Pain assessment

Question 1

What are the 4 steps to assessing pain

Answer 1

1. Listening
2. examining
3. Recording
4. Explaining

Question 2

what is allodynia vs hyperaglesia

Answer 2

allodynia- non painful stim triggers pain

hyperalgesia- a painful stimulus creating more pain than anticipated

Question 3

why do we measure pain

Answer 3

• the pt feels no better but score have improved

- the pt feels better but scores have not changed; functional measures can be used to redirect care

Question 4

what are the 4 main competencies from the IASP

Answer 4

1. multidimensional nature of pain
2. pain assessment and measurement
3. management of pain
4. pain conditions

Question 5

how can nociceptive thresholds be measured

Answer 5

using quantitative sensory testing

-used when there is nerve damage

Question 6

What does EMG and nerve conduction measure

Answer 6

• both cannot help with peripheral pain measurement
• These technologies can find nerve damage but only in large diameter functions (Aa, Ab)

(nociception is in Ad, C)

Question 7

what are the probs with hand held pain threshold measurement

Answer 7

altimeter: operator dependent, prone to error

Question 8

Key brain areas implicated in chronic pain

Answer 8

posterior cingulat cortex
insula
putamen
thalmus
precuneaus
pallidum
inf frontal lobe

Question 9

what is a general function impact questionare

Answer 9

Patient specific functional scale

Question 10

what are examples of body region specific functional score

Answer 10

ODI
Vernon minor neck disability index (NDI)
quick dash
LEFS

Question 11

what are some barriers to assesment

Answer 11

• language
• impairment (reading/writing etc)
• administrative barriers (policies etc)
• personal bariers/bias

Question 12

questionnaires used to determine risk of chronicity

Answer 12

• Qrebro msk pain screening questionnarie

- STarT back screening tool