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Pain

Pain. PHT 1261C Tests and Measurements Dr. Kane. Definition. An unpleasant sensory & emotional experience associated with actual or potential tissue damage Factors Intensity of stimulus Interpretation of Stimulus Other Factors Previous experience with pain Responses learned from others

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Pain

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  1. Pain PHT 1261C Tests and Measurements Dr. Kane

  2. Definition • An unpleasant sensory & emotional experience associated with actual or potential tissue damage • Factors • Intensity of stimulus • Interpretation of Stimulus • Other Factors • Previous experience with pain • Responses learned from others • Perception of control over cause of pain

  3. Theories of Pain • Early Models – medical models • Gate Control Theory • Biopsychosocial Model

  4. Clinical Presentation of Pain • Acuity • Tissue Source of Pain • Mind Body Dualism

  5. Psychosocial Factors Affecting Pain • Fear Avoidance • Coping, Catastrophizing, and Acceptance • Depression • Pain and Trauma • Social Reinforcement

  6. Problem Behaviors of Patients with Pain • Passive-dependent Response • Overanxious Response • Hostile Response • Passive Aggressive Response • Help Rejecting Response

  7. Approaches to Problematic Behaviors • Communicate Well • “I” Statements • Reference to Standards & Rules • Active Listening • Reflecting Emotion • Us of “we” or team building • Limit Setting

  8. Methods for Measuring Pain • Visual Analog Scale • FACES • Body Diagrams – organic or nonorganic • Pain Questionnaires – McGill • Functional Impairment/Quality of Life • Dallas Pain • Oswestry

  9. Examination by Physical Therapist • The interview • Tests and Measurements • The POC

  10. Physical Therapy for Pain • Pain control Modalities • Very passive • Therapeutic Exercise • Minimize fear avoidance • Patient Education

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