Ebook Manual of neurologic therapeutics (7/E): Part 2
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Ebook Manual of neurologic therapeutics (7/E): Part 2
p.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■Defin Ebook Manual of neurologic therapeutics (7/E): Part 2nitions•Pain 1$ an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described In terms of such damage.•Chronic pain IS described as pain continuing after the time of normal healing or pain present for more than 6 months.•Other useful terms, especially Ebook Manual of neurologic therapeutics (7/E): Part 2In cancer pain:o Breakthrough pain Is pain that occurs unexpectedly in the presence of stable background analgesia.o End-of-dose failure is pain thatEbook Manual of neurologic therapeutics (7/E): Part 2
occurs between regular doses of analgesic due to decreasing effective tissue levels between doses.o Incident pain is pain on movement and implies a mup.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■Defin Ebook Manual of neurologic therapeutics (7/E): Part 2physicians have chronic pain.•Chronic pain increases with age from 20 to 60. It probably reaches a plateau and declines from age 80.•About 5056 of patients with cancer will experience pain at some stage of their disease, with 6056 to 8056 of patients experiencing pain In the advanced stages of their Ebook Manual of neurologic therapeutics (7/E): Part 2 disease.•Annual costs of pain treatment both direct and indirect is estimated to be $125 billion in the United States.The Biopsychosocial Model of ChEbook Manual of neurologic therapeutics (7/E): Part 2
ronic Nonmalignant Pain•The relationship between the amount of nociceptive stimulus and the pain reported or the pain behaviors exhibited are dependenp.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■Defin Ebook Manual of neurologic therapeutics (7/E): Part 2are mediated by the cognitive appraisal of the nociceptive stimulus and Its environmental variables.•Changes in the pain experienced, the mood of the patient, and the behaviors exhibited by the patient is often not synchronous. An improvement in pain Is not always followed by a similar improvement i Ebook Manual of neurologic therapeutics (7/E): Part 2n mood and function.•Management of the chronic pain syndrome frequently requires the treating physician to be aware of the multidimensional nature ofEbook Manual of neurologic therapeutics (7/E): Part 2
the pain experience and to adjust treatments accordingly.ClassificationPain can be classified by its pathogenetic mechanism.•Nociceptive pain: Caused p.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■Defin Ebook Manual of neurologic therapeutics (7/E): Part 2ropathy and back pain.p.320•specially those associated with nociceptors; for example post surgical injury, post herpetic neuralgia, diabetic neuropathy, neuroma, nerve root irritation, phantom limb pain, neuralgias and causalgia, complex regional pain syndrome type 2 (CRPS2).o Central neuropathic pa Ebook Manual of neurologic therapeutics (7/E): Part 2in occurs when there is involvement of the central neuraxis involved in the transmission of nociceptive stimuli; for example, stroke, syringomyelia, aEbook Manual of neurologic therapeutics (7/E): Part 2
nd multiple sclerosis.•Psychological: Examples are found in Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition IDSM-IV). The most cp.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■Definp.31910Chronic PainRobert D. HelmeIan Yi-Onn Leong•BACKGROUND•PATHOPHYSIOLOGY•PROGNOSIS•DIAGNOSIS•TREATMENTBACKGROUNDPart of '10 • Chronic Pain ■DefinGọi ngay
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