S3L3: Pain Flashcards
Modified T/F
A. Pain is a subjective & entirely individually personal experience
influenced by learning, context, & multiple psychosocial variables
B. It serves as an adaptive function designed to protect the organism from harm
TT
T/F
According to the internal association for the study of pain, the term pain refers to an unpleasant sensory & emotional experience associated
with actual tissue damage
F
associated with actual or potential tissue damage, or described in terms of such damage
Chornic vs Acute Pain
Response to a “noxious” event
Acute
Chornic vs Acute Pain
Time limited
Acute
Chornic vs Acute Pain
Treatment should be aimed at removing the problem
Acute
Chornic vs Acute Pain
Physiologic pain
Acute
Chornic vs Acute Pain
3-6 months after the initiating event
Chronic
Chornic vs Acute Pain
May not be associated with ongoing noxious event or
pathologic process
Chronic
Chornic vs Acute Pain
Psychological & behavioral
Chronic
Chornic vs Acute Pain
Associated with disrupted sleep & declining function
Chronic
Chornic vs Acute Pain
Can become a source of dysfunctional behaviors, suffering,
& disability
Chronic
T/F
Chronic pain eventually ceases to serve any protective role
True
Which of the following is not a potential consequence of leaving chronic pain untreated?
A) Increased cost of healthcare
B) Overuse or misuse of psychoactive medications
C) Iatrogenic complications
D) Reduced economic and social costs
D
Increased economic & social costs
Modified T/F
A. Suffering is the affective component of pain.
B. It encompasses the emotional aspect of health and is catastrophizing
TF
Suffering includes both emotional & cognitive aspect
Modified T/F
A. Recurrent pain includes repeated episodes of acute pain such as recurrent low back strain
B. It is an acute pain, in which sx are intermittent such as migraine headache
TF
Recurrent pain is an example of chronic pain
Modified T/F
A. Acute pain affects more people than diabetes, heart disease, & cancer combined
B. LBP is the most common reason for physician visits
FF
A. Chronic pain
B. second most common
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Duration: Seconds
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Duration: Hours to days
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Duration: Months to years
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Temporal features: Instantaenous & simultaneous to cause
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Temporal features: Resolves on
recovery
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Temporal features: Persistent,
long-term
disease
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Temporal features: may
exceed resolution of tissue damage
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Major characteristics: Proportional to cause
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Major characteristics: Primary &
secondary hyperalgesia, allodynia, spontaneous pain
Acute
Subchronic
Chronic
Subacute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Major characteristics: Subchronic
characteristics plus parthesis, dysesthesias, pronounced affective component
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Class: Nociceptive
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Class: Principally
nociceptive,
neuropathic
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Class: Principally
neuropathic,
nociceptive
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Class: Transient,
nociceptive
activation
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Class: Peripheral &
central
mechanisms
Acute
Subchronic
Chronic
Subacute and chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaptive value: High, preventive
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaotive value: Protective,
recovery
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaptive value: None, maladaptive
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaptive response: Withdrawal, escape
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaptive response: Quiescence,
avoidance of
contact with
injured tissue
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Adaptive response: Cognitive
behavioral, catastrophizing, pain-related anxiety & fear, helplessness
Acute
Subchronic
Chronic
Chronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Example: contact with hot surface
Acute
Subchronic
Chronic
Acute
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Example: inflamed wound
Acute
Subchronic
Chronic
Subchronic
BASIC DIFFERENTIATION OF MAJOR TEMPORAL PAIN CLASSIFICATIONS
Example: Chronic low
back pain, muscle pain syndromes
Acute
Subchronic
Chronic
Chronic
Modfieid T/F
A. Chronic pain is thrice as prevalent in women than in men
B. Internationally, it affects adults more than children
FT
Twice as prevalent
Which of the following conditions are NOT associated with musculoskeletal causes?
A) Spinal pain
B) Headaches
C) Arthritis
D) Fibromyalgia
D) Fibromyalgia
T/F
Other causes of chronic pain includes stroke, SCI, MS, HIV/AIDs and Cancer
True
