Bio Social On Pain Flashcards
What number vital Sign is pain
5th - American pain society 1996
Is pain subjective
Yes
Pain described
Sharp,;burning , stretching,;deep aching, stabbing, deep, chrushing, pounding
Pain paradox
Battle wounds, people with same degrees of tissue damage differ in their respons. E.g Beecher 1956~ 80% compadre to 25
Factors contributing to the perception of pain
Phycological factors, social factors, biological factors
Gate control theory( melzack and wall, 1965;1979;1982)
Neural gate( spinal chord level) modifies pain perception
Factors responsible for opening the gate
Physical, injury, emotional, anxiety, behaviral, focus on pain,Borden
Closing the gate
Physical, medication and stimulating of small fibres, emotional, optamisom, behaviral factors, distraction as ingagment of other activates
Copping with pain 1
Appraisal theory- evaluative judgment of what is casing emotional respons. Attention bios
coping with pain 2
Pain Catastrophisation-negative cognitive effective response to anticipated or an actual pain, an irrational negative forecast of future events
Fear avoidance model(lethem et al, 1983)
Contex of lower back pain, fear contextualisation, either no fear or spiral of pain. associated with fight or flight response
Pain measurement 1
self report ,, Numerical scales and visual analog scale, charts. Questionnaire ( melzacks, 1975
Pain measures 2
Observation: moderating medical use , time consuming , need for trained obaserves. Good for children.
Measure 3
Physiological messers: antinomians function, disease activity. Pain inducing assessing cardiovascular activity and pain tolerance.
Pain management
Surgery, medication, physical activity, holistic approaches (cbt), pain tool kit