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*Please note that simultaneous translation will be offered for all plenary sessions.
 
Interprofessional Pre-conference
 
Chronic Pain Management in Rehab
 
Agenda
 
To view the conference brochure, click here
 
Pre-conference – September 14, 2011
 
07:00 – 08:45    Registration and Continental Breakfast (1h 45 minutes)
 
08:45 – 09:00    Opening Ceremonies (15 minutes)
                      
09:00 – 09:45    Pain Management in Canada : Where Are We?(45 minutes) (in French)
       
                             Aline Boulanger, MD, FRCPC, MHP
                             Associate professor at the anaesthesiology department of the Université de Montréal,Director of the pain clinic at the CHUM
 
                            This presentation will give an overview of the provincial framework to improve the treatment of chronic pain in Canada.
 
09:45 – 10:30   Self-Management Education for Chronic Pain: Overview and Lessons for    
                            Practice (45 minutes) (in English)
                           
                            Sandra M. LeFort, PhD (Nursing), RN,
                            Professor, School of Nursing, Memorial University of Newfoundland and Visiting Professor, Bournemouth University, UK
 
            This presentation will provide an overview of the principles and skills of self-management education, describe components of
            the Chronic Pain Self-Management Program, present research evidence, and discuss clinical implications for
            rehabilitation nursing practice.
 
 
10:30 – 11:00   Morning Nutrition Break and Poster Viewing (30 minutes)
                             
11:00 – 11:45   Concurrent Breakout Sessions - Session 1 (45 minutes)
 
                            Workshop 1
                            Gender Differences Related to the Mechanics of Pain: Better Understanding for Better Management (in English)
 
                            Julie Côté, PhD (Biomedical engineering)
                            Associate professor, Department of kinesiology and physical education, McGill University; Researcher, Michael Feil and
                            Ted Oberfield Research Centre of the Jewish Rehabilitation Hospital/ Centre for Interdisciplinary Research in
                            Rehabilitation (CRIR)
 
                            This presentation will give an overview of the results of recent research in physiology, biomechanics and motor control
                            and their relevance to the understanding of the mechanics of pain as it relates to musculoskeletal injuries. The emphasis will
                            be on factors explaining the different ways men and women express pain.
 
                            Workshop 2
                            Chronic Pain and Practice in Multiethnic Settings (in French)
                           
                            Danielle Gratton
                            Psychologist and anthropologist, Jewish Rehabilitation Hospital; Centre d’étude et d’intervention en
                            relations interculturelles (CEIRI) ; Agence de la santé et des services sociaux de Laval;
                            Laboratoire de recherche en relations interculturelles (LABRRI)
 
                            This presentation will give an update on some of the research having an impact in our intercultural practices, namely
                            that an intercultural intervention often requires 40% more time.  Various cultural differences will be highlighted in the
                            representation of chronic pain and its treatment: family structure, authority, the concepts of illness and treatment,
                            end of life and death and the use of certain services. An intercultural communication model will be suggested to
                            participants.
 
                            Workshop 3
                            The Role of Education in the Treatment of Persistent Pain (in English)
 
                            Debbie Patterson, P & OT Dip.
                            Registered Physiotherapist, PainSolutions Inc.; Executive and Founding Member, Pain Science Division,
                            Canadian Physiotherapy Association
 
                            This presentation will highlight the well known effects of education on central sensitization and neuroplasticity of the
                            central nervous system, and the resulting benefits for people with persistent pain.  It will also review methods and
                            resources for the presentation of up to date, relevant information to engage people in a process that increases their
                            understanding of the multifaceted nature of their pain.
 
11:55 – 12:45   Better Understand the Complexity of Pain: The Added Value of Rehabilitation (50 minutes) (in French)
 
                            Yannick Tousignant-Laflamme, Pht, PhD
                            Associate professor, School of Rehabilitation, Faculty of medicine and of heath sciences,
                            Université de Sherbrooke; Researcher, Centre de recherche clinique Étienne-Lebel of the CHUS
                
                            Based on a case history, this presentation will highlight the key neurophysiological aspects of chronic pain, the importance
                            of assessing pain and the latest physical intervention strategies in the control of lower back pain.
 
12:45 – 14:00   Lunch, Poster Viewing and Networking (75 minutes)
                                   
14:00 – 14:45   Concurrent Breakout Sessions- Session 2 (45 minutes)
 
                            Workshop 1 (in French)
                            When Pain Despairs....                            
 
                            Marie-José Durand, PhD
                            Professor, School of rehabilitation, Université de Sherbrooke
 
                            About 10% of people suffering from musculoskeletal problems (lower back pain, various sprains) will
                            show long-term workplace disabilities. For these persons, mental problems are frequent. Therefore, the intervention
                            must not only target pain reduction and its various impacts, but take a more holistic approach. The significance of this
                            phenomenon and the ideal approach will be discussed.
 
                            The following  two workshops were chosen from the call for abstracts.
                           
                            Workshop 2 (in English)
                            Relationships between Disability, Catastrophizing, Pain Thresholds & Gender in Whiplash Injuries: A Longitudinal Analysis   
 
                            Karine Rivest
                            Hôpital juif de réadaptation de Laval
 
                            Whiplash injury results in chronic pain and disability in up to 40% of individuals. Whiplash associated disorder (WAD)
                            is a complex condition involving both physical and psychological factors. It is estimated that approximatively 22% of
                            people with WAD present with sensory hypersensitivity within four weeks post-injury and that symptoms persist to the
                            chronic phase. Mechanisms of sensory hypersensitivity are not well understood and may be associated with psychological
                            features. However, it is unclear how these relationships evolve as chronicity develops. Moreover, a growing body of
                            literature suggests that men and women differ with respect to their perception and experience of pain.
 
                            Workshop 3 (in English)
                            Group Rehabilitation Program for Elderly with Chronic Pain: An Evidence-Based and Current Practice Review 
                             
                            Daniela Frabasile 
                            McGill University
 
                            Chronic pain has negative implications on the individual and family, with it’s detrimental impact on one's well-being,
                            daily functioning, and quality of life. Additionally, chronic pain places an economic burden on the health care system: the direct
                            healthcare costs for Canada is estimated at $6 billion per year. The prevalence of chronic pain is found to increase with age,
                            with a higher prevalence occurring in the geriatric population; a population that is expected to increase dramatically in the
                            upcoming years. Although chronic pain is a common condition, there is little evidence that exists outlining optimal treatment
                            interventions and strategies for the elderly with chronic pain and it continues to be under recognized and under treated in older
                            adults.
                          
14:45 – 15:00  Afternoon Break and Networking (15 minutes)
                               
15:00 – 15:45  Psychosocial Risk Factors for Pain and Disability: Detection and Intervention (45 minutes)(in English)
 
                           Michael Sullivan, PhD
                           Professor of Psychology, Medicine and Neurology, McGill University
                
                           This presentation will provide an update on recent research examining psychosocial risk factors for
                           persistent pain and disability.  The presentation will also describe intervention approaches that have
                           been developed to specifically target pain-related psychosocial risk factors.
 
15:45 – 16:00  Wrap up and closing remarks (15 minutes)
 
16:00 – 18:00  Pre-Registration and Welcome Reception for participants of the 2011 National Rehabilitation Nursing Conference
 
 
 
 
2011 National Rehabilitation Nursing Conference
 
Chronicity and Complexity : Best Practices to Meet the Challenges in Rehab Nursing
 
Agenda
 
September 15, 2011
 
07:00 – 08:30  Registration and Continental Breakfast (90 minutes)
 
08:30 – 08:45  Opening Ceremonies (15 minutes)
 
08:45 – 10:00  Dare to Dare (in French)
 
                           Dean Bergeron
                           Paralympic medalist, actuary and speaker
                         
                           Every day, modern life brings new challenges. At work and at home, we are always asked to do
                           more and to do better, to work faster and to make do with less. What’s holding us back from meeting
                           those challenges and making the best of our experiences?
                           From as long as I can remember, I’ve wanted to be the first, the fastest and the best. This desire to
                           push myself has allowed me to meet life’s numerous challenges and transform them into enriching and
                           exciting experiences. We all have the ability to meet our own challenges and are called upon to grow
                           from our experiences. In fact, our only limits are those we place on ourselves.
 
10:00 – 10:30  Morning Nutrition Break and Poster Viewing (30 minutes)
 
10:30 – 11:15  3 Concurrent Breakout Sessions (45 minutes) These workshops were chosen from the call for abstracts,
                           and will be presented in the language they were submitted in. 
 
                            Workshop 1 (in French)
                            Résilience de familles ayant un adolescent atteint d'un traumatisme crânio-cérébral sévère:
                            développement d'une intervention de soutien
 
                            Jérôme Gauvin-Lepage
                            Hôpital juif de réadaptation de Laval
 
                            La résilience a été étudiée dans différentes disciplines, mais encore peu dans le domaine des sciences
                            infirmières. Or, depuis les dernières décennies, plusieurs chercheurs et cliniciens se sont intéressés aux écrits
                            portant sur la résilience familiale, particulièrement celle de parents d'enfants confrontés à des traumatismes. Inspirés
                            par les écrits empiriques et théoriques sur la résilience, les infirmières et les autres professionnels de la santé oeuvrant
                            auprès des familles en soins aigus, en réadaptation fonctionnelle ou en insertion sociale s'interrogent de plus en plus
                            sur ce qu'est une intervention qui pourrait faciliter ou soutenir la résilience de ces familles.
 
                            Workshop 2 (in English)
                           Nurse Practitioner Role: Complexity and Chronicity in Youth's Transition to Adult Health Care        
 
                           Andrea Lauzon
                           Holland Bloorview Kids Rehabilitation Hospital
 
                           A unique transition partnership has been fostered between two rehabilitation hospitals. The partnership
                           begins in paediatric care and bridges into adult health care. The goal of the model is to transition patients
                           with chronic childhood onset disabilities to specialized adult health care. 
                            
                            Workshop 3 (in English)
                            The Rehabilitation Nurse's Contribution to a Fall Management Program             
 
                            Sharon O'Grady
                            CSSS Cavendish
 
                            The literature increasingly documents that a focus on fall management rather than fall prevention is the
                            most effective strategy as falls cannot always be prevented. A fall management program was developed by an
                            interdisciplinary team to respond to the needs of the patients they treat on a rehabilitation in-patient unit. The roles
                            and responsibilities of the different team members were clarified to the benefit of the patients, and this, over the three shifts.   
 
11:30 – 12:15  3 Concurrent Breakout Sessions (45 minutes) These workshops were chosen from the call for abstracts,
                           and will be presented in the language they were submitted in. 
 
                           Workshop 1 (in English)
                           Sexual Self-View: An Important Element for a Successful Rehabilitation Journey          
 
                           Lesley Houle  
                           GF Strong Rehab Centre-VCHA
 
                           Disability and chronic illness can impact all aspects of the sexual being, thus causing distress
                           and imbalances in one’s life. Sexual self-view is one of the core elements of sexual health adversely
                           affected as a result of the consequences of disability and chronic illness. This can be detrimental to
                           the rehab process, challenging the ability of the client to succeed in their rehab goals necessary for living
                           a fulfilling and successful life. The dynamic role of the rehab nurse allows for the opportunity to address
                           this area which will help facilitate a successful rehab journey.
 
                           Workshop 2 (in English)
                           Implementation of a Personalized Eating Assistance Program for Geriatric and Oncology Inpatients
                           of the JRH Who Are at Risk for Malnutrition     
 
                           Cindy Fogel
                           Jewish Rehabilitation Hospital 
 
                           Malnutrition is a serious health concern in the elderly and ill population It is known that over half of the seniors
                           who are admitted to the hospital and 77% of patients with cancer are malnourished. Contributing factors to eating
                           difficulties may include: limitations in mobility inside and outside the home, lack of strength and endurance, decreased
                           manual dexterity, poor eyesight, loss of appetite/taste, increased satiety, poor pain control, fatigue, chewing difficulties,
                           dysphagia, needing several small meals, inability to open food containers and difficulty manipulating utensils or food, and
                           factors related to institutionalization. In addition, oncology patients experience weight loss, nausea, anorexia and taste
                           changes secondary to cancer treatment.
                          
  
 
                           Workshop 3 (in English & French)
                           Approche structurée pour traiter les perturbations du sommeil chez la clientèle traumatisée crânio-cérébrale                     
 
                           Teresa Testa 
                           Jewish Rehabilitation Hospital
 
                           La clientèle en réadaptation suite à un traumatisme crânio-cérébral (TCC) présente habituellement des difficultés
                           importantes de sommeil. Les perturbations de sommeil secondaires au trauma, tel l'insomnie, peuvent contribuer au maintien
                           des difficultés, notamment à la fatigue, la douleur, la dépression et l’anxiété. Les perturbations chroniques de sommeil
                           peuvent influencer le fonctionnement des processus cognitifs et la participation des ces individus en réadaptation. Étant donné
                           que les perturbations de sommeil peuvent avoir un impact négatif sur la qualité de vie, leur gestion constitue un facteur majeur
                           du succès des programmes de réadaptation post traumatique. Malgré l’utilisation de plusieurs approches adressant les
                           difficultés de sommeil, celles-ci ne sont pas utilisées de façon consistante et structurée auprès de notre clientèle. Suite aux
                           conclusions de notre étude pilote favorisant l’emploi de techniques cognitivo-behaviorales, nous avons développé une
                           approche de groupe d’intervention systématique pour traiter les perturbations du sommeil chez les TCC.
                                                       
12:15 – 13:30  Lunch, Networking and Poster Viewing (75 minutes)
 
13:30 – 14:15  Rehabilitation at the Core of Managing Chronic Illnesses (45 minutes) (in English)
                              
                           Diane Nault
                           Masters Degree in Nursing, Hôpital Maisonneuve-Rosemont, University of Montreal
 
                           This presentation deals with the management of chronic pain by applying the Wagner model to
                           the rehabilitation of people suffering from chronic obstructive pulmonary disease (COPD).
 
14:15 – 15:00  4 Concurrent Breakout Sessions (45 minutes) These workshops were chosen from the call for abstracts,
                           and will be presented in the language they were submitted in.
                           
                           Workshop 1 (in French)
                           Rehabililatation Nurses' Role in Chronic Pain Management           
 
                           Dave Bergeron 
                           Université de Sherbrooke et Collège Edouard-Montpetit
 
                           Since managing chronic pain requires an interdisciplinary approach, each professional may have
                           a positive impact on the patient and enhance his/her well-being. As a result of their training and the
                           expertise they develop, rehabilitation nurses can intervene in a concrete manner with people suffering
                           from chronic pain in order to optimize their relief.
 
                           Workshop 2 (in French)
                           L'infirmière, l'humanisation des soins et le plan d'intervention interdisciplinaire en réadaptation             
 
                           Daphney St-Germain 
                           Université Laval
 
                           L’infirmière, comme professionnelle de la santé impliquée à travers toutes les étapes du rétablissement
                           de la personne s’avère souvent l’intervenante pivot de l’équipe multi et interdisciplinaire pouvant intimement
                           témoigner de l’application du plan d’intervention individualisé. De par sa présence constante auprès de la
                           personne soignée et de par la nature même de sa discipline professionnelle, le modèle de pratique de
                           l’infirmière constitue fondamentalement un archétype de soins centrés sur l’usager et un modèle de soins
                           de collaboration avec tous les intervenants en cause.
  
 
                           Workshop 3 (in English)
                            Oncology Rehabilitation: An Evolving Program
 
                            Constantina Goharis 
                           Jewish Rehabilitation Hospital 
 
                            Rehabilitation is usually associated with acute conditions, for example orthopedic conditions or surgeries,
                            as well as with chronic conditions such as strokes and chronic obstructive pulmonary diseases. Recently,
                            cancer care has been added to the list of specialized rehabilitation programs for chronic illness. There are
                            little writings in the field of oncology rehabilitation. The application of an oncology model on chronicity using a
                            common language and tools brings many advantages for patients and their family. It allows an early identification
                            of clients in order to optimize their functional state, considering limitations imposed by their illness at different
                            stages of the caring journey. 
 
 
                           Workshop 4 (in English)
                           An Interdisciplinary Approach to Self-Care Efficacy in Pulmonary Rehabilitation         
 
                           Wendy Laframboise 
                           The Ottawa Hospital Rehabilitation Centre
 
                           It is estimated that at least 700,000 people in Canada live with chronic obstructive pulmonary disease (COPD).
                           COPD is characterized by dyspnea that is insidious and progressive, severely limiting physical activity and reducing
                           health-related quality of life. It frequently escalates into interrelated physical, emotional and psychosocial problems.
                           COPD impacts the patient, their family and the health care system. The purpose of this presentation is to share our
                           interdisciplinary team experiences as we implement a pilot project that integrates our inpatient and outpatient respiratory
                           clients into a foundational education program.
                          
15:00 – 15:15  Afternoon break (15 minutes)
 
15:15 – 16:00  Caring Through Knowledge: Rehab Nurses Leading in the 21st Century (45 minutes) (in English)
 
                           Doris Grinspun, RN, MSN, PhD, LLD(hon), O.ONT
                           Executive Director, Registered Nurses' Association of Ontario (RNAO)
 
                           This presentation will address the key opportunities rehabilitation nurses must seize as we enter the
                           second decade of this new millennium. From broad policy questions about the future of rehabilitation in
                           a transformed health care system, to the specifics of nurses' moral responsibility to advocate and professional
                           accountability to deliver evidence-based practices, the leadership role of rehab nursing will be discussed as
                           critical to patients, their families and society at large.
 
16:00                 Wrap-up of the first day and Touristic Activities
 
                           Dinner on Le Bateau-Mouche in Montreal (not included in the registration fee)
                           Includes round trip by bus from the Sheraton Laval to Le Bateau-Mouche in the Old Port of Montreal,
                           4-course dinner on the Panoramic Deck and musical entertainment from 7pm until 10:30pm but you will
                           need to be at the boat by 6:15pm at the latest.
                       
                           Wine and Cheese Tasting, Visit and History of Vineyard (not included in the registration fee)
                           Includes round trip by bus from the Sheraton Laval to Chateau Taillefer Lafon, tasting of local wines and
                           cheeses, visit and history of the vineyard.
 
September 16, 2011
 
07:30 – 08:30   Canadian Association of Rehabilitation Nurses Annual General Meeting (Optional) (60 minutes)
                            (in English)
 
07:45 – 08:25  Continental Breakfast and Poster Viewing (40 minutes)
 
08:25 – 08:30   Opening of the second day (5 minutes)
 
08:30 – 09:45  Can You Manage to Laugh? - The Power of Humour to Facilitate Adaptation in
                           Rehabilitation Care (75 minutes) (in English)
                          
                           Patty Wooten, RN BSN
                           Nurse Humorist and Professional Speaker, Queen, Jest for the Health of It Services
                           Santa Cruz, California
 
                           This presentation will provide insight into the therapeutic power of humour and
                           laughter for patients as they adjust to their new lifestyle. Humour skills also help
                           caregivers cope with the stress and challenge of providing care for these complex patients.
 
09:45 – 10:30  Meeting the Challenge of a Humanist Rehabilitation Practice: Luxury or Necessity?(45 minutes)
                           (in French)
 
                           Chantal Cara, PhD, Inf.
                           Professor, Assistant Dean of Graduate Studies and Research, School of Nursing, Université de Montréal
 
                           Louise O’Reilly, Inf., PhD
                           Assistant professor, School of medicine and health sciences, Longueil Campus, Université de Sherbrooke ;
                           Researcher at the Centre for Interdisciplinary Research in Rehabilitation (CRIR)
 
                           Partly based on our own research, this presentation aims at presenting winning strategies for promoting a
                           humanist practice that contributes significantly to the rehabilitation of clients.
 
10:30 – 11:00  Morning Nutrition Break and Poster Viewing (30 minutes)
 
11:00 – 11:45  4 Concurrent Breakout Sessions (45 minutes) These workshops were chosen from the call for abstracts,
                           and will be presented in the language they were submitted in.
 
                           Workshop 1 (in French)
                           Les domaines de compétence de Benner revisités pour un rôle d’infirmière pivot en réadaptation
                           auprès des personnes avec maladies chroniques complexes         
                          
                           Maud-Christine Chouinard   
                           Université du Québec à Chicoutimi 
 
                           Le suivi à long terme des clientèles de réadaptation avec maladies chroniques complexes nécessite la
                           contribution de plusieurs disciplines. Dans ce contexte, il s’avère pertinent de positionner le rôle de l’infirmière
                           au cœur de l’équipe interdisciplinaire de par sa vision globale de la santé ainsi que ses compétences dans
                           l’évaluation des personnes, la coordination des soins et services, l’éducation à la santé et le soutien psychosocial.
                           Dans notre clinique des maladies neuromusculaires, une approche de gestion de cas par des infirmières pivots en
                           maladies neuromusculaires (IP-MNM) a été développée pour mieux répondre aux besoins de cette clientèle vulnérable.  
 
                           Workshop 2 (in English)
                           Team Accountability in Rehab Services
 
                           Kathi Colwell
                           Providience Care, St. Mary's of the Lake Site 
 
                           Transparency, accountability and indicators are becoming increasingly important in the health care environment.
                           The Ministry of Health and Long Term Care and the Local Health Integration Networks are monitoring a growing
                           list of hospital based quality indicators and are increasingly making information available to the public. As a health
                           care organization, it is also our responsibility to be transparent and accountable to the public for the services we provide.
 
                           Workshop 3 (in English)
                           Toolkit for Management of Agitation in Children Post Brain Injury          
                          
                           Marie Rossomacha
                           Holland Bloorview Kids Rehabilitation Hospital
                         
                           This project developed a toolkit for nursing staff to provide specific behavioural interventions for agitation based on a 
                           child’s specific level of cognitive recovery( Rancho Levels ) . Traumatic brain injury (TBI) is one of the leading causes of death
                           and disability in children and adolescents. Behavioural problems are common in brain injured patients that emerge from
                           coma and often involve the presence of socially unacceptable behaviours such as aggression, lability and disinhibition.
                           Agitated behaviour may interfere with patient’s care, compromise successful treatment and rehabilitation and can put both
                           the patient and staff at risk of physical harm. Sufficient staff training in the management of agitation post TBI is crucial to
                           achieve better patient outcomes.
 
                           Workshop 4 (in English)
                           Shhh... Can you Keep a Secret? The Ethics of Maintaining Privacy and Confidentiality in Practice
 
                           Margot McNamee
                           Canadian Nurses Association
 
                           Laurie Sourani
                           Canadian Nurses Association
 
                           Privacy is a core value deeply rooted in the nursing profession’s history and traditions. Respect for privacy
                           is fundamental in respecting people, their dignity and their autonomy. It is also central to trust in a professional
                           relationship. Patients need to feel free to disclose information to nurses and other health professionals. Without trust,
                           they may withhold or falsify information important to their care. Maintaining privacy and confidentiality in the context of a
                           professional relationship is central to ethical nursing practice.  
                          
11:45 – 13:00  Lunch, Networking and Poster Viewing (75 minutes)
 
13:00 – 13:45  Personalized Supportive Care for Community Integration as it Relates to Social Involvement and Resiliency (45 minutes)
                           (in French)
 
                          Hélène Lefebvre,  PhD
                          Professor, School of Nursing, Université de Montréal; Researcher at the Centre for Interdisciplinary
                          Research in Rehabilitation (CRIR)
 
                          The personalized supportive care for community integrationprogram provides long-term psychosocial
                          support by taking into account the life project of the person and facilitating his or her social reintegration and resiliency.
 
13:45– 14:30   Defining Moments in Rehab Nursing: Best Practices in Practice, Education, Management and Research (45 minutes)
                           (in English)
 
                           Don Kautz, RN, PhD, CRRN, CNE
                           Director, Hickory Outreach Program; Associate Professor of Nursing,
                           The University of North Carolina Greensboro School of Nursing
 
                           This session will remind all of us of why we became rehab nurses, and inspire us to continue to meet
                           the daily challenges we face in caring for our complex, chronically ill patients and their families. You will reflect, laugh,
                           and be proud that you are a rehab nurse.
 
14:30 – 14:40  Poster Awards Ceremony (10 minutes)
 
14:40 – 14:50  Closing Remarks (10 minutes)
 
                               
                 
 
 
Thank you to our sponsors!
         
 Fondation
 Gustav_Levinschi 
 Foundation   
 
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