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1 Introduction and Background
Pages 1-4

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From page 1...
... at the Kaiser Permanente Washington Health Research Institute. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies, a recommendation of the 2011 Institute of Medicine report Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research (IOM, 2011b)
From page 2...
... Emerging models of care that provide integrated, patient-centered, evidence-based, multimodal, interdisciplinary care,2 with systematic coordination of medical, psychological, and social aspects of care -- a concept promoted by the National Pain Strategy -- have been shown to decrease pain and increase function and will be important, said Robert Kerns, professor of psychiatry, neurology, and psychology at Yale University. The magnitude and urgency of the twin problems of chronic pain and opioid addiction, combined with the changing landscape of pain management, prompted the National Academies of Sciences, Engineering, and Medicine's Forum on Neuroscience and Nervous System Disorders and its Global Forum on Innovation in Health Professional Education to convene a workshop on December 4–5, 2018, in Washington, DC.
From page 3...
... Examples may include acu puncture, manual therapies, physical therapy and exercise, cognitive behavioral therapy, tai chi, yoga, meditation, and noninvasive neurostimulation. • Consider multimodal approaches and potential synergies be tween pharmacological and nonpharmacological approaches to pain management.
From page 4...
... In Chapter 8, workshop participants consider potential next steps needed to advance the integration of evidence-based nonpharmacological approaches in pain care. 3Foran in-depth discussion about pain management for people with serious illness, see the forthcoming proceedings from the complementary workshop on Pain and Symptom Management for People with Serious Illness in the Context of the Opioid Epidemic, hosted on November 29, 2018, by the National Academies' Roundtable on Quality Care for People with Serious Illness.


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