Painkiller Demo

[Nolan Guyz]

Youplay as Daniel Garner, a seemingly regular guy who has just been killed in an horrific car accident. Trapped in a dark and unwelcoming world between heaven and hell, you struggle to uncover the reasons why you've been denied entry into heaven. Awaiting your purification, you must fight through an endless number of demon soldiers as you attempt to stop an imminent unholy war. The game features 24 single-player levels, each unique with virtually no texture reuse between levels. The game also features five multiplayer modes, played out over 7 maps.

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The 2019 Minnesota legislative session included several primary prevention strategies as part of a comprehensive approach to addressing the opioid epidemic in the state. One of these strategies allocated $1.25 million to fund studies evaluating non-narcotic pain management treatment in Minnesota. Of the total, $250,000 is funding one statewide mapping study to better understand where non-narcotic pain management is available and what barriers exist to accessing this type of care. The other $1 million dollars was awarded to five demonstration projects across the state to better understand what non-narcotic pain management and wellness services are being used, for and among whom, and their effectiveness.

Hennepin Healthcare was awarded $250,000 to develop the Non-Opioid Pain Alleviation Information Network (NO PAIN). To accomplish this, Hennepin Healthcare will collect data and complete surveys in the regions utilized by the statewide Emergency Communication Network (ECN) to: 1) map the location and availability of both inpatient and outpatient evidence-based non-narcotic pain management services and modalities in Minnesota, 2) develop a NO PAIN-Minnesota services and modalities network website to display the map, and 3) highlight existing facilitators and barriers to non-narcotic pain management care to Minnesotans with chronic pain.

The Non-Narcotic Pain Management (NNPM) Demonstration and Mapping projects were funded through a one-time allocation of funds from the Minnesota State Legislature and managed by the Minnesota Department of Health to develop, pilot, and evaluate programs that could improve patient access to chronic pain management care between June 2020 and June 2022. Positive outcomes experienced among the majority of NNPM patients include a reduction in pain symptoms, an increase in connection to others experiencing pain, and feelings of hope for continued maintenance of pain.

This demonstration project will expand access of a HealthPartners

yoga program for management of chronic pain (offered since 2017) through development, implementation, and evaluation of an online curriculum called "Manage My Pain with Yoga" - a yoga program specifically geared towards people living with chronic pain.

The curriculum weaves mindfulness-based stress reduction into yoga practice and encourages participants to use these skills both on and off their yoga mats to improve their overall quality of life. By learning yoga, relaxation and body awareness, patients will be able to incorporate these techniques into their daily routine to help reduce pain as an alternative to opioid medications leading to reduced health care utilization. Class content includes meditation and mindfulness training, yoga didactics, breathing exercises, and yoga poses appropriately adapted for participants diagnosed with chronic pain.

The Growing Resilience in Chronic Pain Project will demonstrate the efficacy of a cohort-based group medical visit model for non-narcotic pain management. Group Medical Visits (GMVs) involve a group, or cohort, of patients being seen at the same time in a visit. Hennepin Healthcare's model will deliver care onsite at the Interventional Pain Clinic through a series of ten cohorts who will meet together weekly for 8 weeks over a two-year period. Several strategies employed in this project are unique to this effort. Strategies will include: addressing pain during didactic learning through weekly themed topics, active learning in mind-body integration including breathing techniques, mindful meditation, and guided imagery, movement-practice such as yoga and tai-chi, group socialization to grow community (e.g. shared experience in pain management), and a food or snack example each week to illustrate simple, affordable, anti-inflammatory food options. Patients with chronic pain will participate in these cohort sessions and provide valuable feedback on the effectiveness of the intervention. This project is not an add-on to existing services of the Interventional Pain Clinic at Hennepin Healthcare, but rather a pilot program that will be led by a clinician and an RN/wellness health coach who are passionate about integrative pain management strategies.

Participants in the six-session Living Well with Chronic Pain class will learn non-pharmacological, self-management skills for lessening chronic pain. Topics in the class include dealing with frustration, fatigue and isolation; appropriate exercise for maintaining and improving strength, flexibility and endurance; appropriate use of medications; and communicating effectively with family, friends, and health professionals. Participants benefit from connecting and socializing with others with similar experiences.

The project plans to engage 442 participants in the Living Well with Chronic Pain class over the next two years. Through this project, Juniper will demonstrate a pathway for integrating healthcare and social service systems while helping more individuals improve their quality of life.

NACC will develop and evaluate a culturally-centered non-narcotic pain management program to help prevent and treat the opioid epidemic, which has significantly and disparately impacted American Indians in Minnesota over the last several years. NACC is in partnership with the Johns Hopkins Center for American Indian Health-Great Lakes Hub, which will be the evaluators of the project. NACC serves one of the densest urban American Indian communities in the country, and provides culturally-centered and responsive services in a fully-integrated primary care Community Health Center (CHC) setting. Increasing access to traditional and culturally-anchored medicine has always been at the forefront of their mission. JHU will be responsible for collecting data, working closely with the NACC Elders Advisory Council to ensure the process is culturally safe throughout. Resiliency training will be administered to staff and community members, as well as focused training in a variety of alternative pain management methods, including but not limited to, equine therapy, yoga, and somatic healing. The Non-Narcotic Pain Management Grant will help support these training efforts and eventually implement them as programs, which had previously been financially out of reach. Through these development and research efforts, NACC will successfully establish a comprehensive pain management practice, evaluate existing cultural healing programs and other non-narcotic interventions, and increase availability and access to resiliency strategies in alternative non-narcotic pain management.

Painkiller is a first-person shooter video game developed by Polish game studio People Can Fly and published by DreamCatcher Interactive in April 2004 for Microsoft Windows and ported to Xbox in 2006. The game's single player campaign follows a dead man in Purgatory who is offered a deal to defeat the invading forces of Lucifer's army in exchange for being allowed to enter Heaven. The game was particularly well-received for its multiplayer experience and was featured for two seasons on the Cyberathlete Professional League's World Tour.

The game is inspired by first-person shooters such as Quake, Doom and Serious Sam, with the emphasis on killing large numbers of monsters. The game is divided into five chapters, each about five levels long. The player's objective is to get through each level, from start to finish, by slaughtering hundreds of monsters. Fighting monsters often occurs in mass battles, where the player has to fight an attack by a swarm of enemies in a large room, while the exits shut and heavy metal music plays in the background, and after such a battle, the player passes a "checkpoint" which advances the game, the exits open up again, and the music returns to the usual softer tune played in the level. One of the game's most important aspects is its diversity, with each level presenting a new location with various themes and graphic styles. The levels include castles, monasteries, an opera house, graveyards, and more. Monsters are also very different, with new ones almost every level. There are five "boss" levels where the player fights a boss.

The game presents an option to complete a special task each level, which results in the player getting a "tarot card", a rare, hard-to-obtain bonus. Each equipped card provides different bonuses for a small amount of time (30 seconds), like powered-up weapons or slow motion.

The game revolves around a young man named Daniel Garner (Cam Clarke), who is happily married to his wife Catherine (Vanessa Marshall). At the start of the game, Daniel is about to take Catherine out for a birthday meal. As they drive towards their destination at high speed, in the pouring rain, Daniel takes his eyes off the road to look at his wife and while his attention is diverted, he ploughs their car into a truck. Both of them are killed instantly in the crash.

While Catherine manages to make it to Heaven and lives in harmony, Daniel is trapped in Purgatory. One day, an angel called Samael (John Cygan) tells him that in order to receive purification, he has to kill four of Lucifer's generals in order to prevent a war between Heaven and Hell. Lucifer has been secretly organizing a massive army that could overwhelm Heaven, taking over Purgatory in the process. Small portions of the army are already beginning the march. With little choice available to him, Daniel accepts the task. With the forces of Hell seizing and corrupting various parts of Purgatory, Daniel goes through different and random phases of history within Purgatory, which range greatly from ancient times to the modern era, including Medieval Europe, Babylon, the Crusades, the 1800s, and a time slice of modern industry.

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