Pain has been described by the International Association for the Study of Pain Subcommittee on Taxonomy as an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage (Mersky, 1979). CP persists for an extended period of time, generally more than six months, and is usually associated with tissue damage. In some cases, CP can be traced to a specific injury that has long since healed, such as a serious infection or even a surgical incision. However, in other cases, there does not appear to be an apparent cause, with no prior injury and an absence of underlying tissue damage. Often, CP is related to several conditions, such as low back pain, osteoarthritis, headache, …show more content…
Exact estimates of the prevalence of CP ranges, though many researchers believe that CP affects 10%–20% of adults in the general population (Blyth et al., 2001; Gureje, Von Korff, Simon, & Gater, 1998; Verhaak, Kerssens, Dekker, Sorbi, & Bensing, 1998). Furthermore, in a review of the literature, Von Korff et al. (2005) estimated a 19% prevalence rate for chronic spinal pain (neck and back) in the United States in the previous year and a 29% lifetime rate. Other reports report that 57% of all adult Americans reported experiencing recurrent or CP in the past year (American Academy of Pain Management, 2003), and of that percentage, 62% of those individuals reported being in pain for more than 1 year, and 40% reported that they were constantly in pain. Furthermore, CP accounts for more than 80% of all physician visits (Gatchel, 2004a, …show more content…
In a recent review of the literature, researchers found that CP affects over 50 million Americans and costs more than $70 billion annually in health care costs and lost productivity. Researchers used data from the American Productivity Audit, from August 2001 to July 2002, and discovered that 13% of the work force lost productive work time due to a pain condition, and cost employers $61.2 billion a year (Stewart, Ricci, Chee, Morganstein, & Lipton, 2003). Another report estimated that absenteeism from work due to pain costs European economies €34 billion every year (Beubler et al., 2006). It is therefore clear that CP represents a substantial burden on
On behalf of Cpt Wu 's, Major Blount reviewed have reviewed your MRI. MRI findings are the following: 1. Degenerative tear of the glenoid labrum. 2. Full-thickness tear of the anterior portion of the supraspinatus tendon.
Pain radiates from the lower back and aggravated by bending, getting in and out of the car, lifting, reciprocating stairs, sitting, standing, turning, twisting and walking which is mildly alleviated by over-the-counter drugs and
2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
I am so happy you picked pain as your ICP project. Pain, in my eyes, has always been all encompassing. It can affect sleep, ability to move around, eating, healing, breathing, mood and relationships (Shega, Tiedt, Grant, & Dale, 2014). Personally when I am in severe pain I really do not want people around and it affects every aspect of my life. To think that persistent pain affects 80% of elderly residents in nursing homes and 50% of community dwellers, and we still do not treat this properly (Veal& Peterson, 2015).
Considerable evidence demonstrates substantial ethnic disparities in the prevalence treatment progression and outcome of pain-related conditions. Elucidation of the mechanism underlying these group differences is of crucial importance in reducing and eliminating disparities in these pain experience. Over recent years, accumulating evidence has identified a variety of processes, from neurophysiological factors to structural elements of Healthcare system. That may contribute to shaping individual difference in pain. For example, the experience of pain differentially activate stress- related physiological response across various ethnic groups appear to use differing coping strategies in managing pain complaints treatment decision vary as a function
According to Zeilig et al, this pain affects rehabilitation as it results in a longer period of hospitalization and can decrease functioning in the upper limb (2). It could then be said that if a patient had to suffer from diabetes and a stroke they could be at a greater risk of experiencing neuropathic pain. This type of pain greatly limits treatment and improvement in terms of the patient’s
al. “national and international studies show that the prevalence of chronic pain among elderly people of the community ranges from 29.7% to 89.9%”. Chronic pain is very complex and may be caused by a number of factors. It may occur alongside conditions such as arthritis, diabetes or fibromyalgia. It may occur after an injury or trauma to the body has healed.
The research projects presented in the thesis are the results of my own original work with the guidance from my supervisor and the supervisory committee. The topic for my thesis work came from my interest in optimizing the management of individuals with low back pain (LBP), course work, and from my personal experience as a physical therapist and with my supervisor as a graduate student. The main contribution of this thesis is to optimize healthcare professional practices in chronic LBP management by implementing key components of Chronic Care Model. Identifying the barriers to the delivery of self-management support and the use of PROM scores in clinical practice may help clinicians integrate these two approaches into clinical practice.
In the past, pain was viewed primarily as a sensory experience produced by a nociceptive or neural response associated with tissue injury. To this effect, pain assessment does not need any formal training (Gregory 2000). Later it was discovered that pain also affects every other aspect of individual experiencing it, as well as the family and even the community as it is viewed to be pervasive and poorly treated in hospital setting (Smeltzer and Bare 2004). In USA, three quarter of surgical patients report inadequate relief of acute pain, four in ten people with moderate to severe chronic pain have inadequate relief, more than twenty six million people age 20 – 64 years live with frequent or persistent back pain, one in six suffers from arthritic pain, only 30% of
Pain is often times thought of as a symptom of a disease, such as a tumor or an infection - but sometimes pain is the disease (Moseley, 2011). There are two major types of pain, one being acute pain and the other is known as chronic pain. Both types of pain cause a prodigious cost to the individual experiencing it. For example, pain causes a cost in terms of money such as paying for rehabilitation or losing money due to lost worker productivity, as well the fact that it can play an emotional toll on the individual (AAPM, n.d.). Although they share this characteristic, each type of pain has a different internal cause and effect on the body.
Introduction Pain is a complex experience that may affect ones physical, mental and social health. For many people, it is a major problem that causes suffering and reduces their quality of life (Lewis, 2016). Many people seek medical help because of pain, and effective pain relief is a basic human right (Lewis, 2016). Pain is a common complication after a surgery and pain management is important for a successful recovery.
Another significant aspect for the patient is to develop coping skills and to be able to recognise negative emotions which they will be able to overcome with the correct educating and information. Implementing these changes can effectively help the individual feel more in control of their body with regard to pain they experience. The skills learned through the interventions can empower and enable patients to become active applicant in managing their
For instance, both medical and surgical patients who recalled pain and other traumatic situations while in the ICU had a higher incidence of chronic pain (38%) and PTSD symptoms (27%), and a lower health-related quality of life (21%) (Barr, Fraser, Puntillo, et al. 2013). Inadequate pain assessment can cause longer ICU stays or hospital readmissions. Longer ICU stays are linked to the development of chronic pain. In fact, chronic pain becomes the disease, and impairs quality of life as significant comorbidities in post-ICU patients (Puntilo & Naidu 2016). Poor pain control can result in increased morbidity or mortality.
The Pain Burden Ailments such as arthritis, angina or neuropathic pain are common with older people. These disabilities can cause osteoarthritis or musculoskeletal disorders. The increased burden of pain in turn affects sleep patterns, ability to perform everyday
Further research on alternative methods for pain reduction and management techniques may be able to give some much-needed relief to a mass of individuals, not just a handful of patients (Bresler, 2012). Pain can not only harm individuals with the injury, it can cause harm to everyone around them (Bresler, 2012). No one wants to see their loved ones suffer. Also, patients themselves may damage their own personal relationships because of the extremity of pain and how it can isolate an individual (Bresler,