, the holidays can be hard. 
 
Pain BC recognizes both the joy and the hardship that can come at this time of year. We want people in pain, and those who support them, to know that we're here to help. If you or someone you know or love is struggling this holiday season, please explore some of our resources: 
 
Connect for Health: our phone line is open and trained volunteers ready to help with connections to local resources, educational programs, or individual advocacy. We know people in pain often have a lot to deal with beyond their medical concerns - and our Connect for Health program provides a wide range of supports. 
 
Peer support: our online communities (including Facebook and our moderated, anonymous forum on Live Plan Be) are a place for people in pain to gather, to share, to ask questions and to get support. 
 
Stories and resources: sometimes, it's helpful to hear from other people in pain without engaging in peer support. For those who want to hear the stories and explore resources from the comfort of your easy chair, there's our "Living with Pain During the Holidays" piece and our holiday PainWaves podcast. 
 
Pain BC will have more support programs coming in January with the launch of our Coaching for Health program; this new initiative will pair people in pain with a trained volunteer coach for one-to-one support. Stay tuned for more information!
 
While the holidays can be hard, we at Pain BC always stop to give thanks for the many things we're grateful for. We appreciate the amazing volunteers who give their time, their skills and - in many cases - their hearts to our mission. These are individuals who answer the phone lines, who sit on committees and, who act as reviewers for our programs or sit on working groups for specific projects. They are members of our Board who oversee our organization and set our strategic directions. Many of them are people in pain or family members who want to give back. We thank each and every one of you for your contribution. 
 
We appreciate those of you who, often in addition to time and energy, make a financial contribution. That funding, no matter the amount, tells us that you believe in our mission and we thank you for your commitment. We know that people in pain may not have a lot to give; to those of you able to contribute, know that your support is appreciated and makes a real and practical difference in the lives of people in pain in BC. 
 
From all of us at Pain BC, I wish you the best this holiday season. 
 
TABLE OF CONTENTS
 
Live Plan Be  Connect for Health
 
You Can Make a Difference in the Lives of People with Pain 
 
Your support helps Pain BC to improve the lives of the one in five British Columbians living with pain.
 
We understand that people living with pain may have limited resources, but if you are able to contribute to our work, we are incredibly appreciative of the support.
 
 
Pain Waves Podcast: Living with Pain During the Holidays 
Perspectives from People Living with Pain
 
The holidays can be an especially difficult time for people living with chronic pain. 
 
During this virtual fireside chat, our guests highlight key issues that can come up during the holidays and share their first-hand experiences with navigating the challenges and the joys of this season.
 
New Pain BC Program: Coaching for Health 
Gain self management skills through one-to-one coaching
 
Coaching for Health is a free telephone or video conference lay coaching program designed to help people living with pain learn self-management skills, regain function and improve their well-being.
 
The program aims to assist primary care practitioners who are working with patients (18+yrs) who have a diagnosis of a chronic pain condition, or have been living with persistent pain for at least six months. Coaches support patients for a 6-12 week period.
 
Referrals to the Coaching for Health program are made through family physicians. Physicians can fill out the referral form and e-mail it to coachingforhealth@painbc.ca or fax it to (888)-329-5702.
 
 
 
 
In the Spotlight: The Opioid Disentanglement and Stewardship Working Group 
Working towards a better pain care for British Columbians
 
If you relied solely on media coverage, you might think that the overdose crisis in this province is fuelled by prescribed opioids. But did you know that the number of overdoses from opioids prescribed to patients for pain has remained virtually constant – at less than 75 people per year in BC - for more than a decade?  The majority of these deaths occurred when people mixed other medications or alcohol with opioids.
 
While the practice for physicians has been to move away from opioids to manage pain and towards multi-modal therapies such as physiotherapy, access to these therapies is limited for many people in the province. The availability of pain specialists or allied health professionals with training in chronic pain is concentrated in larger urban centres, and is often only available to those who can afford it. For people whose pain is managed with opioids, and who may be dependent on - rather than addicted to - these drugs, the reduction of access can have a negative impact on their quality of life.
 
Made up of 21 members representing health care organizations, clinical experts, policy makers and people living with pain, our Opioid Disentanglement and Medication Stewardship working group is changing the narrative on opioid prescription, addiction and overdoses in the media, and correcting misconceptions about opioid use and dependency. Its objectives also include improving assessment for pharmacological treatment, balancing the harms and benefits of medications, and advancing appropriate pain management for patients across the province.
 
To better understand the impact of the College of Physicians and Surgeons of BC's Professional Standards and Guidelines on Safe Prescribing of Drugs with Potential for Misuse/Diversion on family physicians’ practice, Dr. Romayne Gallagher with the support of the Group launched a survey in partnership with UBC and Providence Health Care. 
 
Recently, the Group submitted feedback to the BC government on the regulation of recreational cannabis when it becomes legalized in 2018. The submission called for regulations that avoid impacting medical cannabis sales and use, and would enhance the accessibility, affordability and safety of the medical supply. You can read the full submission here.
 
Pain BC is grateful for the time and commitment of the volunteer members of the Opioid Disentanglement and Medication Stewardship working group and the many other individuals involved in Beyond the Summit initiatives.  Working together and aligning our efforts around a common agenda - to improve the lives of people living with pain - is making a difference.
 
 
Chronic Pain Management for Registered Massage Therapists 
RMT workshop coming to Victoria and Vancouver
 
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In partnership with RMTBC, this workshop for registered massage therapists provides an opportunity to learn how modifications of traditional massage therapy practices can increase success and improve outcomes for people in pain.
 
The workshop aims to improve your confidence and decrease your stress when working with the challenges of persistent pain.  We will thoroughly discuss the science of pain and ways to incorporate effective therapeutic pain management approaches into daily practice. The course will challenge misconceptions about pain as we learn the basics of incorporating a biopsychosocial framework into daily practice behaviour.
 
Jan 20 2018 - Victoria Register now
Mar 11 2018 - Vancouver Register now 
 
Rights Over Arbitrary Decisions for British Columbians
A Campaign against Capping Injury Claims
 
Recently, ICBC has begun to consider the possibility of capping injury claims in a standardized way, regardless of the individualized nature of each accident.
 
Pain BC is concerned about how caps may impact people who experience chronic pain as a result of a motor vehicle accident. That’s why we’ve joined ROAD BC, a coalition dedicated to protecting the rights of anyone injured from a motor vehicle accident. 
 
 
 
New Transportation Supplement for PWD 
 
Starting January 1, 2018, individuals with PWD (Persons with Disabilities) designation will receive an extra $52 each month as a transportation supplement. This supplement can be used for transportation services as needed, or for the new annual BC Bus Pass, which will cover ride fares in both the Translink and BC Transit service areas.
 
 
UPCOMING WEBINARS: IN PARTNERSHIP WITH WWDPI
 
 
Jan 12, 2018 - 11:00 AM PDT
An overview of the research on the powerful effect of couples' relationship dynamics on pain; evidence-based strategies for couples to manage pain and distress together.
 
 
Jan 25, 2018 - 11:00 am PDT
The meaningfulness of work for people living with long-term work disability and chronic pain, and the role meaning plays in return to work effort.
 
Jan 29, 2018 - 4:00 pm PDT 
Theory and evidence underlying Mindfulness-Based Cognitive Therapy for chronic pain, as well as the core skills needed in applying this therapeutic approach.
 
Feb 15, 2017 - 8:30 am PT
More details and registration coming soon.
Feb 27, 2018 - 11:00 am PDT
Treatment of chronic pain requires “multimodal analgesia,” a management plan that often requires pharmacological as well as non-drug therapies, and very importantly large measures of clinician guided patient self-management.
 
March 8, 2018 - 11:00 am PDT
Assisting workers in achieving a safe and sustainable return to work after illness or injury has always ​been an appropriate goal of treatment. However, North American workplaces are increasingly challenged with how to address prescription and over-the-counter medication use by employees.
 
Apr 11, 2018 - 9:00 AM PT
Chronic migraines cause significant disability for many people so it is important that it be appropriately diagnosed and treated.
 
Pain BC is a program partner for the Chronic Pain Webinar Series hosted by the Work Wellness and Disability Prevention Institute. 
UPCOMING PAIN BC AND PARTNER EVENTS 
 
 
YOGA FOR CHRONIC PAIN WORKSHOPS WITH NEIL PEARSONS
These upcoming yoga workshops are for health professionals, yoga teachers and people living with pain  and are taught by Neil Pearson, PT, MSc, BA-BPHE, C-IAYT, ERYT500.
 
PAIN BC WEBINAR | PHARMACOGENOMICS FOR CHRONIC PAIN MANAGEMENT
Jan 31 2018 - 12pm
Webinar details and description coming soon. Register now to reserve your spot!
 
BEST PRACTICE PAIN MANAGEMENT FOR OCCUPATIONAL THERAPISTS
Feb 23 2018 - 9 am PT to Feb 24 2018 - 5 pm PT
Pain BC is holding an advanced clinical workshop for Occupational Therapists interested in developing or enhancing sound clinical skills in the assessment and treatment of clients living with complex and chronic pain.
 
CHRONIC PAIN MANAGEMENT WORKSHOP FOR CHIROPRACTORS
This workshop is intended for chiropractors or students of chiropractic interested in developing or enhancing sound clinical skills in the assessment and treatment of people living with complex and chronic pain.
Apr 7, 2018 - Victoria Register now
Sept 29, 2018 - Vancouver Register now
 
 
 
Pain BC programs and initiatives are funded, in whole or in part, by the Government of British Columbia.
 
In the News
In the News 
 
A study published in the New England Journal of Medicine highlights the recent development of a drug, which contains two medications that may work together as a preventative measure against some of the side effects associated with migraines. 
 
This article highlights key distinctions between the "opioid crisis" and the "overdose crisis", which can often be confused and are used interchangeably in the media.
 
The BC Patient Safety & Quality council discusses the increased risks associated with being in a transition of care, and provides a framework for questions patients can ask their healthcare providers to be better informed about their medications.
 
A study by the Radiological Society of North America suggests that a minimally invasive pulsed radiofrequency treatment may be successful in significantly reducing or eliminating lower back pain.
 
 
 

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