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55 Cards in this Set

  • Front
  • Back
What do sensory receptors do?
They sort out sensations into neural impulses, which lead to pain or not.
What do sensory receptors do?
They sort out sensations into neural impulses, which lead to pain or not.
What does the somatosensory system do?
Conveys sensory info from the body to the brain.
What are afferent neurons?
Neurons that relay info from the sense organs toward the brain.
What are Efferent Neurons?
Neurons that result in the movement of muscles or the stimulation of organs or glands.
What do interneurons do?
They connect sensory to motor neurons
What are primary afferents?
Specialized afferent neurons that contain receptors that convert energy into neural impulses that travel to the spinal cord then the brain where they are interpreted.
What do A-fibers do?
Conduct impulses faster than C-fibers do. *Big ones conduct faster than smaller neurons.
What are A-beta fibers like?
large.
What are A-delta fibers like?
Small.
What is the most important function of the spinal cord?
To provide a pathway for ascending sensory information and descending motor messages.
What does the Thalamus do?
It receives info from afferent neurons in the spinal cord--after the info gets there its sent to the somato sensory cortex and the cerebral cortex.
What are neurotransmitters?
Chemicals that are synthesized and stored in neurons.
How do drugs work in the bain?
Receptors in the brain allow drugs to work; allowing only similar substances to naturally occurring neurochemicals to enter.
What is the Periaqueductual Gray?
An area of the brain involved in modulating pain- It is located in the mid-brain.
What does C.A. Strong's theory of pain state?
That pain is due to 2 factors; the sensation and the person's reaction to the sensation.
How did the IASP define pain in 1979?
As an unpleasant sensory and emotional experience associated with actual or potential tissue damage.
What is acute pain?
The type of pain most injured people experience; it includes pain from cuts, burns, childbirth, surgery, dental work etc.
What is chronic pain?
Pain that endures over months or even years. It may be due to a chronic condition or to a persisting injury.--not adaptive
What is pre-chronic pain?
The stage between the acute and chronic stages. At this point the person either overcomes the pain or is left with feelings of hopelessness that lead to more serious chronic pain.
What is chronic recurrent pain?
Pain that is marked by alternating episodes of intense pain and no pain. ex: headaches
What is an example of the cultural differences in the way that people show pain?
European Americans show less signs of pain than African Americans and Hispanic Americans.
What does Melzack and Wall's theory of pain state?
It suggests that pain perception is subject to a number of modulations that can influence the experience of pain. --"The gate control theory"
Explain how the gate control theory works?
The structures in the spinal cord acts as a gate for the sensory imput that the brain interprets as pain.

Pain is both somatosensory and of the body

Sensation AND perception can both open and close the gate.
What are some common ways to measure pain?
Self reports (questionnaires, rating scales), behavioral assessments, and physiological assessments.
What is the most frequently used pain questionnaire?
The MPQ--(the Mcgill pain questionnaire)
What are the four main points of the MPQ?
1) Location of the pain
2) Words that describe the pain
3) How the pain has changed over time
4) Intensity of pain
How does the MPI rate people?
-Dysfunctional
-Interpersonally distressed
-Adaptive Copers
When is the MPI used to assess pain?
Only used to assess pain that is really chronic as a last resort
What are some advantages of acute pain?
It sends signals about injury and it makes ways to heal and avoid future injury.
What are some advantages of chronic pain?
There are none.
What percent of people in the US. suffer from chronic pain?
10%
What are the two most frequently treated pain syndromes?
Headaches and lower back pain.
What are migraine headaches?
Recurrent attacks of pain that vary widely in intensity, frequency, and duration.
What are tension headaches?
Headaches that are muscular in origin, accompanied by sustained contractions of the muscles of the neck, shoulders, scalp and face, but current explanations include mechanisms within the central nervous system.
What are cluster headaches?
A severe headache that occurs daily or nearly daily- rarely last more than 3 hours.
What percentage of Amercians experience lower back pain?
80%
What is rheumatoid arthritis?
An auto immune disorder characterized by a dull ache within or around a joint.
What is osteoarthritis?
Progressive inflammation of the joints.
What is fibromialgia?
A chronic pain condition characterized by tender points throughout the body; this condition produces systems of fatigue, headache, cognitive difficulties, anxiety, and sleep disturbances.
What two ways does cancer produce pain?
Through its growth and progression and through treatments.---also through emotional distress
Why does phantom limb pain exist?
Because amputation removes the nerves that produce the impulses leading to the experience of pain but not the sensations.
What is the new rule about how pain must be treated? (2001)
It must be monitored and treated, just like vital signs.
What are analgesic drugs?
Drugs that relieve pain without causing loss of consciousness.
What are the two types of analgesic drugs?
Opiates and nonnarcotic analgesics.
What is tolerance?
The body's decreased responsiveness to a drug.
What is dependence?
Occurs when the drugs removal produces withdrawal symptoms.
Why are opiates prescribed less and less?
Because they cause both tolerance and dependence--so they may lead to substance abuse- however they have the best pain relief.
what is a good substitute for NSAIDS and Cox2 inhibitors?
Acetaminophens
What are some downsides to surgery?
-Does not always repair damaged tissue
-May not provide sufficient pain relief.
What are the ups and downs of social support?
Social support can often make pain less but can also increase pain.
Why is pain difficult to measure?
Because it is perceptual.
Where is substance P created?
In the gray matter.
What happens when you increase substance p?
An increase in substance p= an increase in pain
What happens to substance p over time?
In the short term: Substance p is decreased but the opiods in the brain naturally kick in
In the long term- stress increases substance p