Chronic Pain 2

Question 1

Chronic care models: 6 interventions

Answer 1

1. culture of caring and improvement
2. well-informed care partners with excellent teamwork skills
3. EMR to track data and trends
4. Info to support clinical decision making
5. support groups to encourage pt self management
6. community advocacy for individuals with chronic pain

Question 2

What is self-management?

Answer 2

• ability to manage sx, tx, physical, and psychological consequences and lifestyle change inherent in living with chronic condition
• advocates for personal responsibility

Question 3

What is different about self-mgmt from the medical model?

Answer 3

• emphasizes importance of interactive and collaborative care between pt and healthcare professional
• not one-way passive care

Question 4

What is acceptance of pain?

Answer 4

active willingness to engage in meaningful life activities regardless of pain sensations, thoughts, etc that may hinder

Question 5

Why is acceptance of pain important for chronic pain pts?

Answer 5

• helps live fuller, more meaningful life

- positive correlation with QOL, disability, fear of pain, and depression

Question 6

Acceptance of pain is strongly recommended to incorporate with

Answer 6

self-mgmt of chronic MSK pain

Question 7

What are some important characteristics of a self-management program?

Answer 7

• self-efficacy building
• self-monitoring
• goal setting/action planning
• decision making
• problem solving
• self tailoring
• partnership b/w pts and providers
• community based

Question 8

self-mgmt program: what is self-tailoring?

Answer 8

taking what you learn and tailoring it to you

Question 9

self-mgmt program: Why should this be community based and close to home?

Answer 9

so that large numbers of pts have access

Question 10

chronic pain support groups: focus

Answer 10

moving pts from singular focus on pain and medication discussions to behavioral changes that enhance life experience

Question 11

pain mgmt plus group

Answer 11

alcohol, tobacco, drug education

Question 12

pain mgmt plus group: goals

Answer 12

• help avoid pain agreement violations and overdose

- explore alternatives to substance use for coping

Question 13

Pain coping measures

Answer 13

• NPRS
• PSEQ
• TSK
• PCS

Question 14

PSEQ =

Answer 14

pain self-efficacy questionnaire

Question 15

What is the PSEQ?

Answer 15

• 10 items

- assesses confidence in performing tasks despite pain

Question 16

TSK =

Answer 16

Tampa Scale for Kinesiophobia

Question 17

What is the TSK?

Answer 17

measure of a pt’s fear of movement or reinjury due to pain

Question 18

PCS =

Answer 18

pain catastrophizing scale

Question 19

What is the PCS?

Answer 19

assesses 3 factors of catastrophizing

Question 20

What are the pain outcome measures?

Answer 20

• RMDQ

- DASS

Question 21

RMDQ =

Answer 21

Roland-Morris Disability Questionnaire

Question 22

DASS =

Answer 22

Depression, Anxiety, and Stress Scale

Question 23

RMDQ measures

Answer 23

self-assessment of disability levels

Question 24

DASS measures

Answer 24

presence of 3 negative emotional states

• depression
• anxiety
• stress