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Flashcards in Chronic pain syndrome Deck (96)
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1

What is the most common cause of long-term disability, with lost work days, in the US?

pain

2

What does persistent pain cause?

fxnal impairment and disability, psychological distress, and sleep deprivation. affects the quality of life

3

Define chronic pain

no biological value, has persisted beyond the normal tissue healing time

4

What does the DSM define chronic pain as?

persistent pain for six months

5

What are the three types of pain?

adaptive, inflammatory, maladaptive

6

Define adaptive pain

contributes to survival by protecting the organism from injury and promoting healing

7

Define inflammatory pain

preceded by injury at cellular level.

8

Define maladaptive pain

pain as a disease, abnormal sensory process, persisten or recurrent

9

Define hyperesthesia

increased sensitivity to stimulation, excluding the special senses

10

define dysethesia

an unpleasant abnormal sensation whether spontaneous or evoked

11

Describe psychogenic pain

physical pain that is caused, increased or prolonged by mental, emotional, or behavorial factors

12

What are some of the most common psychogenic pains?

headache, back pain, or stomach pain

13

Describe phantom pain

felt in a part of the body that has been lost or from which the brain no longer receives signals. a type of neuropathic pain

14

describe breakthrough pain

pain that comes on suddenly for short periods of time and isn't alleviated by the patient's normal pain management

15

What type of patient is likely to have breakthrough pain?

cancer patients

16

describe mixed chronic pain

may be mixed neuropathic/nociceptive pain present with advancing and changing disease.

17

What type of disease states are associated with mixed chronic pain?

migraines, cancer

18

What are the principles of chronic pain management?

An accurate diagnosis of pain syndromes, formation of a treatment plan

19

What are some goals of pain therapies?

reduction in intensity of pain, improvement of physical fxning, improvement of emotional fxning, improvement of quality of life, maintain dignity

20

What are the A's of pain treatment outcomes?

analgesia, activities of daily living, adverse effects, aberrant behaviors

21

What are four types of pain therapies?

cognitive/behavioral, functional restorative, pharmacologic, interventional

22

Describe cognitive/behavioral aspects of pain management.

deals with the meaning of pain, the emotional background, and coping skills

23

When are invasive procedures used to treat pain?

when pain or SE persist despite comprehensive trials of pharmacologic therapy

24

What are some invasive procedures used to treat pain?

neurolytic blocks (celiac or hypogastric plexus), intra-spinal drug delivery, anesthesiologic

25

What are the different anesthesiologic pain treatments?

central nerve blocks (spinal, epidural), peripheral nerve blocks (femoral, intercostal, ect), autonomic nerve blocks (stellate ganglion, lumbar sympathectomy)

26

What are some special techniques of pain therapies?

facet block, cryolysis, radio frequency, ablative

27

What is a facet block used to treat?

back pain

28

What is cryolysis used for?

nerve damage

29

What is radio frequency used to treat?

facet jt/nerve damage

30

What are some nociceptive pain disorders?

low back pain, myofacial pain, visceral pain, headache, TMJ