Inpatient pain program

Pain Treatment Sierra Tucson believes that the secret to success includes combining the following in the right way based on what each patient needs. In general, the key elements we offer include: A safe, supportive healing environment Collaborative care that includes medical, behavioral, physical medicine, alternative medicine, behavioral health, nutrition health and nursing professionals working as a team A healing community: Patients have the opportunity to connect with and learn from each other Psychiatric medication reevaluation and management as needed Pain medication reevaluation and management as needed Office-based pain procedures as needed One-on-one therapy for trauma and loss — To learn more about the pain attached to trauma, grief and loss, watch The Pain of Trauma, the Trauma of Pain Cognitive and behavioral work to challenge beliefs, assumptions and negative self-talk that can interfere with healing.

Common Questions How does Sierra Tucson treat pain differently from other facilities? What are the nonphysical causes of pain? Is it OK to see a behavioral health specialist to cure chronic pain?

Download Brochure. Contact Us. Over 3 Decades of Success. Expert Staff. Proven Approach. Holistic Amenities. Contact Us Today. Take a Free Online Assessment. The Chronic Pain Rehabilitation Program is a three-week program that may be right for you if your pain significantly interferes with your ability to function. Your care team will include specialists in psychology, physical therapy, exercise physiology, therapeutic recreation, vocational services and nutrition services.

With their help you can get back to your best functioning self. One year after discharge, 76 percent of patients in our Chronic Pain Rehabilitation Program reduced their number of hospitalizations.

There are 1 locations that provide this care. Showing 1 of 1 matching locations. Show more. Wait times are an estimate that reflect the average time from arrival to being seen by a provider. Wait times can change quickly based on the number of patients and the severity of their care needs. This means if someone comes in after you with a more serious problem, they may be seen before you.

We've changed how we provide some services with your care and safety in mind. Expanded virtual care services are available to schedule online. Hence, it is appropriate to include psychological treatment in the multi-disciplinary approach to pain management. However, patients whose pain results solely or primarily from psychiatric disorders rather than physical conditions generally can not be successfully treated in a pain rehabilitation program.

Hospital-level pain rehabilitation programs use coordinated multi-disciplinary teams to deliver, in a controlled environment, a concentrated program to modify pain behavior, which addresses physiological, psychological, and social factors that may contribute to the patient's pain. The program's day-to-day activities are under the general supervision and, as needed, direct supervision of a physician. The literature suggests that generally up to 3 weeks of inpatient care may be required to modify pain behavior.

Any chronic pain rehabilitation that may be needed after that can usually be effectively provided on an outpatient basis. Although many multi-disciplinary pain facilities have both inpatient and outpatient treatment programs, there is little evidence that inpatient programs are more effective than outpatient programs. Outpatient pain rehabilitation programs frequently provide services in group settings, even though these services are being furnished pursuant to each patient's individualized plan of treatment.

Studies have shown that chronic pain patients who have completed these programs have lasting reductions in pain and psychological distress.

These studies have demonstrated improvements both in subjective ratings of pain and in objective measures such as reduced use of narcotic pain medications, increased rates of return-to-work, and decreased utilization of the health care system. An assessment of multidisciplinary pain programs for chronic non-cancer pain, preparted for the Agency for Healthcare Research and Quality Jeffery, et al, found that multidisciplinary pain programs have been extensively documented in the standard medical literature.

The papers considered in the AHRQ assessment followed a biopsychosocial model of chronic pain, including treatment components in each of four areas: medical, behavioral, physical reconditioning, and education. Most of the studies considered in the AHRQ assessment were observational before-after designs. Although several different clinical conditions were studied, 90 percent of the studies included chronic back pain, the most frequent condition addressed in the literature.

The report noted that differences were apparent between studies based in the United States and those in Europe; recent European studies were more likely than U. Declining access to multidisciplinary pain program treatment in the United States is highlighted as a key issue faced by those in the community of chronic pain sufferers and researchers.

Heutink et al evaluated a multi-disciplinary cognitive behavioral treatment program for persons with chronic neuropathic pain after spinal cord injury SCI. The intervention consisted of educational, cognitive, and behavioral elements. A total of 61 people were randomized to either the intervention group or the waiting list control group in 4 Dutch rehabilitation centers.

Primary outcomes were pain intensity and pain-related disability Chronic Pain Grade questionnaire , and secondary outcomes were mood Hospital Anxiety and Depression Scale , participation in activities Utrecht Activities List , and life satisfaction Life Satisfaction Questionnaire. Measurements were performed at baseline, and at 3, and 6 months follow-up. The primary statistical technique was random co-efficient analysis. The analyses showed significant changes over time on both primary t1 - t2 , and 2 out of 4 secondary outcomes both t1-t2 and t1-t3.

Subsequent paired-t tests showed significant changes in the intervention group that were not seen in the control group: decrease of pain intensity, pain-related disability, anxiety, and increase of participation in activities.

The authors concluded that these findings implied that a multi-disciplinary cognitive behavioral program might have beneficial effects on people with chronic neuropathic SCI pain.

Results of an algorithm are reported as a pain-index score that is intended to indicate the likelihood of atypical biochemical function associated with pain. There is a lack of evidence in the peer-reviewed published medical literature of the clinical validity and utility of this test.

Gunn, et al. Investigators employed a pain-specific biomarker test panel that evaluates biomarkers of systemic inflammation, oxidative stress, neurotransmitter turnover, and micronutrient status to determine the prevalence of abnormal findings in 17, unique patient samples analyzed at a national reference laboratory Ethos Laboratories, Newport, KY.

The investigators noted that a limitation of this study was that medications and conditions other than those associated with chronic pain were not evaluated as potential causes of abnormal biomarker findings. Review History. Clinical Policy Bulletin Notes. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. Chronic Pain Programs. Print Share. Number: Policy Aetna considers a screening examination medically necessary for members who are being considered for admission into a chronic pain program.

Outpatient Pain Management Programs Aetna considers outpatient multi-disciplinary pain management programs medically necessary when all of the following criteria are met: If a surgical procedure or acute medical treatment is indicated, it has been performed prior to entry into the pain program; and.

Member has experienced chronic non-malignant pain not cancer pain for 6 months or more; and. Member has undergone a mental health evaluation, and any primary psychiatric conditions have been treated, where indicated; and.

Member's work or lifestyle has been significantly impaired due to chronic pain; and. Member has previously failed an adequate multi-disciplinary e. Member has unrealistic expectations of what can be accomplished from the program i.

Member is medically unstable e. Management of chronic central neuropathic pain following traumatic spinal cord injury. Management of chronic pain and control of long-term disability. Occup Med. Pain treatment programs: Do they return workers to the workplace? The program, which also has an outpatient component, was one of the first in the nation to concurrently treat physical pain and psychiatric comorbidities. The clinic is staffed by psychiatrists Jennifer Payne and Traci Speed , as well as specialized nurses and a social worker.

They work with occupational and physical therapists to develop treatment plans and monitor progress. Initial assessments can include neurological tests and consultations with the physical medicine and rehabilitation team to determine if therapies such as nerve blocks can help with regional pain.