PT 5101 Lecture Notes - Lecture 15: Visual Analogue Scale, Pain Management, Patient Education
28 Mar 2017
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Pain assessment: important to asses before and after interventions. Mcgill questionnaire: checking words for psychological overlay: more than 6 effecting many levels. Assessment: adl, sensation diminished or hyposensitive, rom/strength, flexibility, posture, work history, palpation look for swelling and discomfort, gait efficiency, medication tell everything, need to see whole picture. Over the counter don"t know dosage or efficiency. Supplement depends on where you buy them. Chronic; hanging around not getting better, opioids ineffective, pt most effective. Peripheral nociceptive; injury, swelling, does well with price method, ibuprofen and. Tylenol: sharp, achy, throbbing, well localized, subsides as healing occurs. Peripheral neurogenic; following nerve patterns, different meds (gaba: paresthesia and pain, sharp and shooting. Central; along spinal cord: inconsistent, often littler correlation between stimulus and response. Sympathetic ns; in over drive, protective mode: intense burning and vasomotor instability, out or proportion with expectations of injury. Affective; psychological overlay, don"t prejudge: pain behaviors linked to pain tolerance (fatigue, lack of control, stress, anxiety, depression)
