Week 3 Flashcards

1
Q

What pain related domain does pacing assist with

A

Pain self efficacy

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2
Q

What is the PHODA and what can it be used for ?

A

Photograph of people performing daily activities and postures

Can use this for a patient with fearful activities, they grade the pictures on those most likely to elicit a fearful response

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3
Q

What is the fundamental difference between graded exposure and graded activity

A

The presence and exctincion of a fearful movement/activity

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4
Q

In a basic sense, positive reinforcement is?….

A

Introducing a pleasant stimulus to a behaviour

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5
Q

In a basic sense, negative reinforcement is?….

A

Removal of an undesirable stimulus

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6
Q

In a basic sense, negative reinforcement is?….

A

Removal of an undesired stimulus

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7
Q

In a basic sense, positive punishment is?….

A

When an undesired stimulus is introduced to discourage behaviour

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8
Q

In a basic sense, negative punishment is?….

A

A desired stimulus is removed to discourage the behaviour

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9
Q

What are the 4 types of positive reinforcement ?

A

Natural.

Token

Social

Tangible

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10
Q

What is the WHO analgesic ladder ?

A

A framework for clinicians prescribing pain relief

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11
Q

What type of pain is the WHO ladder not effective for ?

A

Neuropathic

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12
Q

Why is codeine difficult for many to take

A

It is a prodrug mean it relies on metabolism into morphine

The metabolism has variation person to person and through different races

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13
Q

What 3 ingredients are active in tramadol

A

Opioid receptor activity

NA

Serotonin uptake inhibitor

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14
Q

List 4 “high risk medications”

A
  1. Morphine
  2. Oxycodone
  3. Oxycodone Naloxone (Targin)
  4. Tapentadol (palexia)
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15
Q

What is the receptor that many opioids act on?

A

Mu receptor

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16
Q

What are the two actions of Targin

A

Opioid agonist and antagonist

17
Q

What is Palexia?

A

Tapentadol

18
Q

What is Palexia thought to be more useful for ?

A

Neuropathic pain

19
Q

What are the 5 A’s of monitoring after drug prescribing ?

A

Analgesia

Activity

Adverse effects

Affect

Abuse

20
Q

What are the two common anti-neuropathics?

A

Gabapentin

Pregabalin

21
Q

What’s a medial branch block and what’s it used for?

A

A block of the medial nerve branch of the dorsal rami
Nociception from facet joints arises from these nerves

22
Q

When is an epidural injection indicated? How long is it likely to last

A

Acute radicular pain with disc herniation, best given within 6 weeks of onset

Can last around 3 months or less

23
Q

What is radio frequency denervation?

A

Heated energy through a needle, to essentially burn/kill the nerve of the medial branch

24
Q

How long will an RFD likely last?

A

6-12 months, the nerve will likely regenerate