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12 Cards in this Set

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chronic pain
unrelenting
exceeds intensity and/or duration one would expect
much more complex
acute pain becomes chronic pain
even though damage has healed
no further reason to believe arising from tissue damage
why:
pain history
cultural history
psychology
problem of chronic pain
physical and emotional cripple
pain takes over person's life
disruptive
counselors may have toruble
don't believe individual
feel wasting time
pain management
not an attempt to eliminate pain, just control it
teach response
reinforcing positive behavior
1. bio feedback: electrodes attached to body
person asked to relax that part
printout shows relaxation
2. hypnosis
3. relaxation technique
endorphins bind with receptive sites
pain and factors
perception of injury that caused the pain
2 basic origins:
1. peripheral
2. central factors
pain definition
unpleasant sensory and emotional experience associated with actual or potential tissue damage
physical and subjective:
cultural
self-esteem
general health
family reactions
pain history
what's happening when experiencing pain
individual alerted to damage that is going on or going to take place
opiate receptors in brain are used to manufactor endorphines
body's way of curing pain
during intense pain, body cannot relax to produce endorphines
central factors
everything else that affects pain
learning pain history
cultural learning
subjective issues
example: medication, emotion, circumstances
cultural history- how parents and children act when they hurt themselves
subjective
pain history- how much pain person has experienced in past
CIBPS
chronic intractable beign pain syndrome
no cancer
chronic but then attributed from a benign symptom
pain no longer medically related
acute pain
relatively recent
pain occuring very close to even that caused tissue damage
peripheral factors- dominant
treatment- medical, surgery, medication, pain relievers
sensory and reception sites stimulated- nocioception (but secondary)
neuropathology
person doesn't sense pain
no alarm given off to individual
more damage can occur
peripheral factors
objective, actual tissue damage that was done
you can see it
pain receptors triggered by pressure
pain from actual tissue damage
nerve stimulated, message to brain
nocioception
periphery to brain
sensation of actual tissue damage