Pain Consultations Flashcards
What are the 2 types of chronic pain?
Primary
Secondary
What are examples of primary chronic pain?
Chronic widespread pain - eg. fibromyalgia
Chronic primary visceral pain
Chronic primary musculoskeletal pain
Chronic primary headache
What are examples of chronic secondary?
Chronic cancer-related pain
Chronic postsurgical pain
Chronic secondary musculoskeletal
Chronic neuropathic
What are the FPM standards for pain consultations?
Good general care
Adequate assessment
Effective communication
SDM
Trust
Safety for patients
Documentation
What are the symptoms of neuropathic pain?
Shooting
Tingling
Numb
Electric shocks
Burning
What are the symptoms of somatic pain?
Aching
Dull
Throbbing
Well localised
Stabbing
What are the symptoms of visceral pain?
Cramping
Pressure
Distension
Deep
Pulling
What is SOCRATES?
Site
Onset
Cause
Radiation
Associations
Time course
Exacerbating factors
Severity
What is neuropathic pain?
Type of chronic pain associated with injury to nerves or the NS
What are examples of neuropathic pain?
Lumbar radiculopathy
Nerve injury
Pain after infection
Pain associated with diabetes
Pain after amputation
Pain associated with stroke
What is the cause of lumbar radiculopathy?
Disc prolapse
What is the cause of nerve injury?
Spinal surgery
What is the cause of pain after infection?
Shingles
HIV/AIDS
If someone has a history of suicide, what do you not want to do?
Give a drug that is highly toxic if overdosed on
What are the different pain assessment tools?
Numerical scale
Verbal rating skill
Visual analogue pain scale - 0-100
Faces scale - good for children/language barriers
Pain diagram - mark where in pain
