Week 4 Pain Communication Patient and Practitioner

Question 1

what are some terms that people hear when they are in pain that are harmful

Answer 1

malingering, secondary gain, maladaptive behavior, symptoms magnification

Question 2

do we need to take into account what the patient wants

Answer 2

yes!

Question 3

what do patients actually want?

Answer 3

• to be listened to
• understand what is wrong
• patient centered communication
• reassurance and favorable prognosis
• to be told what can be done.

Question 4

what do clinicians want

Answer 4

to focus on function, program adherence and increased activity level or return to work

Question 5

patients want to be ____ and PTs want ___

Answer 5

heard, function

Question 6

TF: TA lead to improved health outcomes

Answer 6

true

Question 7

TA is ___ + _____

Answer 7

affective bond + agreement on goals and interventions

Question 8

how do we establish a framework with patients

Answer 8

tell them what to expect, the history, the exam, diagnosis and prognosis and the joint decision of therapy

Question 9

language should be

Answer 9

patient centered

Question 10

what are some components of active listening

Answer 10

restatement and reflection “it sounds like your frustrated with…”

Question 11

what do we not say to a patient

Answer 11

discount their beliefs
don’t criticize their actions
don’t be defensive (when they accuse you of not helping them)

Question 12

TF reflective statements do nothing

Answer 12

false, they are very helpful

Question 13

how do we move from pain to function

Answer 13

establish goals
set appropriate expectations
select treatment approaches

Question 14

what are some psychosocial concerns

Answer 14

catastrophizing, fear avoidance and depression

Question 15

when we make referrals, what is the format we use

Answer 15

SBAR

• situation (my name… I have patient…)
• background (findings)
• assessment (what I am concerned about)
• recommendation (see mental health person?)

Question 16

what are three types of talk therapies

Answer 16

cognitive behavioral therapy (automatic thoughts and emotions, and the impact on function)
motivational interviewing (barriers to function, and the patient can drive this)
traditionally therapy

Question 17

what are active interventions for catastrophizing and fear avoidance

Answer 17

graded exposure: gradual reassumption of feared activities

graded activity: restoration of function, regardless of symptoms.