clinical assessment of pain Flashcards
1
Q
3 key parts of pain
A
- subjective
- sensation
- emotional experience
2
Q
steps to assesement
A
- acute or chronic?
- local or generalized?
- nociceptive or neuropathic
- rule out red flags
5a. psychosocial
5b. impact of function
3
Q
def. acute pain
A
assoc. with sudden onset event, such as injury or inflammation
4
Q
def. chronic pain
A
3-6 months
- less corelation with tissue injury
5
Q
def. nociceptic pain
A
- pain from non-neuronal injury
- due to activation of nociceptors
- sharp, dull, throbbing, ach
6
Q
def. neuropathic pain
A
- pain caused by lesion of somatosensory nervous system
- clinical description
7
Q
RED flags for pain (8)
A
- CA
- unexplained weight loss
- immunosupression
- prolonged steroids
- IV drug use
- Pain not helped by rest
- fever
- trauma
8
Q
what is in the pain “ROS”
A
- mood
- sleep
- social
- family distress
- finacnes
- litigation
- work
9
Q
4 common affective issues
A
- depression
- anxiety
- fear
- anger/frustration
10
Q
how is dep. related
A
- pain precedes dep.
- more:
intensity, areas, ferequncy of pain
11
Q
how is sleep related
A
- distrubed,
- more flagmented
12
Q
4 neuropathic signs
A
- allodynia
- hyper/hypoalgesia
- hyperpathia
- focal neuro deficits
13
Q
5 times to use imaging
A
- rule in/out
- injury/trauma
- infection
- inflammatory
- autoimune
