S3L3: Terminology used in the discussion of pain Flashcards
Chronic biopsychosocial disease characterized by impaired control over drug use, compulsive use, continued use despite harm, & craving
Addiction
Medications whose primary indication is a condition other than pain but have demonstrated benefit in pain managament
Adjuvant medication
True or false: Adjuvant medication includes antidepressants, anticonvulsants, corticosteroids, neuroleptics etc.
True
Pain caused by a stimulus that does not
normally provoke pain
Allodynia
Modified T/F
A. Analgesia can occur due to medical disorder, result of past trauma or injury, or present idopathically by itself
B. These medical conditions include fibromyalgia, migraine, and postherpetic neuralgia
FT
A refers to Allodynia
Absence of pain in stimulation that would normally be painful
Analgesia
Modified T/F
A. Causalgia (CRPS) is a syndrome of sustained burning pain, allodynia, & hyperpathia after a traumatic nerve lesion
B. It is often combined c vasomotor & sudomotor dysfunction (such as diabetic autonomic neuropathy) & later trophic changes
TT
Pain initiated or caused by a primary lesion or dysfunction in the central nervous system
Central pain
T/F
Peripheral pain can be caused by stroke, MS, Tumors, epilepsy etc.
F
Central pain
Exists when individuals have developed extensive pain behaviors such as preoccupation c pain, passive approach to health care, significant life disruption, feelings of isolation, demanding, angry, or doctor-shopping (continuous consultation with different doctors)
Chronic pain syndrome
An unpleasant abnormal sensation, whether spontaneous or evoked
Dysesthesia
T/F
Dysesthesia feels like shock, aching or tightening
F
shock, burning or tightening
A maladaptive pattern of drug use marked by tolerance & a drug
class-specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, ↓ blood levels of drug, or administration of an antagonist
Dependence
↑ response to a stimulus that is normally
painful
Hyperalgesia
↑ sensitivity to stimulation
Hyperesthesia
T/F
Hyperesthesia is an ↑ sensitivity to stimulation excluding the special senses
True
Pain associated with cancer
Malignant pain
Modified T/F
A. Nocebo effect is synonymous with placebo effect
B. Inert treatment or event that increases sx because the patient believes it will increase sx.
FT
Nocebo effect is the opposite of placebo effect
T/F
The expectation of pain from nocebo effect can result in hyperalgesia and allodynia
True
The expectation of pain can result in both
increased pain from painful stimuli &
allodynia
Receptor preferentially sensitive to a
noxious stimulus
Nociception
Refers to the affective component of pain
Suffering
T/F: Suffering includes both emotional (e.g., anxiety &
anger) & cognitive (e.g., thoughts of
helplessness) components, and may be due to a combination of unpleasantness & catastrophizing
T
