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Elevating Healthcare Professionals and Available Resources – The Latest on COVID-19 on Pain (Part 1 of 2)

Date

8 September 202110 September 2021

IASP Virtual Program on COVID & Pain

See the Full Schedule
More than one year into the COVID-19 pandemic, new research is emerging that provides insight into acute pain implications in the onset of COVID-19 infection and the complications and long-term impact of the disease on chronic pain. This complimentary virtual course will explore, through nine sessions over three days, various aspects of COVID-19, from the role of the healthcare provider and the review of the current science on management, through to the understanding of the patient’s journey and their decisions in self-management. The event will unite the pain community in education, exchange novel ideas, and promote engagement across care communities on the complexities of pain and COVID-19.

Credits

25.5 CE/CME

Overall Learning Objectives:

  • Identify the relevant dimensions of assessment for COVID-19 in disease progression and pain syndromes
  • Discuss the maintenance of existing chronic pain regimes in conjunction with the management of COVID-19 onset
  • Discuss recommended NSAIDs and other non-prescription pharmacologic therapies in the management of COVID-19 pain
  • Discuss prescription pharmacologic therapies in the management of COVID-19 pain
  • Understand and manage the concerns of COVID-19 patients from self-diagnosis and treatment in early onset of symptoms
  • Understand the impact of the longer term pandemic has had related to biopsychosocial model to improve for consultation strategies

Registration is free to any healthcare professional, as a contribution from IASP, to the community to share research on COVID-19 and Pain.

Sponsors


Upload ImageIASP would like to acknowledge and thank GlaxoSmithKline for its provision of grant support to independently develop this virtual COVID-19 and Pain educational course.

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Sessions

Acute and Early Post-Acute Pain in COVID-19 - Syndromes and Treatment

08 September 2021 - 08 September 2021
10:00 AM - 11:30 AM

Maintaining a Pain Management Regime with Managing COVID-19

Lived experience of Self-Managing Persisting Pain and Long Covid / PASC

View Subsession Details >

When a Set-Back Plan and the Pacing Tools Really Come into Action

View Subsession Details >

Managing Chronic Pain During an Episode of COVID-19 Infection

View Subsession Details >

Maintaining a pain management regime with managing COVID-19

View Subsession Details >
08 September 2021 - 08 September 2021
11:00 AM - 12:30 PM
Close Modal

Lived experience of Self-Managing Persisting Pain and Long Covid / PASC

In May 2020, after months of over fifty symptoms, including a resurgence of old pain and some new ones, Sheren came across a British Medical Journal article that mentioned a myriad of fluctuating symptoms that sounded very familiar. Sheren had not experienced any severe respiratory symptoms, anosmia, or high temperature, but she ticked the boxes for what patients had started calling Long COVID, or Long Haul COVID (recent NIH proposed name: post-acute sequelae of SARS-CoV-2 infection, or PASC). She then kicked into a self-management routine and joined Long COVID Support Group on Facebook (which at the time only had a few hundred members, now over 36,000), and later Facebook COVID-19 Research Involvement Group when it was launched.

In this presentation, Sheren will share experiences from other members of the support group, and insights from her own lived experience, including things she wished she had done differently, the highs and lows, micro-pacing including with cognitive tasks, managing persisting pain along with Long COVID symptoms, assessing when to reach out to a doctor, how best to be heard and communicate with clinicians who may not be familiar with Long COVID to access appropriate care pathways, and how to deal with conflicting advice.

Learning Objectives:

  • Recognize how patients are the experts when it comes to their pain and symptoms, rather than dismissing their experiences.
  • Learn to watch the way information is communicated, including words used, voice tone, facial expressions, and body language. In telehealth, note that words and voice tone may convey a lot more than was intended.
  • Acknowledge how some patients may be better informed regarding COVID-19 and must be heard.
  • Understand how health professionals must see the bigger picture and whole-person care and better assess what needs to be prioritized in terms of treatment.
  • Recognize how keeping up to date with developments in understanding COVID-19, and Long COVID is essential in order to serve patients better. It is unacceptable not to stay informed.
  • If what is being heard from a patient doesn’t lay within the scope of expertise, refer on, in a timely fashion.
  • Remind patients that telehealth and online services are available.
08 September 2021 - 08 September 2021
11:30 AM - 1:00 PM
Close Modal

When a Set-Back Plan and the Pacing Tools Really Come into Action

With the widespread effects of COVID, already persistent pain issues can be exacerbated. This presentation will cover the need to recognize these factors, such as post-exertional malaise (PEM), and its severity. Also highlighted is the importance of having a set-back plan in place and reevaluating needed, however likely they are to change; assessing for baseline markers, combined with pacing, and recognizing the potential need to reach out to a wider team or when medical support is necessary to recover and get back on track.

Learning Objectives:

  • The ability to recognise importance of a set back plan
  • Pacing- Do you really understand it?
  • Understand the constant need to revaluate due to the nature of long Covid coexisting with persistent pain
08 September 2021 - 08 September 2021
11:30 AM - 1:00 PM
Close Modal

Managing Chronic Pain During an Episode of COVID-19 Infection

COVID-19 infection may present with symptoms of joint pains, muscle aches, headaches, abdominal pain, fever, cough, shortness of breath and many others. People with chronic pain may already have some of these symptoms on a daily basis, and they may take medications that could mask some of these symptoms. There are some medications commonly used to treat chronic pain that could be stopped during an acute episode of COVID-19 or any other acute viral infection like the Flu. However, there are pain medications that need to be continued even during an acute viral infection to avoid severe withdrawal symptoms. There might be situations where opioids need to be increased or reduced, depending on the overall situation of the COVID-19 infection. In this session we will discuss how to manage the acute symptoms of a viral infection and how to manage chronic pain in the face of an acute viral infection, especially when it involves opioids, anti-inflammatories, anti-depressants, anti-convulsants, sedatives and benzodiazepines.

Learning Objectives:

  • Identify situations that require seeing a pain doctor for management of pain during an episode of COVID-19
  • Get prepared to manage pain (acute and chronic) during an episode of COVID-19
  • Self-monitor and self-manage pain symptoms that are related to COVID-19 viral infection
08 September 2021 - 08 September 2021
11:30 AM - 1:00 PM
Close Modal

Maintaining a pain management regime with managing COVID-19

Post-Acute Sequela of COVID-19 include several symptoms derived from the effects of the virus on various body systems, complications derived from severe infection including the post-intensive care syndrome, pre-existing comorbidities affecting also the older population. Exacerbation of existing painful conditions as well as development of new pain is frequent in COVID-19 survivors three to eleven months after hospital discharge. During this educational session we will inform main chronic symptoms developed by COVID-19 survivors; describe main painful conditions presented by COVID-19 survivors and introduce the rationale for strategies to maintain a pain management regime with managing COVID-19.

08 September 2021 - 08 September 2021
11:30 AM - 1:00 PM

The Pandemic and its Longer Term Impact on Chronic Pain Management

08 September 2021 - 08 September 2021
1:00 PM - 2:30 PM

Long COVID – Understanding the Patient Journey and Optimizing Treatment of Pain

09 September 2021 - 09 September 2021
10:00 AM - 11:30 PM

Self-Management & Coping Strategies in Isolation: Online Service Delivery

Mobilizing Evidence-Based Online Treatment during COVID-19: The Development and Deployment of the Virtual Comfort Ability Program for Pediatric Pain

View Subsession Details >

Converting Pain Education Empowerment Programs (PEEP) to ePEEP

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A Pandemic Pivot: Adapting Pain BC’s Supported Self-Management Programs for People in Pain

View Subsession Details >
09 September 2021 - 09 September 2021
11:30 AM - 1:00 PM
Close Modal

Mobilizing Evidence-Based Online Treatment during COVID-19: The Development and Deployment of the Virtual Comfort Ability Program for Pediatric Pain

Dr. Coakley will be talking about the development and dissemination of the Virtual Comfort Ability Program (V-CAP). The Comfort Ability Program (CAP) is an internationally disseminated, brief CBT-based workshop for adolescents with chronic pain and their parents. In the context of the COVID-19 pandemic, CAP underwent an accelerated virtual modification following the knowledge-to-action translational science framework, resulting in a telehealth intervention that to date has been successfully adopted by 12 children's hospitals in the US, Canada, and Australia. This rapid modification has helped hundreds of families to obtain essential pain management skills training during the pandemic when access to care has been limited.

Learning Objectives:

  • Describe the knowledge-to-action cycle that guided the development of the Comfort Ability virtual intervention.
  • List key challenges and considerations that must be overcome when designing virtual interventions for pediatric patients
  • Obtain access to patient and provider resources to support patients and families with chronic pain
09 September 2021 - 09 September 2021
11:30 AM - 1:00 PM
Close Modal

Converting Pain Education Empowerment Programs (PEEP) to ePEEP

This presentation will showcase the work done on adapting and implementing Pain Education Empowerment Program (PEEP) into ePEEP. Lessons learned will be shared in this process, including identifying an appropriate e-platform to ensure accessibility, adapting materials and engagement to the e-environment. In addition, this meeting will discuss challenges faced as well as ways they were overcome. In conclusion, this presentation will discuss the acceptability of program participants.

Learning Objectives:

  • Describe the processes involved in converting a face to face program to a telehealth program
  • Identify potential barriers and facilitators to delivering telehealth programs in resource poor communities
  • Understand patient and clinician experiences with telehealth
09 September 2021 - 09 September 2021
11:30 AM - 1:00 PM
Close Modal

A Pandemic Pivot: Adapting Pain BC’s Supported Self-Management Programs for People in Pain

Learning Objectives:

  • Describe the experiences of people in pain using virtual self-management services during COVID
  • Understand the adaptations and processes for moving face-to-face programming online
  • Explain the differences in online versus e-service delivery
09 September 2021 - 07 October 2021
11:30 AM - 1:00 PM

Novel COVID-19 Pain Syndromes – Evidence from Translational Basic and Clinical Research

09 September 2021 - 09 September 2021
1:00 PM - 2:30 PM

Impact of the Pandemic on Funding, Conducting, and Publishing Clinical Trials, Epidemiological Studies, and Basic Science Research

10 September 2021 - 10 September 2021
10:00 AM - 11:30 AM

Living with Pain - A Long COVID Patient Perspective and How Clinicians Can Help

Living with Pain – a Long COVID Patient Perspective

View Subsession Details >

Fatigue and Pain with Long COVID

View Subsession Details >

Managing the Cocktail of Pre-Existing Chronic Pain with Long COVID Symptoms and the Effect of Loss of Support from NHS

View Subsession Details >

Pain in Long COVID Patients – a Clinician Perspective

View Subsession Details >
10 September 2021 - 10 September 2021
11:30 AM - 1:00 PM
Close Modal

Living with Pain – a Long COVID Patient Perspective

This talk will give a perspective on the relatively new experience of living with pain. Musculoskeletal and joint pain has been a predominant symptom of the speaker's Long COVID journey. It has gone from being a constant presence to having the occasional day pain free. This presentation will describe how others have been self-managing the pain while not being under the care of one of England's Long COVID clinics or any other pain clinic.

Learning Objectives:

  • Upon completion, participants will be able to have some understanding of a patient's experience of chronic pain
  • Upon completion, participants will gain knowledge of some of the methods used in this individual's self-management of that pain.
  • Upon completion, participants will gain understanding of how this is learnt management on an individual level and be able to work with those experiencing chronic pain
10 September 2021 - 10 September 2021
11:30 AM - 1:00 PM
Close Modal

Fatigue and Pain with Long COVID

There have been a wide array of symptoms reported by long-COVID patients with pain and fatigue showing as dominant features. This presentation will aim to explore how patients have clinically been presenting in our long-COVID clinic with their pain and fatigue. The importance of managing symptoms, rather than looking at the treatment of them will be discussed, as well as exploring the tools recommended to help support patients with these challenges. Attendees will learn of the approach of focusing on the importance of a biopsychosocial approach within a multidisciplinary setting. Additionally, patient case studies will be discussed to demonstrate the broad range of presentation and management strategies within this patient group.

10 September 2021 - 10 September 2021
11:30 AM - 1:00 PM
Close Modal

Managing the Cocktail of Pre-Existing Chronic Pain with Long COVID Symptoms and the Effect of Loss of Support from NHS

The discussion will center around the experience of living with chronic pain, the additional influence of having COVID-19 in March 2020 and now living with Long COVID too. The difference between previous pain and dysfunction and the added factors of Long COVID will be discussed, including what it is like to try and access help from the NHS during the pandemic, not just for the previous conditions, but also COVID related assistance. The lived experience of Accident and Emergency with 3 of 4 signs of viral sepsis, the treatment there, and how it has influenced onward treatment will be explored as it has had a huge impact on the trajectory of recovery. The various interventions tried will be deliberated as Long COVID and the challenges with its recognition add increasing levels of complexity to an already difficult situation. Medical attitudes and language and what can be improved so that patients are appropriately managed on an interpersonal level will also be covered as the frustrations and stresses caused by a lack of effective listening also prevent access to effective treatments.

10 September 2021 - 10 September 2021
11:30 AM - 1:00 PM
Close Modal

Pain in Long COVID Patients – a Clinician Perspective

While research was being presented as early as May 2020 that chronic pain would get worse with COVID-19, it became very apparent that COVID-19 itself could cause chronic pain for a variety of reasons, all of which are context dependent and biopsychosocial. A multitude of reasons exist for the occurrence of new onset pain that can often be resistant to mainstream therapies and calls for a more integrated, patient-centered and trauma informed way of working with the Long COVID patient. With co-existing fatigue and new digital technologies, it is important to harness the benefits that they bring while mitigating risks and then find a way to bring community support into a Long COVID service. This presentation will be aiming to highlight what can be done when systems can work with patients to coproduce new ways of support.

Learning Objectives:

  • Upon completion, the participant will be able to define and understand the prevalence of Long COVID (Post COVID-19 Syndrome)
  • Upon completion, the participant will understand the multifactorial causes of chronic pain in Longcovid
  • Upon completion, the participant will understand and be able to describe the requirements for setting up a MDT Long COVID service to cater to the needs of Long COVID and pain patients
10 September 2021 - 10 September 2021
11:30 AM - 1:00 PM

Pain and COVID-19 Across the Globe: Disparities Within and Between Countries on Infection Prevention, Vaccination, and Access to Healthcare

10 September 2021 - 10 September 2021
1:00 PM - 2:30 PM