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Campbell Pain Lecture
Taken from handouts and Lecture
44
Medical
Graduate
04/29/2009

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Term
Name the term: "an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage"
Definition
2008 IASP definition of "pain"
Term
Name the term: "an actually or potentially tissue-damaging event"
Definition
Noxious Stimulus
Term
Name the term: "a sensory receptor that is capable of transducing and encoding noxious stimuli"
Definition
Nociceptor
Term
Name the term: "a central or peripheral neuron that is capable of encoding noxious stimuli"
Definition
Nociceptive Neuron
Term
Name the term: "the neural processes of encoding and processing noxious stimuli"
Definition
Nociception
Term
Name the term: "an actually or potentially tissue damaging event transduced and encoded by nociceptors"
Definition
Nociceptive Stimulus
Term
Name the term: "pain arising from activation of nociceptors"
Definition
Nociceptive Pain
Term
Name the term: "pain arising as a direct consequence of a lesion or disease affecting the somatosensory system"
Definition
Neuropathic Pain
Term
Name the term: "pain arising as a direct consequence of a lesion or disease affecting the peripheral somatosensory system"
Definition
Peripheral Neuropathic Pain
Term
Name the term: "pain arising as a direct consequence of a lesion or disease affecting the central somatosensory system"
Definition
Central Neuropathic Pain
Term
Name the term: "increased responsiveness of neurons to their normal input or recruitment of a response to normally subthreshold inputs."
Definition
Sensitization
Term
Name the term: "increased responsiveness and reduced threshold of nociceptors to stimulation of their receptive fields"
Definition
Peripheral Sensitization
Term
Name the term: "increased responsiveness of nociceptive neurons in the cns to their normal or subthreshold afferent input"
Definition
Central Sensitization
Term
Name the term: "pain in response to a non-nociceptive stimulus"
Definition
Allodynia
Term
Name the term: "increased pain sensitivity"
Definition
Hyperalgesia
Term
Name the term: "the minimal intensity of a stimulus that is perceived as painful"
Definition
Pain threshold
Term
Name the term: "the maximum intensity of a stimulus that evokes pain and that a subject is willing to tolerate in a given situation"
Definition
Pain Tolerance Level
Term
How does JCAHO describe pain?
Definition
"Pain is the fifth vital sign" - JCAHO
Term
In developed countries, the population over 65 years old is expected to change from ____ to ____ by 2050.
Definition
17.5 % to 36.3 %
Term
In developed countries, the population over 80 years old is expected to ___ by 2050.
Definition
triple
Term
T or F: Depression is often associated with pain in the older patient.
Definition
TRUE
Term
Name the term: "may be visceral or somatic and is most often derived from stimulation of pain receptors"
Definition
Nociceptive Pain
Term
Name the term: "may arise from tissue inflammation, mechanical deformation, ongoing injury, or destruction"
Definition
Nociceptive Pain
Term
Name the term: "results from a pathophysiologic process that involves the peripheral or central nervous system"
Definition
Neuropathic Pain
Term
Some examples of _________ pain include: inflammatory or traumatic arthritis, myofascial pain syndromes, and ischemic disorders.
Definition
Nociceptive Pain
Term
Some examples of ______ pain include: trigeminal neuralgia, post-herpetic neuralgia, poststroke central or thalamic pain, and postamputation phantom limb pain.
Definition
Neuropathic Pain
Term
Name the term: "often regarded as having mixed or unknown mechanisms"
Definition
Mixed or unspecified pain
Term
Some examples of _____ pain include: recurrent headaches and some vasculitic pain syndromes.
Definition
Mixed or unspecified pain
Term
Name the term: "when psychological factors are judged to have a major role in the onset, severity, exacerbation, or persistence of pain"
Definition
Psychogenic Pain
Term
Examples of ______ pain include: conversion reactions and somatoform disorders.
Definition
Psychogenic Pain
Term
T or F: Addictive behavior among patients taking opioid drugs for medical indications appears to be relatively high.
Definition
FALSE - it is very low
Term
According to the American Geriatrics Society, is it ethical to provide pain management care that may hasten death?
Definition
Yes. "Inherent in these goals is the obligation of clinicians to provide effective pain management in all cases, even if doing so may hasten death by a few hours or days"
Term
T or F: There are no objective biological markers for the presence of pain.
Definition
TRUE
Term
What is the most common treatment of pain in older people?
Definition
involves the use of analgesic drugs
Term
What is the drug of choice for relieving mild to moderate musculoskeletal pain?
Definition
Acetaminophen
Term
Name the term: "the result of decreased blood levels of analgesic with concomitant increase in pain before the next scheduled dose"
Definition
End-of-dose failures
Term
Name the term: "usually caused by activity that can be anticipated and pretreated"
Definition
Incident Pain
Term
Name the term: "common with neuropathic pain, is often fleeting and difficult to predict"
Definition
Spontaneous Pain
Term
4 CLINICAL PAIN SYNDROMES:
Definition
-Nociceptive
-Neuropathic pain
-Mixed or Unspecific pain
-Psychological
Term
NEUROPATHIC PAIN: Responds to unconventional analgesic therapy such as
Definition
-Antidepressants
-Anticonvulsants
-Anti arrthymic drugs
Term
4 Pain mechanisms
Definition
-Transduction
-Transmission
-Perception
-Modulation
Term
AGS (1998) GUIDELINE SECTIONS: Name the 4 sections
Definition
-Assessment of Chronic Pain In Older Adults
-Pharmacological Treatment of Chronic Pain in Older Adults
-Non Pharmacological Strategies for Pain Management in Older Adults
-Recommendations for Health Systems that Care for Older Persons
Term
__% of those living in nursing homes reported pain
Definition
66%
Term
Most accurate measurement of pain is based on
Definition
self report
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