Professional education for complexity-informed pain care

When Pain Recovery Is Not Progressing,
Complexity Matters

Pain intensity tells us how much pain hurts. Pain complexity helps explain what may be shaping recovery — and what the care plan may need to address next.

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Why pain complexity matters

Pain complexity helps make the recovery picture clearer.

Pain intensity asks:

"How much does it hurt?"

A useful signal — but it may change from day to day, and it does not explain what may be shaping recovery or what the plan should prioritize.

Pain complexity asks:

"What may be interfering with recovery?"

Flares, sleep, function, treatment burden, healthcare experiences, confidence, medical history, support needs, and readiness to engage.

Pain Complexity Level gauge showing four levels: Level 1 Self-Management, Level 2 Moderate, Level 3 High, and Level 4 Complex. Labeled as a care planning intensity guide, not a risk or diagnosis score.

Complexity level guides care-planning intensity — how much support, structure, and collaboration a plan may need. It is not a risk score and not a diagnosis.

When recovery is not progressing as expected, the plan deserves a fresh look.

Two ways to work together

Education for your practice. A wider lens for complex cases.

Provider Education & Workshops

For professionals who want to learn the framework and apply it to care planning

Live, case-based education on pain complexity, recovery readiness, complex case review, and care planning — for clinicians, therapists, rehabilitation professionals, nurses, case managers, and coaches. Each session builds a skill you keep: seeing the whole recovery picture before choosing the next step.

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Complex Case Review Consultation

For professionals or teams who want structured support thinking through a de-identified complex pain case

Bring a fully de-identified case where progress has been difficult to interpret. Together we map the complexity, identify priority barriers, discuss treatment matching and sequencing, and outline realistic next steps — including scope, referral, and collaboration considerations.

Request a Consultation

No protected health information should be submitted or discussed. All cases must be fully de-identified.

Patient referral support

Need a pain complexity assessment for a patient or client?

Complex pain takes time to assess. If you see the value of a fuller recovery picture but do not have the time, workflow, or scope to assess every layer, Pain Care At Home™ can help.

Pain Care At Home™ provides nurse-led pain assessment, recovery-barrier review, written care planning, and optional coaching for adults living with persistent pain — designed to complement, not replace, the care your patient already receives. Patients can begin with a free Pain Profile™, then continue into a deeper Pain Recovery Assessment™ and written Pain Recovery Care Plan™ when appropriate.

Patients receive a patient-friendly summary and, when appropriate, a written care plan they can use to better understand their recovery picture and discuss next steps with their care team.

Refer a Patient to Pain Care At Home™ View Patient Services
Upcoming education

Care Planning Thursdays

Monthly live education and case-based discussion for complex pain care.

The first Care Planning Thursdays™ series begins September 2026, offered monthly. Each session includes a focused teaching topic, structured complexity mapping, de-identified case reflection, care-planning discussion, and Q&A.

Initial 4-session series: September · October · November · December. The first series will run once per month; additional dates may be added if there is enough interest.

Topics may include:

Pain intensity vs pain complexity Recovery readiness Complex case review Flare instability & function Treatment fatigue Scope, referral & collaborative care Measuring progress beyond pain reduction
Register for Care Planning Thursdays — $49 → Join the Interest List

Dates, registration, and session details are announced to the interest list first. Seats are limited for case discussion.

About the educator

Marisela Cigliuti, BSN, RN, CCDS

Marisela Cigliuti, BSN, RN, CCDS — registered nurse and pain recovery educator

Marisela Cigliuti, BSN, RN, CCDS, is a registered nurse, pain recovery educator, and founder of Pain Care At Home™. Her professional background includes nursing, neurology, case management, clinical documentation, quality improvement, complex-care review, and interdisciplinary coordination.

Her pain education work is also informed by training in Pain Reprocessing Therapy, Emotional Awareness and Expression Therapy, mindfulness, trauma-informed care, and her own lived experience with persistent pain.

The education is informed by the Pain Complexity Screening Tool™ framework — a structured approach for identifying recovery barriers that may affect function, engagement, treatment matching, and care planning. It is a care-planning framework, not a diagnostic instrument, and it never replaces clinical judgment.

Founder, Pain Care At Home™ · Pain complexity educator focused on assessment, recovery readiness, clinical reasoning, and care planning.

Professional inquiries

Training questions, case-review interest, speaking, collaboration, or referrals

Reach out through the professional inquiry form, or call or text 727-213-8864.

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This form is not for emergencies or patient-specific clinical advice. Do not submit protected health information, medical records, or identifiable patient details.