Lecture 8.29.16 - Pain Flashcards Preview

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Flashcards in Lecture 8.29.16 - Pain Deck (71):
1

What is pain?

An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage

2

What are the three categories of pain?

1. Acute and chronic
2. Adaptive and maladaptive
3. Nociceptive and neuropathic

3

What is acute pain?

Pain that is primarily a symptom of pathological process or injury. Treating the illness or injury typically will reduce or eliminate symptoms.

4

What is the duration of acute pain?

Less than 6 months

5

How does adaptive pain contribute to survival?

Protecting from injury and promoting healing when injury has occurred

6

What is a nerve fiber that responds only to pain stimuli?

Nociceptor

7

What is the biomedical model of pain assessment and management?

1. Patient presentation
2. Formulate possible diagnoses
3. Evaluation
4. Management

8

Pain severity is the consider the 5th ___.

Vital sign

9

What is the name of the scale that measures pain severity?

Visual Analog Scale (VAS)

10

What is chronic pain?

Pain which lasts beyond the ordinary duration of time that an insult or injury to the body needs to heal

11

What is the duration of chronic pain?

> 3-6 months

12

Acute pain evolves into chronic pain in about ___% of patients.

20%

13

What is maladaptive pain?

Considered a disease, involves pathologic functioning of the nervous system, no longer helpful to the person

14

Chronic pain can be ___ (comes and goes) or ___.

Episodic; constant

15

___% of patients self reported chronic pain.

50%

16

Chronic pain displays a prevalence of ___% in children and adolescents.

15-30%

17

What are the 5 common causes of chronic pain in adults?

Back pain, headaches, arthritis, fibromyalgia, neuropathy

18

Children experience chronic pain in what three areas?

Head, abdomen, limbs

19

True or false - chronic or persistent pain usually has a clearly identified cause.

False - many patients experience chronic or persistent pain without a clearly identified cause

20

Almost half of visits to primary care physicians were prompted by symptoms without a ___ cause.

Biomedical

21

True or false - most patients with chronic pain seek medical attention.

False - many patients with chronic pain do not seek medical attention

22

In addition to biology, what should be considered when treating chronic pain?

Individual variables, prior experiences, and social context

23

Describe the biopsychosocial pain assessment.

1. Pain
2. Comorbid symptoms
3. Affective vulnerability
4. Beliefs and attitudes
5. Environment and social

24

What are the some of the consequences of chronic pain?

1. None
2. Quality of life (physical and psychosocial)
3. Economic
4. General health (immune system suppression)
5. Effect on family/friends/relationships

25

What is a pattern of behavioral or cognitive efforts to manage external or internal stress?

Coping

26

What are active coping strategies?

Despite pain efforts to function and despite pain efforts to distract oneself

27

What are passive coping strategies?

Depending on others for help in pain control and restriction of activities

28

What are the 5 major behavioral aspects of chronic pain?

Anxiety, depression, anger, feelings of helplessness, pain catastrophizing

29

What do patients in pain want from their physicians?

To be believed, answers, relief, return to function

30

What are the 3 questions asked by the PEG 3-scale?

1. Describe your pain on average in the last week.
2. Describe how pain has interfered with you enjoyment of life in the last week.
3. Describe how pain has interfered with your general activity in the last week.

31

What do patients in pain fear?

They will not be believed, pain is a sign of something bad, pain is going to get worse, pain will never go away, they will get addicted to pain medications

32

True or false - chronic pain is poorly managed by medications alone.

True

33

What are a class of synthetic or semi-synthetic prescription drug derived from opium poppy?

Opiods

34

True or false - there is generally no role for opioids in chronic, non-cancer pain management.

True

35

What are some therapeutic approaches to chronic pain?

Non-opioid medications, exercise, physical/occupational therapy, complementary/alternative therapies, interventional pharmacotherapies, behavioral medicine approaches

36

True or false - it is common for older patients to deny pain.

True

37

What are the three categories of pain?

1. Acute and chronic
2. Adaptive and maladaptive
3. Nociceptive and neuropathic

38

What is acute pain?

Pain that is primarily a symptom of pathological process or injury. Treating the illness or injury typically will reduce or eliminate symptoms.

39

What is the duration of acute pain?

Less than 3 months

40

How does adaptive pain contribute to survival?

Protecting from injury and promoting healing when injury has occurred

41

What is a nerve fiber that responds only to pain stimuli?

Nociceptor

42

What is the biomedical model of pain assessment and management?

1. Patient presentation
2. Formulate possible diagnoses
3. Evaluation
4. Management

43

Pain severity is the consider the 5th ___.

Vital sign

44

What is the name of the scale that measures pain severity?

Visual Analog Scale (VAS)

45

What is chronic pain?

Pain which lasts beyond the ordinary duration of time that an insult or injury to the body needs to heal

46

What is the duration of chronic pain?

> 3-6 months

47

Acute pain evolves into chronic pain in about ___% of patients.

20%

48

What is maladaptive pain?

Considered a disease, involves pathologic functioning of the nervous system, no longer helpful to the person

49

Chronic pain can be ___ (comes and goes) or ___.

Episodic; constant

50

___% of patients self reported chronic pain.

50%

51

Chronic pain displays a prevalence of ___% in children and adolescents.

15-30%

52

What are the 5 common causes of chronic pain in adults?

Back pain, headaches, arthritis, fibromyalgia, neuropathy

53

Children experience chronic pain in what three areas?

Head, abdomen, limbs

54

True or false - chronic or persistent pain usually has a clearly identified cause.

False - many patients experience chronic or persistent pain without a clearly identified cause

55

Almost half of visits to primary care physicians were prompted by symptoms without a ___ cause.

Biomedical

56

True or false - most patients with chronic pain seek medical attention.

False - many patients with chronic pain do not seek medical attention

57

In addition to biology, what should be considered when treating chronic pain?

Individual variables, prior experiences, and social context

58

Describe the biopsychosocial pain assessment.

1. Pain
2. Comorbid symptoms
3. Affective vulnerability
4. Beliefs and attitudes
5. Environment and social

59

What are the some of the consequences of chronic pain?

1. None
2. Quality of life (physical and psychosocial)
3. Economic
4. General health (immune system suppression)
5. Effect on family/friends/relationships

60

What is a pattern of behavioral or cognitive efforts to manage external or internal stress?

Coping

61

What are active coping strategies?

Despite pain efforts to function and despite pain efforts to distract oneself

62

What are passive coping strategies?

Depending on others for help in pain control and restriction of activities

63

What are the 5 major behavioral aspects of chronic pain?

Anxiety, depression, anger, feelings of helplessness, pain catastrophizing

64

What do patients in pain want from their physicians?

To be believed, answers, relief, return to function

65

What are the 3 questions asked by the PEG 3-scale?

1. Describe your pain on average in the last week.
2. Describe how pain has interfered with you enjoyment of life in the last week.
3. Describe how pain has interfered with your general activity in the last week.

66

What do patients in pain fear?

They will not be believed, pain is a sign of something bad, pain is going to get worse, pain will never go away, they will get addicted to pain medications

67

True or false - chronic pain is poorly managed by medications alone.

True

68

What are a class of synthetic or semi-synthetic prescription drug derived from opium poppy?

Opiods

69

True or false - there is generally no role for opioids in chronic, non-cancer pain management.

True

70

What are some therapeutic approaches to chronic pain?

Non-opioid medications, exercise, physical/occupational therapy, complementary/alternative therapies, interventional pharmacotherapies, behavioral medicine approaches

71

True or false - it is common for older patients to deny pain.

True