Psych 314 Lecture Notes - March 18th

Psych 314 Lecture Notes - March 18th - The communication of...

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1 The communication of pain in  pediatric dentistry Judith Versloot (PhD) University of British Columbia Department of Psychology
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2 Overview Socio-Communication model of pain Pain Experience Pain Expression Decoding / assessment of pain Research on Toothache and  recognising pain during dental  procedures
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3 Pain Pain: “An unpleasant sensory and  emotional experience associated with  actual or potential tissue damage, or  described in terms of such damage  (International Association for the Study  of Pain, 1994) Poorly recognized, inadequately  assessed, under-estimated, and poorly  controlled
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4 Child: Pain Experience “Pediatric patients seldom need  medication for the relief of pain. They  tolerate discomfort well. The child will  say he does not feel well or that he is  uncomfortable, that he wants his  parents but often he will not relate this  unhappiness to pain” (1968)
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5 Mismanagement of Pain Vulnerable populations (communication  challenged): Infants and young children People with intellectual disabilities  Down syndrome The elderly with dementia People on ventilation or the terminally ill Misconceptions Addiction Overdose
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6 Hours of formal pain teaching  in Health Science Programs Two-thirds of Health Science Programs could  not specify designated time for formal pain  teaching in curricula for students prior to  being licensed The average total hours per discipline varied  from 13 to 41 (0-109) All Veterinary respondents identified  mandatory designated formal pain content  hours (87) and specific goals  (Watt-Watson, IASP 2008)
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7 The World of a Person in Pain A Socio-communications Model
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8 Pain Experience (thoughts, feelings, sensations) Pain Expression (self-report, nonverbal display, physiological reactivity Assessment or Attribution of Pain (decoding) Action Dispositions CAREGIVER PERSON Biological substrates Personal History Motor programs Sensitivity Knowledge, Attitudes (biases) Tissue Trauma (real or perceived) Context, social and physical Social display rules Relationship (pharmacological, cognitive/ behavioural, environmental) Craig et al., 1996 The World of a Person in Pain: A Sociocommunications Model
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9 Tissue Trauma (real or Perceived) Pain Expression (self-report, nonverbal display, physiological reactivity Assessment or Attribution of Pain (decoding) Action Dispositions CAREGIVER PERSON Biological substrates Personal History Motor programs Sensitivity Knowledge, Attitudes (biases) Context, social and physical Social display rules Relationship (pharmacological, cognitive/ behavioural, environmental) (thoughts, feelings, sensations ) Pain Experience
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10 Risk Factors:  increased pain experience Thoughts: Destructive thinking Catastrophizing: Magnification, rumination, 
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This note was uploaded on 05/09/2009 for the course PSYC 314 taught by Professor Versloot during the Spring '09 term at UBC.

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Psych 314 Lecture Notes - March 18th - The communication of...

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