Professional Documents
Culture Documents
Paeds Chronic Pain Inservice 2016
Paeds Chronic Pain Inservice 2016
Definition
Musculoske
letal pain
Cancer pain
Juvenile
fibromyalgi
a syndrome
Juvenile
idiopathic
arthritis
Complex
regional
pain
syndrome
Physical
function
School
participati
on
Social
interaction
Pai
n
Psychologi
cal
function
Family life
Terminology
Nocicepti
ve pain
Neuropat
hic pain
Acute
tissue
injury
Activation
of
nociceptor
s
Signal
transmissi
on by
nociceptive
pathways
Sensitisati
on of
nociceptive
pathways
Central
nervous
system
sensitisatio
n
Augmented
,
persistent,
widesprea
d
inflammat
ory pain
Models of pain
Biomedical model
Biopsychosocial model
Cognitive-behavioural model
Pain
Functional
limitations
Maladaptive
beliefs/behav
iours
Distress
Biopsychosocial model
Gatchel, 2004
Biopsychosocial model
Predictors of pain
Maladaptive coping mechanisms
Catastrophizing
Anxiety
Depression
Perceived failure
Pain Assessment
Pain assessment
Evaluate primary sources of pain
Comprehensive history - Psychological factors
- Family
- School environment
- Culture
Infant
5-7 years
Chronic pain
management
Management
Child-focused
Holistic
Optimise biological impairments treat the physical source of pain (if any)
Resolve any underlying psychological contributors to pain/pain-related
disability
Improve function
Non-pharmacological Strategies
Physiotherapy
Cognitive behavioural therapy
Mindfulness
Distraction
Guided imagery
Relaxation training
Hypnosis
Biofeedback
CBT
Problem solving
skills
Pacing
strategies
Distraction
Cognitive
restructuring
techniques
Relaxation
Guided imagery
Mindfulness
the awareness that emerges through paying
attention on purpose, in the present moment, and
non-judgmentally to the unfolding of experiences
moment by moment
Graded
activity
Relaxatio
n
Exercise
therapy
Physiother
Physiother
apy
apy
Problem
solving
strategies
Distractio
n
Desensitiza
Desensitiza
tion