Identify any additional stressors your client is experiencing that may exacerbate her or his pain experience.

 Indicate the client’s locus of control and health motivation. Utilize terminology outlined in your reading.
 Jessica at times has no motivation. Her depression has gotten the best of her. With the help and support of her daughter, she realizes she needs to push through these physical therapy sessions or she will be stuck in that wheelchair for good. Since she loves the outdoors, her daughter is now taking her to the park to the walking chair, encouraging her to push herself, while still being able to enjoy the outdoors that she so dearly misses. She is now changing her eating style, and attending physical therapy sessions again. She has faced the facts, and realized she needs a change in her lifestyle if she wants to get better. Her motivation is growing and her depression is subsiding.

• Identify any additional stressors your client is experiencing that may exacerbate her or his pain experience.
With her negative thinking she was becoming more depressed. She would get frustrated and give up when she couldn’t achieve something on her own.

 • Based on the reading, identify at least one pain management technique you believe would best reduce the pain experience in this situation.
Because of Jessica’s love for the outdoors I believe, Mindfulness – based stress Reduction can help with her depression. This has been shown to “ reduce stress and anxiety symptoms, negative mood related feelings, depression, and even increase self-esteem and improve overall functioning”( 4.3, par 21). Being able to just be outdoors, watching sunsets, enjoying the outdoors can help lift her spirits and give her a new outlook on life. “ Meditation can be a great healing process.
“techniques, such as diaphragmatic breathing, progressive muscle relaxation, distraction, medi-tation, and guided imagery have been shown to significantly reduce