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an unpleasant sensory or emotional experience associated with actual or potential tissue damage |
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short term pain that usually results from a specific injury. pain that goes on for 6 months or less |
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pain that may begin after an injury, but that does not respond to treatment and persists over time |
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Biopsychosocial elements of pain |
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Ascending and descending pathways sensations, emotions, thoughts, past experiences, learned behavior, psychosocial context, etc... physiology of central nervous system is altered by chronic pain chronic pain as a disease not a symptom |
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anything that throws the body out of homeostasis/alance |
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body's effort to restore balance there are physiological processes & emotional processes |
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Alarm: the body prepares for action (fight or flight), sympathetic arousal |
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Adaptation/ resistance: the body tries to adapt to stressor, psychologically and physically usually successful but time limited applicable to acute pain |
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exhaustion: resources are depleted prolonged stress and the body's response is damaging to the body and mind body - increased sensitivity to pain, decreased immune functioning mind - social withdrawal, irritability, substance use, depression |
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what does pain effect? kind of a circular model of pain and life experiences |
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Definition
behavior thoughts emotions relationships and all of the above have an impact on pain |
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psychology of pain based on Learning Theory |
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behavior and thought are learned subconsciously and consciously behavior can be changed by learning ways of thinking and beliefs can also be changed by learning |
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how does pain shape behavior? |
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ppl repeat rewarding behavior and avoid punishing behavior (operant conditioning) short vs long term taking pain meds is good for short term, bad for long rest good for short term, but long term -> obesity, muscular atrophy |
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Term
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recognizes pain as biological and psychological threat to an individuals integrity |
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impaired management of pain linked with |
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over attention: ppl vary on their attention to physical symptoms fear-avoidance: "I should go to work, but then it will get worse" catastophizing: blowing up a small problem into a huge one depression |
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additional factors that contribute to disability |
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physical deconditioning secondary gain/ ($) litigation: workers disability, SS disablity primary gain: benefits of being in the patient role operant factors socio-cultural factors: more stressful to have any problem when ur poor |
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medical management vs self management of pain |
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medical: a passive role, curing, dependent, best for acute self: an active role, coping, independent, best for chronic |
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multidisciplinary care for pain management |
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Definition
medical: interventions, rx, and education physical therapy alternative medicine pain psychology: coping sills, relaxation training, support, and education |
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