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Flashcards in Pain Deck (9)
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1

What are the top 10 types of pain?

  •  Lemon juice poured on a paper cut
  • Migraine headache
  • Arthritis
  • Proctalgia fugax
    • (Spasm in rectal area that is associated with irritable bowl)
  • Trigeminal neuralgia
  • Pancreatitis 
  • Labor
  • Kidney stones
  • Cluster headache

2

How is pain dectected and sent to the brain?

(4 steps) 

  1. ·Transduction – detection of pain by PNA via Nociceptors (nerve endings that detect pain)
  2. Transmission – propagation of pain signal from PNS to CNS 
  •  1. Nociceptor to spinal cord
  •  2. Spinal cord to brain stem/thalamus
  •  3. Thalamus to cortex 

3. perception – the limbic system interpreting pain 

4. modulation- the physical response to manage the pain (remove hand from fire)

3

what do pts fear when going to the doctor with a chief complaint of pain? 

(5 fears)

·      1. They wont be believed

·      2. The pain indicates something bad

·      3. The pain will get worse

·      4. The pain will never go away

·      5. They will get addicted to pain medication 

4

How does a physcian assess pain?

As the pt what you can do to help them with their pain

  • by end of exam be able to graph the pain on an intensity vs. time graph
    • oscillating pain indicates hollow organ dammage (kidney stone) 
    • pain rises and does not fall indicates tissue injury (sore throat) 

5

What soicial factors make pain less tolerable? 

 

  • Low workplace satisfaction 
  • low soical suppport at work/home 
  • gender 
    • young men are worse at dealing with pain then women 
      • estrogen is thought to play soem role in pain reduction
  • personality traits (resiliancy) 
  • personality disorders 

 

6

Define egocentric bias and relate it to the social contract of being sick

people in pain become more egocentric and act as if the world should stop and help them reduce their pain 

  • pts in pain, especialy chronic pain tend to overstate their pain and abuse the rights granted by the sick social contract 

 

7

How does chronic pain affect pts psychosocially? 

·      Depression

·      Anxiety

·      Feelings of helplessness

·      Irritability

·      Social isolation 

·      Marital problems

·      Lower sexual satisfaction 

8

What types of therapies can be used to treat chronic pain?

  • Pharmacotherapy
  • Physical and occupational therapy
  • Implantable pumps to deliver medication directly to spine
  • Spinal cord stimulation
  • Complementary & alternative therapies
  • Multidisciplinary pain clinics
  • Behavior therapy
  • Stress management 
  • surgery when indicated 

9

What types of psychological treatments can be used to manage chronic pain?

·      Behavioral approach

·      Progressive muscular relaxation

·      Hypnosis