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Chronic Pain (Patho (damage or abnormal function of PNS/CNS , central…
Chronic Pain
Patho
damage or abnormal function of PNS/CNS
central mediation disturbance in pain processing within CNS
damage/ disease state cause peripheral can central changes in neurotransmission
pain circuits rewire themselves anatomically and biochemically, produce mismatch between pain stimulation and inhibition
Goals
• improve or maintain the patient's level of functioning,
• decrease pain perception,
• reduce the use of medications when possible
• improve the patient's quality of life.
Tx
Non-pharm
Pharm
Non opioid analgesics
opioid analgesics
Other factors
Co-morbidities
mental health
Classification
duration
type of pain
nociceptive
neuropathic
Clinical presentations
Symtoms : sharp, dull, shock-like, tingling, shooting, radiating, fluctuating in tensity, vary in location; over time pain stimulus my change symptoms completely
Signs: no obvious signs, co-morbid conditions often present, outcome unpredictable
Reduction strategies when using opioids
