Lecture 4 Acute Pain Psych Med Flashcards
What is pain? A multidimensional…..
Doctors play an essential role in ____, _____ and _____ of acute and persistent pain
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Why was Descarte wrong?
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What does IASP say pain is?
Is the cause always visible?
What is the definition for doctors of pain?
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Get injury at periphery - what happens?
-chemicals, stimulate, signal travels….
What are the three types of receptors?
What fibres travel to the spinal cord and what happens there?
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What is the second relay station?
What three main places does the brain connect to?
Where does pain perception occur?
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Modulation”
- Descending pathway from brain to ____ _____
- What does it usually do?
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Pain neurotag - what does each thing do?:
- Premotor/motor cortex
- Cingulate cortex
- Prefrontal cortex
- Amygdala
- Sensory cortex
- Hypothalamus/thalamus
- Cerebellum
- Hippocampus
- Spinal cord
- Organise and prepare movements (to get away)
- Concentration/focussing
- Problem solving
- Fear, fear conditioning and addiction
- Sensory discrimination
- Stress response, autonomic regulation and motivation
- Movement and cognition
- Memory, spatial cognition and fear conditioning
- Gating from the periphery
Getting to of trouble - the descending pathways, what do these do:
- Sympathetic nervous system (4)
- Motor system (3)
- Endocrine system (3)
- Pain production system (3)
- Immune system (4)
- Parasympathetic system
- Increases HR, mobilise energy stores, increase vigilance and sweat
- Run away, fight, protect the damaged area
- Mobilise energy stores, reduce gut and reproductive activity
- Motivate to escape and seek help, attract attention
- Fight invaders, sensitise neutrons, produce fever, make sleepy to promote healing
- Nourish cells and heal tissue
Psychosocial correlates in the development and maintenance of pain - what factors are involved in this>
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What are the three main questions to ask about pain to classify it?
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Acute vs chronic pain:
- Time of each?
- Useful?
- Causes?
- Facilitate healing through?
- Is there complicated psychological processing and social acceptance?
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Cancer vs non-cancer:
- What percentage of cancer patients suffer from severe to very severe pain related to cancer?
- Is cancer progressive?
- Is cancer pain acute or chronic?
- Cancer patients - most can be effectively treated using what?
- Non-cancer pain - what’s the cause?
- Is non-cancer pain acute or chronic?
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Nociceptive pain:
- Obvious ____ injury or illness or ____-_____
- What sort of pain?
- What words are used to describe it?
- What is ‘nociception’ and what is ‘pain perception’? Are they the same?
- What other things are between injury and pain felt?
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What is an example of acute non-cancer pain?
It’s symptoms of what usually?
Is it useful?
Is it usually nociceptive or neuropathic?
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Pain is a complex perceptual experience - what 6 things is it influenced by?
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