Psychological aspects of pain and pain management Flashcards

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1
Q

Define pain

A

An unpleasant and emotional experience associated with actual or poetical tissue damage describes in terms of such damage

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2
Q

What is the operative definition of pain

A

Pain is whatever the experiencing person says it is

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3
Q

Give the 2 types of pain

A
  1. Acute

2. Chronic

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4
Q

Describe acute pain

A

Adaptive and meaningful pain usually do to an injury eg cut, burns, surgery ect

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5
Q

Describe chronic pain

A

Pain experienced after enough time has passed for normal healing to have carried out

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6
Q

Give characteristics of acute pain

A
  1. It is a warning system
  2. Represents tissue damage
  3. Short duration
  4. Care and relief is likely
  5. Suffering is recognised
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7
Q

Give characteristics of chronic pain

A
  1. ay or may not be associated with tissue damage
  2. Long duration
  3. No end in sight
  4. Care and relief is unlikely
  5. Psychosomatic
  6. Suffering may be dismissed
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8
Q

What does Psychosomatic mean?

A

Psychological aetiology

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9
Q

Give an example of an easy pain theory

A

Biomedical

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10
Q

How is the biomedical model used to theorise pain

A
  1. Pain is automatic response to an external facto
  2. Tissue damage causes the sensation of pain
  3. The pain sensation has only a single cause
  4. Psychological factors have no causal influence
  5. Pain was categorised into psychogenic or organic
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11
Q

What does organic pain mean?

A

This is regarded as real pain when clear injury can be seen

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12
Q

What does into psychogenic pain mean?

A

Pain that is ‘all in your head’ when no organic basis can be found

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13
Q

How has psychology been included in theories of pain

A
  1. Medical treatments fro pain were found to be only effective fro treating acute pain not chronic
  2. Individuals with the same degree of tissue damage differed inter reports of pain
  3. Phantom limb pain
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14
Q

Give the pain theory that was proposed in 1965

A

Gate control thirty melzack and wall

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15
Q

Talk though the gate control theory melzack and wall

A
  1. Theres a neural gate in the spinal cord that regulates the experience of pain
  2. Pain is not the result of a straight through sensory channel
  3. There are both physiological an psychological causes
  4. Pain is a perception an experience rather than a sensation
  5. The individual no longer just responds passively t painful stimuli
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16
Q

How is information sen dot the gates according to the gate control theory?

A
  1. Behavioural state (Eg attention, focus on the source of pain )
  2. Emotional state (Eg anxiety, fear, depression)
  3. Previous experience of self efficacy in dealing with pain
17
Q

Give examples of questionnaires we can use to measure pain

A
  1. McGill Pain questionnaire
18
Q

What does the McGill pain questionnaire

A

Uses multiple records to attempt to quantify the entire pain experience

19
Q

What does the McGill pain questionnaire discriminate between?

A

Discriminates between:

  1. Sensory (ie what the pain physically feels like)
  2. Affective (ie what the pain feels like emotionally)
  3. Evaluative (ie What the subjective overall intensity of the pain experience is)
20
Q

Why is a pain scale useful?

A
  1. As It is hard to put pain into words
  2. Pain is multi faceted
  3. Faces on a scale can help us understand how pain makes the patient feel
  4. Numeric scales ca help quantify pain using numbers
  5. Physical ailments can often be culturally defined and so problems with understanding/interpretation
21
Q

How can we mange pain?

A
  1. Placebo
  2. Patient control
  3. Hypnosis
  4. Acupuncture
  5. Chronic Pain Psychological Therapy