Pain: vulnerable populations (FS-21)

TOXIC STRESS, TRAUMA AND PAIN MANAGEMENT IN VULNERABLE POPULATIONS

Walton LM¹, Raigangar V², Schbley B³, Islam N⁴, Zaaeed N⁵¹University of Sharjah, Physiotherapy, Sharjah, United Arab Emirates, ²University of Sharjah, Sharjah, United Arab Emirates, ³Washburn University, Social Work, Topeka, United States, ⁴Bangladeshi Health Professions Institute, Affiliated with Center for Rehabilitation of the Paralyzed, Savaar, Bangladesh, ⁵Syracuse University, Department of Public Health, Food Studies, & Nutrition, Syracuse, United States Learning objectives: 1. Define and identify toxic stress and traumatic life events for vulnerable populations and identify self- limitations and internal bias affecting pain management outcomes. 2. Discuss the relationship between toxic stress, traumatic life events and health outcomes related to pain management for the physiotherapist. 3. Develop skills to participate in an inter-professional health care team for comprehensive assessment and community intervention programs related to pain management for vulnerable populations with past trauma. Description: Learning objective 1: Define and identify toxic stress and traumatic life events for vulnerable populations and identify self- limitations and internal bias affecting pain management outcomes.
Learning objective 2: Discuss the relationship between toxic stress, traumatic life events and health outcomes related to pain management for the physiotherapist.
Learning objective 3: Develop skills to participate in an inter-professional health care team for comprehensive assessment and community intervention programs related to pain management for vulnerable populations with past trauma.
Description: Physiotherapists are committed to reducing chronic pain conditions and promoting health and wellness for patients and communities, regionally and internationally. Vulnerable communities experience toxic stress, traumatic life events, and violence embedded within the structure of society which may negatively affect pain outcomes and pain management in rehabilitation. The effect of trauma and violence begins early in the neurologic system during the prenatal period, with genetic and epigenetic alteration in development during the critical fetal developmental phases. This presentation will explore the prevalence, incidence rates, and cumulative incidence of toxic stress, structural violence and trauma as it relates to vulnerable patient population health outcomes and pain management, health-related quality of life, neurologic, genetic, epigenetic, and immune system implications for chronic pain and disease. The speakers will discuss a comprehensive, inter-professional, collaborative, community-based model with emphasis on sustainability of global programs and special comparisons between four diverse global populations: Middle East, North America, Southeast Asia, and Africa.
Implications / Conclusions: There is a great need to incorporate a model of physiotherapy pain management which considers the impact of toxic stress and trauma on vulnerable patient populations. This symposium session will bring together four disciplines from across the globe to discuss the impact of a growing population in need of addressing the psychosocial components of a comprehensive pain management program from a physiotherapy perspective. Implications/conclusions: There is a great need to incorporate a model of physiotherapy pain management which considers the impact of toxic stress and trauma on vulnerable patient populations. This symposium session will bring together four disciplines from across the globe to discuss the impact of a growing population in need of addressing the psychosocial components of a comprehensive pain management program from a physiotherapy perspective. Key-words: 1. pain management 2. toxic stress and trauma 3. vulnerable populations Funding acknowledgements: None.