MEDI7212 Lecture Notes - Lecture 9: Guided Imagery, Primary And Secondary Brain Injury, Fibromyalgia
Document Summary
Limited tolerance of standing/ sitting/ walking: observed behaviour - grimacing, sighing, decreased engagement in family & social activities, reluctant to engage (stages of change, pre-contemplative of physio & pain education, antalgic gait, slr +ve. Identify barriers impeding recovery and engagement in life. Identify current stage of change: develop patient understanding of pain, life skills to manage pain & engagement in meaningful activities. Initial observation cues: unable to tolerate physical examination, work, social and family pressures, pain catastrophizing - increased pain severity, emotional distress & pain-related disability, hypervigilance, concerned with "cure" Instead of battling and spending emotional energy, try to reorientate energy towards things better for himself: pain, self doubt etc won"t disappear, but less energy will be spent on it, psychiatry. Cases: adjustment disorders, anxiety, depression, ptsd, abnormal illness behaviour - over-, under- treatment of illness by the patient. Treatment: medication, psychologist, allied health, psychosocial rehab - return to work process, third party intervention.
