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PAIN, an unpleasant sensory and emotional experience associated with…
PAIN, an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage
NOCICEPTION
Describes receptors or neurons that receive or transmit information about stimuli - associated with actual or potential tissue damage
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PAIN SYSTEMS
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Medial Pain System (MPS)
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Activation elicits responses such as: affective, motivational, withdrawal, arousal and autonomic
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MPS uses several pathways with variable numbers of projection neurons (not like the 3 neuron pathway of fast pain)
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PROCESSING OF PAIN
Parts of the brainstem, amygdala, hypothalamus, thalamus, areas of the cerebral cortex
Example: Person perceives the location and intensity of the tissue damage (lateral pain system); Affective and cognitive responses to the signals (medial system); Determines whether ascending nociceptive processing will be normal, suppressed, sensitised or reorganised
PAIN CLASSIFICATION
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ACUTE VS CHRONIC
ACUTE
Short term, warning of tissues to protect
Usually related directly to soft tissue damage
Less than three months
CHRONIC
Constant or intermittent daily pain that continues after tissues have expected to healed
Chronic if it persists beyond three months