Goal-directed health care and the chronic pain patient

A new vision of the healing encounter

David Waters, Victor Sierpina

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift in process from the usual focus on disease-related goals such as relief of pain, titrating narcotic refills, and working on condition management to broader, long-term, personal goals. It emphasizes the importance of identifying the global life goals of patients and the reasons they wish to be well for and what they would do with improve health once they had it. Utilizing these life goals as a point of reference, discussion and motivation makes clearer what specified health goals mean, whether or not the patient is ready to work on them, and most significantly, what the underlying motivation is to participate in their own care. We anticipate such a model of patient-centered care will shift the dynamic of the medical encounter with the patient with chronic pain to one that is ultimately more productive and satisfying for both patient and physician. Illustrations of cases, questions to ask patients, and a detail of the process may allow the reader to adopt this method into their practice.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalPain Physician
Volume9
Issue number4
StatePublished - Oct 2006

Fingerprint

Chronic Pain
Delivery of Health Care
Motivation
Health
Patient-Centered Care
Narcotics
Interviews
Physicians
Pain

Keywords

  • Goal-directed health care
  • Goals
  • Integral medicine
  • Integrative medicine
  • Patient-centered care

ASJC Scopus subject areas

  • Health Policy
  • Anesthesiology and Pain Medicine

Cite this

Goal-directed health care and the chronic pain patient : A new vision of the healing encounter. / Waters, David; Sierpina, Victor.

In: Pain Physician, Vol. 9, No. 4, 10.2006, p. 353-360.

Research output: Contribution to journalArticle

@article{78efee3cbc2348adab1a5f4c58fa261b,
title = "Goal-directed health care and the chronic pain patient: A new vision of the healing encounter",
abstract = "We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift in process from the usual focus on disease-related goals such as relief of pain, titrating narcotic refills, and working on condition management to broader, long-term, personal goals. It emphasizes the importance of identifying the global life goals of patients and the reasons they wish to be well for and what they would do with improve health once they had it. Utilizing these life goals as a point of reference, discussion and motivation makes clearer what specified health goals mean, whether or not the patient is ready to work on them, and most significantly, what the underlying motivation is to participate in their own care. We anticipate such a model of patient-centered care will shift the dynamic of the medical encounter with the patient with chronic pain to one that is ultimately more productive and satisfying for both patient and physician. Illustrations of cases, questions to ask patients, and a detail of the process may allow the reader to adopt this method into their practice.",
keywords = "Goal-directed health care, Goals, Integral medicine, Integrative medicine, Patient-centered care",
author = "David Waters and Victor Sierpina",
year = "2006",
month = "10",
language = "English (US)",
volume = "9",
pages = "353--360",
journal = "Pain Physician",
issn = "1533-3159",
publisher = "Association of Pain Management Anesthesiologists",
number = "4",

}

TY - JOUR

T1 - Goal-directed health care and the chronic pain patient

T2 - A new vision of the healing encounter

AU - Waters, David

AU - Sierpina, Victor

PY - 2006/10

Y1 - 2006/10

N2 - We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift in process from the usual focus on disease-related goals such as relief of pain, titrating narcotic refills, and working on condition management to broader, long-term, personal goals. It emphasizes the importance of identifying the global life goals of patients and the reasons they wish to be well for and what they would do with improve health once they had it. Utilizing these life goals as a point of reference, discussion and motivation makes clearer what specified health goals mean, whether or not the patient is ready to work on them, and most significantly, what the underlying motivation is to participate in their own care. We anticipate such a model of patient-centered care will shift the dynamic of the medical encounter with the patient with chronic pain to one that is ultimately more productive and satisfying for both patient and physician. Illustrations of cases, questions to ask patients, and a detail of the process may allow the reader to adopt this method into their practice.

AB - We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift in process from the usual focus on disease-related goals such as relief of pain, titrating narcotic refills, and working on condition management to broader, long-term, personal goals. It emphasizes the importance of identifying the global life goals of patients and the reasons they wish to be well for and what they would do with improve health once they had it. Utilizing these life goals as a point of reference, discussion and motivation makes clearer what specified health goals mean, whether or not the patient is ready to work on them, and most significantly, what the underlying motivation is to participate in their own care. We anticipate such a model of patient-centered care will shift the dynamic of the medical encounter with the patient with chronic pain to one that is ultimately more productive and satisfying for both patient and physician. Illustrations of cases, questions to ask patients, and a detail of the process may allow the reader to adopt this method into their practice.

KW - Goal-directed health care

KW - Goals

KW - Integral medicine

KW - Integrative medicine

KW - Patient-centered care

UR - http://www.scopus.com/inward/record.url?scp=33750860951&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750860951&partnerID=8YFLogxK

M3 - Article

VL - 9

SP - 353

EP - 360

JO - Pain Physician

JF - Pain Physician

SN - 1533-3159

IS - 4

ER -