Preventing Chronic Pain: A Human Systems Approach

Start Date: 08/18/2019

Course Type: Common Course

Course Link:

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Course Syllabus

In this first module, we will introduce you to the course and present an overview of the topics to be discussed and format of the course. We will also present information about receiving Continuing Education, joining the International Myopain Society, and supporting the Campaign for Preventing Chronic Pain

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Course Introduction

Chronic pain is at epidemic levels and has become the highest-cost condition in health care. This co

Course Tag

Chronic Pain Management Plan Pain Management Opiod Addiction And Abuse Treatment

Related Wiki Topic

Article Example
Chronic pain The suggested ICD-11 chronic pain classification suggests 7 categories for chronic pain.
Chronic pain A systematic literature review of chronic pain found that the prevalence of chronic pain varied studies in various countries from 10.1% to 55.2% of the population, affected women at a higher rate than men, and that chronic pain consumes a large amount of healthcare resources around the globe.
Chronic pain Chronic pain is pain that lasts a long time. In medicine, the distinction between acute and chronic pain is sometimes determined by an arbitrary interval of time since onset; the two most commonly used markers being 3 months and 6 months since onset, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply "acute" to pain that lasts less than 30 days, "chronic" to pain of more than six months duration, and "subacute" to pain that lasts from one to six months. A popular alternative definition of "chronic pain", involving no arbitrarily fixed duration, is "pain that extends beyond the expected period of healing". Epidemiological studies have found that 10.1% to 55.2% of people in various countries have chronic pain.
Chronic pain Severe chronic pain is associated with increased 10 year mortality, particularly from heart disease and respiratory disease. People with chronic pain tend to have higher rates of depression, anxiety, sleep disturbances, and neuroticism; these are correlations and it is often not clear which factor causes another. Chronic pain may contribute to decreased physical activity due to fear of exacerbating pain, often resulting in weight gain. Pain intensity, pain control, and resiliency to pain are influenced by different levels and types of social support that a person with chronic pain receives.
Chronic pain In the United States, the prevalence of chronic pain has been estimated to be approximately 35%, with approximately 50 million Americans experiencing partial or total disability as a consequence. According to the Institute of Medicine, there are about 116 million Americans living with chronic pain, which suggests that approximately half of American adults have some chronic pain condition. The Mayday Fund estimate of 70 million Americans with chronic pain is slightly more conservative. In an internet study, the prevalence of chronic pain in the United States was calculated to be 30.7% of the population: 34.3% for women and 26.7% for men.
Chronic pain The International Association for the study of pain defines chronic pain as pain with no biological value, that persists past normal tissue healing. The DSM-5 recognizes one chronic pain disorder, somatic symptom disorders, a reduction from the three previously recognized pain disorders. The criteria include it lasting for greater than six month.
Chronic pain Pain management is the branch of medicine employing an interdisciplinary approach to the relief of pain and improvement in the quality of life of those living with pain. The typical pain management team includes medical practitioners (particularly anesthesiologists), clinical psychologists, physiotherapists, occupational therapists, physician assistants, and nurse practitioners. Acute pain usually resolves with the efforts of one practitioner; however, the management of chronic pain frequently requires the coordinated efforts of the treatment team.
Chronic wound pain Three types of nociceptive pain are experienced with chronic wounds; "cyclic acute wound pain", "non cyclic acute wound pain", and "chronic wound pain". Cyclic acute wound pain may be experienced in conjunction with chronic wound pain and occurs during regular routines such as dressing changes or repositioning. Noncyclic acute wound pain is intermittent and usually occurs during procedures such as sharp debridement. Chronic wound pain is described as acute or chronic. Acute pain is nociceptive pain that serves as a warning to prevent mechanical, chemical, and thermal injuries. Acute pain is relieved when the damaging source is reduced. Chronic pain has physical and emotional components and is rarely an indication of ongoing damage.
Chronic pain Medical Marijuana has been used and identified as a treatment for chronic pain
Preventing Chronic Disease Preventing Chronic Disease is a peer-reviewed open access medical journal established by the National Center for Chronic Disease Prevention and Health Promotion (Centers for Disease Control and Prevention), covering research on all aspects of chronic diseases.
Chronic pain Self-esteem, often low in people with chronic pain, also shows striking improvement once pain has resolved.
Chronic pain Chronic pain is associated with higher rates of depression and anxiety. Sleep disturbance, and insomnia due to medication and illness symptoms are often experienced by those with chronic pain. Chronic pain may contribute to decreased physical activity due to fear of exacerbating pain, often resulting in weight gain. Such comorbid disorders can be very difficult to treat due to the high potential of medication interactions, especially when the conditions are treated by different doctors.
Chronic pain Chronic pain may originate in the body, or in the brain or spinal cord. It is difficult to treat, and is often handled by a pain management team. Some people with chronic pain benefit from opioid treatment and others do not; some are harmed by the treatment. Various nonopioid medicines are also used, depending on whether the pain originates from tissue damage or is neuropathic. Psychological treatments including cognitive behavioral therapy and acceptance and commitment therapy have been shown effective for improving quality of life in those with chronic pain.
Chronic wound pain The pain experienced by individuals with chronic wounds can be acute or chronic. Acute wound pain is intermittent and exacerbated by manipulation of the wound during procedures such as dressing changes or debridement. Chronic wound pain is present for six months or more and occurs without any manipulation of the wound. Chronic wound pain is persistent and exists at rest.
Chronic prostatitis/chronic pelvic pain syndrome Chronic nonbacterial prostatitis or chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a pelvic pain condition in men, and should be distinguished from other forms of prostatitis such as chronic bacterial prostatitis and acute bacterial prostatitis. This condition was formerly known as prostatodynia (painful prostate). CP/CPPS and interstitial cystitis are sometimes referred to jointly as "UCPPS" (urologic chronic pelvic pain syndrome).
Chronic pain Some investigators have argued that it is this neuroticism that causes acute pain to turn chronic, but clinical evidence points the other way, to chronic pain causing neuroticism. When long term pain is relieved by therapeutic intervention, scores on the neurotic triad and anxiety fall, often to normal levels.
Childhood chronic pain In a study of patients at a paediatric pain clinic, researchers found that chronic pain had a significant negative impact on quality of life. Depression was also prevalent, and was correlated with functional disability. Additionally, psychosocial adjustment is a better predictor of school attendance than pain severity, which suggests that it is an important variable in examining outcomes of children with chronic pain. The psychological consequences of chronic pain may be exacerbated with the stigma associated with it. Many people do not typically associate chronic pain with children, and so may minimize or dismiss its impact.
Childhood chronic pain Childhood chronic pain affects at least 5% of the population under the age of 18, according to conservative epidemiological studies. Rates of paediatric chronic pain have also increased in the past 20 years. While chronic pain conditions vary significantly in severity, they often affect children's mental health, academic performance, and general quality of life. The outcomes of childhood chronic pain are affected by a number of factors, including demographic factors, genetics, and school and family support.
Chronic pain Chronic pain's impact on cognition is an under-researched area, but several tentative conclusions have been published. Most people with chronic pain complain of cognitive impairment, such as forgetfulness, difficulty with attention, and difficulty completing tasks. Objective testing has found that people in chronic pain tend to experience impairment in attention, memory, mental flexibility, verbal ability, speed of response in a cognitive task, and speed in executing structured tasks.
Chronic pain Dopaminergic dysfunction has been hypothesized to act as a shared mechanism between chronic pain, insomnia and major depressive disorder. Increased tonic dopamine activity and a compensatory decrease in phasic dopamine activity, which is important in inhibiting pain. This is supported by the implication of COMT in fibromyalgia and temporomandibular joint syndrome. Astrocytes, microglia, and Satellite glial cells have been found to be dysfunctional in chronic pain. Increased activity of microglia, alterations of microglial networks as well as increased production of chemokines and cytokines by microglia are proposed to act to potentiate pain. Astrocytes have been observed to lose their ability to regulate the excitability of neurons, increasing spontaneous neural activity in pain circuits.