Lecture 4 - Holistic Approach to Pain Management

Question 1

3 roles of plaintiff’s counsel

Answer 1

• Understand nature of chronic pain syndrome
• Marshall necessary evidence to legitimize plaintiff’s complaint
• Neutralize force and impact of defendant’s experts

Question 2

Bogoroch

Definition of pain

Answer 2

• pain that has not abated

- constant pain/discomfort rendering someone dysfunctional or severely affecting their health/general wellbeing

Question 3

Chronic pain is NOT a _______ diagnosis

Answer 3

psychiatric

Question 4

David Corey

Definition of chronic pain

Answer 4

• pain persisting more than 6 months from onset

- severe and prolonged, exceeds organic expectations

Question 5

6 or more symptoms present for chronic pain diagnosis

Answer 5

a) Diagnosis of soft tissue injury
b) Sleep disturbance
c) Diffuse anger, frustration, irritability
d) Frequent and multiple physician contacts
e) Guarded movements or avoidance of activities
f) Unsuccessful attempt to return to work
g) Multiple symptom complaints
h) Ingestion of multiple analgesics, tranquilizers
i) Development of family and marital problems
j) Reduction or loss of libido
k) Anxiety and/or depressive symptoms