Management of pain plus adherence lecture. Flashcards
What is the definition of persistent pain?
How common is it in NZ?
What are some reasons acute pain could progress to chronic pain?
Why is it important to treat pain in particular for the patient?
Why does is it important to treat a patients pain for the sake of the family?
What are some relaxation techniques to deal with pain?
What is acceptance and commitment therapy?
What is the RAT approach to pain?
How could you use it?
(this is examinable).
Recognise:
- Does the patient has pain?
- Do other people know if the patient has pain?
Assess:
- What makes the pain better/ worse etc. (SOCRATES).
- When doing severity remember a scale of 1-10.
- Remember to reassess often.
- Are there any other factors such as psychological illness, job loss etc.
- Cancer vs non cancer, acute vs chronic, nociceptive-nociplastic and neuropathic?
Treat:
- Using drugs for nociceptive pain
- Non drug treatment (RICE), nursing care, acupuncture etc.
What does adherence mean?
What does adherence not mean?
Adherence does not mean compliance/obedience.
What are some examples of non adherence?
At what point along the medication journey does non adherence occur?
What is the COM-B model of adherance?
How can you affect someones motivation to adherence of a treatment?
How can you help someone with adherance MAINTENANCE?
Name the 5 factors of non-adherance from WHO and an example for each?
- Social and economic: limited english, low health literacy, limited access to health facility.
- Health care system: lack of positive reinforcement, high drug costs, disparities between the health beliefs of health care provider and the patient.
- Condition related: chronic conditions, lack of symptoms, depressive ‘learned helplessness.
- Therapy related: complexity of medication regime, duration of the therapy.
- Patient related: Psychological: motivation, fear of adverse side effects etc. Physiological: visual impairment, hearing impairment, cognitive impairment.
