Unformatted text preview: visceral site
– perceived as originating in part of the body wall that is innervated by neurons entering the same segment of the nervous system
– Inflamed gall bladder, but feel in shoulder Psychogenic pain – originating in the mind, not in the body however exhibiting physical symptoms
– Phantom pain from amputation Referred pain
Referred pain Perceived at a site different that it’s origin but innervated at same spinal segment Hypothesized that the same dorsal horn neurons are shared The sites of referred pain are developed embryologically during the same developmental periods Chronic Pain vs. Acute pain Chronic Pain vs. Acute pain CHRONIC Peop
at ris Continuous or intermittent – (6 months or more) Alter Absence of autonomic response Increase irritability (RAAS), depression, somatic preoccupation, withdrawn Decreased sleep, libido (sex drive), appetite Decr
irrita Chronic Pain vs. Acute pain Chronic Pain vs. Acute pain ACUTE Recent onset – Short duration (<6 months) consistent with fight or flight Increased Heart rate, Stroke volume, Blood pressure, pupil dilation, muscle tension, decreased gut & salivary Anxiety Acute or Chronic?
Acute or Acute or Chronic?
Acute Assessment of Pain
Assessment of Pain Objective
HR, I&O, a Subjective
The patien Location Duration Onset, time and incident Alleviating and aggravating factors Type: sharp, dull, shooting, aching Intensity on a pain scale (usually 110) Radiation Pain is subjective...
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- Spring '12