M1-2 Reading Guide Flashcards
NLDOCAT:
N
Nature
What’s going on, why are you here to see me, pain ratings
NLDOCAT:
L
Location
- borders
- specific/nonspecific sx
- superficial/deep
NLDOCAT:
D
Duration
NLDOCAT:
O
Onset
- acute
- gradual
- T1,T2,T3
NLDOCAT:
C
Course
- better/worse/same since sx began
- general time frame/speed of change
NLDOCAT:
A
Agg/ease
- what makes sx better/worse
NLDOCAT:
T
Treatment
What have you been doing for it?
What is the overall idea of the neuromatrix theory of pain?
- pain is produced by output of a widely distributed neural network in the brain
- not purely by sensory input evoked by trauma, inflammation, or other pathology
What is the neuromatrix?
- combo of cortical mechanisms that produce pain when activated
- does not require sensory input to produce pain experiences
neuromatrix theory of pain: When is pain produced?
when the brain perceives that body tissue is in danger and action is required
What are the inputs that determine a pt’s experience of pain?
- cognitive
- sensory
- motivational
inputs that determine a pt’s experience of pain
cognitive
Evaluative
- past experience
- context
- beliefs
inputs that determine a pt’s experience of pain
sensory
Discriminative
- cutaneous
- visual
inputs that determine a pt’s experience of pain
Motivational
Affective
- emotions
- stress
- immune system
What are the outputs that determine a pt’s expression in response to injury and chronic stress?
- perceptual
- behavioral
- homeostatic
