Die Primärversorgung von Patienten mit Nackenschmerzen

missverstanden zu werden sowie Resignationzu spüren. DasinadäquateKrankheitsmo dell derPatientin und die pas-siveGrundeinst ellung werden, abgesehen von den (gut gemeinten) Ratschlägenaus dem Laienum-feld (Kur, Nackenstütze),durch d ie bisherigen diagnostischenund therapeutischenMaßnahmen auf-rechterhalten.Vordringliche Aufgabe ist die Motivierung derPatientin zur Verhaltensänderung (frühzeitige Aktivierung, Förderung derkörperliche nAusdauer, E rlernen eineshäuslichen Übungs-programmes),eine Veränderung derEinstellung bzw.Befürchtungen hinsichtlichberuflicher u nd körperlicherAktivität,die Verbesserung deremotionalen Beeinträchtigung sowie eine begleitende Psychotherapie mitdem Ziel derSchmerzbewältigung und -kontrolle

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