Recovery Capital in Acute and Chronic Pain Management with or without Addiction.

Dr. Raju Hajela

Date: September 6th 11:00am Studio 417

Abstract:

Pain is a common experience in human beings when there is an injury or damage to the body from an internal dysfunction or external trauma. This can be acute or become chronic. Addiction is a common disease that is primary, chronic and affects the brain reward, motivation, memory and related circuitry in individuals with characteristic biological, psychological, social and spiritual manifestations. The problem is reflected in an individual pathologically seeking reward (positive reinforcement) and/or relief (negative reinforcement) with the use of substances and other behaviours. The use of opioids, which are psychoactive substances affecting the brain, provides pain relief but also represents risks, especially in those with Addiction.

This presentation will discuss the fundamental concepts in comprehensive assessment of Pain and Addiction to ensure that there is clear understanding of whether the pain is acute or chronic, if Addiction is present or not, with or without involvement of substance use, and what are the risks and benefits of acute or chronic treatment with opioids and/or other medications. The role of personal recovery and recovery capital, in terms of the resources needed, will be discussed in context of building resilience and structured treatment to ensure optimum outcomes. Medication treatment guidelines will be reviewed in context of holistic – bio-psycho-social-spiritual – recovery.

Learning Objectives:

1. Understand the definitions of Addiction, Pain and Chronic Pain.

2. Appreciate the disease and illness manifestations in biological, psychological, social and spiritual dimensions.

3. Understand the assessment and treatment approaches for treatment of acute Pain, Addiction and Chronic Pain with or without Addiction.

4. Learn the role of recovery capital as a foundation of ongoing recovery to effectively deal with acute and chronic pain, especially in those with Addiction.

5. Appreciate the manifestation of Addiction beyond substances that can adversely affect illness experience.
References – List 3-5 scholarly or scientific publications that were used as references while developing the content for your abstract (300 Words)
1. Hajela, R., S. Newton and P. Abbott (2015). Addiction is Addiction: Understanding the disease in oneself and others for a better quality of life. Friesen Press, Victoria, BC.

2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed., Washington, DC: American Psychiatric Association; 2013:541

3. American Society of Addiction Medicine. Definition of Addiction. 2011. https://www.asam.org/resources/definition-of-addiction. Accessed 2018 March 7.

4. Centers for Disease Control and Prevention. Guideline for Prescribing Opioids for Chronic Pain. 2016. https://www.cdc.gov/drugoverdose/pdf/Guidelines_Factsheet-a.pdf. Accessed 2018 March 7.

5. Schneider, JP. and S. Schenthal (2018) How Can We Improve Opioid Prescribing for Chronic Pain? A Survey of Prescribers in The Trenches. The Pain Practitioner. Academy of Integrative Pain Management. Spring 2018.

References:

1. Hajela, R., S. Newton and P. Abbott (2015). Addiction is Addiction: Understanding the disease in oneself and others for a better quality of life. Friesen Press, Victoria, BC.

2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed., Washington, DC: American Psychiatric Association; 2013:541

3. American Society of Addiction Medicine. Definition of Addiction. 2011. https://www.asam.org/resources/definition-of-addiction. Accessed 2018 March 7.

4. Centers for Disease Control and Prevention. Guideline for Prescribing Opioids for Chronic Pain. 2016. https://www.cdc.gov/drugoverdose/pdf/Guidelines_Factsheet-a.pdf. Accessed 2018 March 7.

5. Schneider, JP. and S. Schenthal (2018) How Can We Improve Opioid Prescribing for Chronic Pain? A Survey of Prescribers in The Trenches. The Pain Practitioner. Academy of Integrative Pain Management. Spring 2018.

Bio:

Raju is a co-founder and principal of Health Upwardly Mobile Inc. He received his MD from Dalhousie University in 1982 and his Master of Public Health from the Harvard School of Public Health in 1988. He has practiced Transcendental Meditation since 1986, completing his training in Maharishi Ayurveda in 1994 and has provided continuing medical education programs for physicians regarding the benefits of this form of meditation.

Raju served in the Canadian Forces from 1979 to 1995, reaching the rank of Major in 1987. His assignments included Field Medical Officer, Flight Surgeon, Staff Officer-Occupational Health/Surgeon General’s Office and Director, Addiction Rehabilitation Centre in Kingston, Ontario. Raju is a Certificant of the College of Family Physicians of Canada (CFPC), as well as the Canadian (CSAM), American (ASAM) and International Societies of Addiction Medicine (ISAM). He is a Certified Medical Review Officer and has been a Civil Aviation Medical Examiner in the past. He is a Fellow of the CFPC and ASAM; and a Diplomate of the American Board of Addiction Medicine (ABAM). He has held faculty appointments in Family Medicine and Psychiatry at Queen’s University (1992-2001) and has taught medical students and residents at the University of Toronto, Queen’s University and the University of Calgary. He has held leadership positions in national and international medical organizations. He has received numerous honours and awards for his leadership and community work. He has academic publications and numerous invited conference plenary presentations and workshops to his credit. He routinely provides training for health care professionals and does presentations for corporations, government and the general public.