Chronic Pain Flashcards
what can chronic pain symptoms create barriers to?
- Independence,
- Role fulfillment
- Occupational participation
what can chronic pain interrupt?
- Daily routines,
- Physical activity
- Social identity
what are pain specific assessments?
- Pain diary
- Visual analog scales (VASs)
- Pain Disability Index
- Brief Pain Inventory
- Canadian Occupational Performance Measure (COPM
what are some examples of OT pain interventions?
Body Mechanics, posture and
ergonomics training
Adaptive equipment
Splinting
Therapeutic modalities
- Self-management programs
- Journaling daily activity
what is the focus for OT interventions for chronic pain syndromes?
helping people learn to manage pain to participate in desired
occupations
how can we educate a client as an intervention for chronic pain?
- Education—client (and OT) needs to understand:
- Nature of pain
- Multiple and interrelated factors affecting pain
- Pain diary—patient instructed to maintain for 1 to 2 weeks
- OT & client identify patterns of pain related to multiple factors
what are some lifestyle modifications as a chronic pain intervention?
- Sleep—issues may include:
- Difficulty falling asleep
- Frequent awakenings, and
- Insufficient total sleep time (7–8 hrs)
look into mattress options or positioning with pillows - Stress and mood issues
- Pain activates sympathetic nervous
system - Stress associated with ADLS can trigger pain
so implement stress reduction techniques
what are some strength and endurance training options?
- People with chronic pain have reduce activity—fear of increasing pain:
- Results in loss of endurance, strength, & ROM
- Need to engage in activities which gradually increase conditioning
- Reengaging in ADL, IADL, desired leisure
- Aquatic therapy
what are some alternative therapies with evidence showing effectiveness in chronic pain?
- Acupuncture
- Tai Chi,
- Meditation
- Integrated yoga
what are physical agent modalities?
interventions and technologies that use force or energy to promote healing process and reduce
pain
how are physical agent modalities used in OT?
as a precursor to engaging in
desired occupational activities
what are common physical agent modalities to use for chronic pain?
- Hot & cold packs
- Transcutaneous electrical nerve
stimulation (TENS) - Biofeedback
what is Adaptive equipment for patients with chronic pain recommended for?
- Reduce energy expenditure,
- Joint strain
- Spinal rotation and flexion
what is type 1 CRPS?
non-nerve injuries
what is type 2 CRPS?
nerve injuries
