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Pain Flashcards

(59 cards)

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1
Q

Stimulation of peripheral pain nerve endings which transmit a signal to the CNS

A

Nocioreception

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2
Q

Perception or identification of the stimuli as painful

A

Pain

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3
Q

Feeling associated with the anticipation of or an actual threat or our well being

A

Suffering

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4
Q

Signal of real or impending tissue damage, appears concurrent with either tissue damage or stress and generally disappears with healing

A

Acute pain

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5
Q

Pain that persists after healing ~3 months

A

Chronic/persistent pain

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6
Q

Emotional pain, physiological factors, behavioral factors

A

Perpetuation of pain

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7
Q

PT may be the ____ to recommend a multidisciplinary team for more effective intervention

A

1st person

Biofeedback, nerve blocks, meds, counseling, meditation, stress reduction

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8
Q

OLD CARTS

A 
Onset
Location
Duration
Characterization
Aggravating factors
Relieving factors
Temporal (time of day)
Scale/severity
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9
Q

Observable actions in response to pain/suffering

A

Pain behavior

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10
Q

In regards to behavior of pain, is it bad if the pain never gets better or worse?

A

YES, red flag

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11
Q

Heart refers pain where?

A

Left shoulder

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12
Q

Kidneys refer pain where?

A

Low back

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13
Q

Goals should be_______, not dependent on _______

A

Goals should be functional, not dependent on cessation of pain

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14
Q

Ways to assess pain (3)

A

Patient interview, body diagrams, pain evaluation

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15
Q

Components of a physical examination

A

Movement patterns, AROM, neurological exam, muscle strength, posture

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16
Q

Provides information about patients ability to move, painful range and possible location of pain

A

Active movement

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17
Q

Tests inert structures (joint capsule, ligament, bursa, fascia), gross assessment of length of articulation and periarticular soft tissue

A

Passive movement

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18
Q

If both AROM/PROM are restricted and painful in the same direction

A

Indicative of a capsular or arthrogenic lesion

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19
Q

If AROM/PROM are restricted and or painful in opposite directions

A

Indicative of contractile lesion

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20
Q

Isolation of contractile tissue by isometric contraction in the midrange of the joint motion

A

Resistive motion

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21
Q

During resisted isometric testing, if it is painless and strong

A

WNL or referred pain from another area

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22
Q

During resisted isometric testing, if it is weak and painless

A

Disuse atrophy, CNS disorder, TOTAL RUPTURE of myotendinous unit

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23
Q

During resisted isometric testing, if it is painful and strong

A

Minor lesion of muscle or tendon

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24
Q

During resisted isometric testing, if it is painful and weak

Study These Flashcards
A

Major lesion such as a fracture or neoplasm
Acute inflammation
Partial rupture of myotendinous unit

25
Tender structure pinched between two bony surfaces (subacromial bursa)
Painful arc
26
Pain with repetition of movements
Intermittent claudication
27
Resting position results in the
Least amount of pain
28
Hip position
30 degrees
29
Knee position
30-45 degrees
30
Ankle PF position
15 degrees
31
Shoulder scaption position
55 degrees
32
Continuous pain (aching, burning)
Thalamic pain
33
Complex regional pain syndrome
RSD, Causalgia
34
Reflex sympathetic dystrophy
Early stage pain with slight increase in skin temp, edema, muscle spasm Dystrophic stage pain with lowered skin temp, excessive sweating, muscle atrophy
35
Burning sensation after partial peripheral nerve injury, tropic changes
Causalgia
36
Pain with lowered temp, excessive sweating and atrophy
Dystrophic stage
37
Pain with slight increase in temp, swelling and muscle spasm
Early stage
38
A screen for nonorganic, psych and social elements to the clients pain
Waddell' test for LBP
39
Patient may express pain in one position but do the same thing and express no pain in a different position
Type 3- distraction
40
Axial loading and rotations that will not cause pain but they will say it does
Type 2- simulation
41
Exaggerated pain with a stimulus that does not occur later when stimulus is given again
Type 5- overreaction
42
Inconsistent weakness and sensory changes
Type 4- regional disturbances
43
Barely touching and there is pain over non-anatomical boundaries
Type 1- tenderness
44
How many tests need to be positive in order to indicate symptom magnification
>3
45
Subjective scale that estimates pain intensity for acute and chronic pain using CONSISTENT anchors
VAS/NRS
46
Includes body diagram and VAS scale. Descriptors include sensory, affective and evaluative categories
McGill Pain Questionnaire
47
Measures somatic and autonomic perception
Modified somatic perception questionnaire
48
Thoughts and feelings that the pain has when in pain
Pain catastrophizing scale
49
Measures extend that chronic pain prohibits persons from participating in normals events
PAIRS
50
Measures how pain has affected ability to manage daily life, 11 sections
Revised owestry disability index
51
Measure pain related disability,
Pain disability index
52
Measures patients beliefs about the role of the pain in ability to perform physical and work activities
Fear avoidance beliefs question are
53
Activities done in daily life and in therapy
Fear of daily activities questionnaire
54
Used for non verbal patients and those with Dementia (motor vocal and unusual behaviors)
Pain assessment in non verbal elderly persons PAINE
55
When can you use verbal scales for children
10-12 years old
56
When can you start to use VAS scales in children
5-7 years old
57
When can children start locate and identify pain
18-24 months
58
When can children identify the intensity of the pain
3 years old
59
When assessing pain in a non-verbal child, what should you look for?
Vocal noises, facial expressions, social expressions, abnormal activity, physiological changes

Exam And Measurement (5 decks)

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