Pain Flashcards

1
Q

What can pain often signify?

A

That the body has been damaged or that something is wrong.

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2
Q

What are children with a congenital insensitivity of pain at risk of?

A

Not recognising physical damage and range of problems such as:

  • Biting off parts of their own tongue.
  • Prone to eye infections after damage by a foreign object.
  • Suffering from broken bones/fractures.
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3
Q

Why is acute pain necessary?

A

To protect us from damage or infection

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4
Q

Define chronic pain

A

Pain persisting after an injury has healed, with pain signals remaining active for weeks, months, or even years after initial onset.

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6
Q

What do prolonged pains usually signify?

A

That the body is still damaged or healing.

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7
Q

What may have happened if pain persists for three months or more?

A

The physical damage may have been healed, however pain pathways have become over sensitised or disregulated, so that pain is felt in the absence of physical injury.

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8
Q

What changes have been shown to occur in neurones after three months of chronic pain?

A

Molecular changes in RNA in spinal cord neurones.

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9
Q

What implications can this have on treatment of chronic pain?

A

There is need to intervene early to prevent changes to the neural pathways.

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10
Q

What does a biological view of pain assume?

A

That all pain is due to physical injury.

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11
Q

Why is a biological explanation of pain not sufficient?

A

There are instances where pain occurs in the absence of physical injury

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12
Q

What things (besides physical injury) can cause or increase pain?

A
  • Negative emotion
  • Cognitive processes
  • Behaviour such as inactivity
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13
Q

Studies have shown that anxiety can have what effect on pain tolerance?

A

Anxiety has been shown to reduce pain tolerance

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14
Q

What types of factors can affect pain?

A
  • Biological
  • Psychological
  • Social
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15
Q

Define nociception

A

The stimulation of peripheral pain receptors, which send signals to the CNS

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16
Q

Define ‘sensation’ in terms of pain

A

How the messages to the CNS are interpreted. This can be affected by the range of factors in the multidimensional model of pain.

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17
Q

Define suffering

A

Suffering refers to the perceived pain, distress, and disability that can arise from pain and other related factors.

18
Q

Define pain threshold

A

The point at which a stimulus becomes painful and is similar for most people.

19
Q

Define pain tolerance

A

The degree to which a painful stimulus can be tolerated, this can vary between individuals.

20
Q

What has been shown to increase pain tolerance?

A

Positive emotions such as humour.

21
Q

What can the point at which a person complains of pain vary due to?

A

Their background and characteristics

22
Q

What does the multidimensional model of pain reflect?

A

A biopsychosocial approach

23
Q

What are the features of the multi-dimensional model of pain?

A

insert model picture here

24
Q

Outline the steps of the psychophysiological concept of pain

A
  1. Damage
  2. Transduction
  3. Conduction
  4. Transmission
  5. Modulation
  6. Perception
25
Q

What happens during the ‘Damage’ stage of pain?

A

Damaged cells release sensitising chemicals.

26
Q

What happens during the ‘Transduction’ stage of pain?

A

Noxious stimuli are translated into electrical activity at sensory nerve endings

27
Q

What happens during the ‘conduction’ stage of pain?

A

Action potentials pass along the neurones

28
Q

What happens during the ‘transmission’ stage of pain?

A

Synaptic transfer and modulation of input from one neurone to the next via chemical messengers

29
Q

What happens during the ‘modulation’ stage of pain?

A

Anti-nociception neurons originating in the brain stem descend to spinal chord and release chemical messengers that inhibit transmission of painful stimuli

30
Q

What happens in the ‘perception’ stage of pain?

A

Recognition and reaction in the brain

31
Q

What percentage of adults are affected by chronic pain?

A

~20%