PHTY209 Lecture 12: PHTY209 week 12
Document Summary
Example: pre-op anxiety associated with higher pain intensities after surgery and 1 year down track (tkr). Physiological: muscle tension, sns, endocrine (stress and cortisol) = poor tissue healing. Emotional response: fear of movement don"t want to move the knee not walking on it. Changed behavioural response: changed posture avoid normal activity i. e. staying in bed, not wanting to return to work. Fundamental principle of this approach is that pain is produced by the brain when it perceives that danger to body tissue exists and that action is required. Pain is an output of the brain. It is the combination of cortical areas that when activated produce pain. This model when used to guide assessment: requires that we assess all dimensions of the pain experience (medial and lateral pain system and the brain areas involved = multidimensional pain output. Fear of pain pain anxiety symptoms scale (pass) Fear of work related activities fear avoidance belief questionnaire (fabq)