Hi Ron,

The main goal of the program is returning the patient to the highest 
possible level of function, and if possible, getting them back to work.  It 
is not at all like work hardening/conditioning though... the level of 
exercise is much less.  I work a lot on strengthening and conditioning, and 
also on increased positional tolerance - sitting, standing, and 
walking.  It's a full body/mind program, so they don't just concentrate on 
the injured area.  I do give them some exercises specific to their 
particular injury though.  I do things like art, crafts, and games to work 
on sitting tolerance... it occupies the patient's mind and works to 
distract them from their pain.  I also have them do more active games... 
darts and modified volleyball and badminton (we use a punching balloon 
because it's large and moves slower) for standing tolerance.  We even go 
for walks outside, weather permitting.  We also have aquatics.  I try to 
find things that will get them involved and laughing, even playing games I 
picked up a baby showers like races where they have to walk across the room 
with a potato between their knees and drop it in a cup without using their 
hands (if you are a man, don't ask).  I try to make it as fun for them as 
possible.

I do team building exercises with them, and we sometimes have sessions 
where they will do collages depicting how they feel now on what side, and 
their goals on the other side, and then we discuss why they chose the 
pictures they did.   this population is dealing with a lot of depression 
and tend to isolate themselves, so I do activities where they have to 
interact and work together toward a common goal.  For the most part the 
counselors and psychologist deal with the mental/emotional part of the 
program though.

Pat

At 04:15 PM 7/26/2006, you wrote:
>Hello Pat:
>
>In  response  to your below message, I would like to know a little bit
>more  about  the  nature  (i.e. goals) of your program. Maybe a little
>more info will better help us.
>
>Thanks,
>
>Ron
>
> > I work in a chronic pain clinic.  The patients are there 40 hours a week
> > for six weeks (which usually stretches out because they have to make up
> > absences).  I have the group for 5-6 hours a day.  The rest of the time
> > they are doing biofeedback, acupuncture, pilates, yoga, nutrition 
> class, or
> > are in a counseling session.  I am always challenged to come up with a
> > variety of activities for them!  They are there for a wide range of
> > injuries so I try to find activities that will fit everyone.
> >
> > In the past I have posted to this group looking for suggestions but didn't
> > get much response.... if anyone cares to make some suggestions and start
> > another thread that would be great!
> >
> > Pat
>
>
>
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