Chronic Pain Management by Carol Banks, Karen MacKrodt

By Carol Banks, Karen MacKrodt

This booklet introduces the reader to the complexities and administration of chronic/persistent discomfort. continual ache impacts one in seven within the united kingdom inhabitants and will be skilled as a symptom of sickness or trauma yet may also exist with no the presence of both of those. this can be aimed toward non-specialist operating in all components of future health care who need to know extra approximately this complicated problem.

This ebook starts off by means of exploring versions of care and introduces the reader to the biopsychosocial version prior to occurring to provide an explanation for the body structure of ache. additional chapters discover the snuffer's adventure, the appraisal of ache, and boundaries to potent soreness administration and remedy suggestions.

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Example text

For a few days after each surgical intervention AD was pain free. However, within days the pain had returned. AD describes these initial months as the ‘start of a long road of despair, as I could not accept what had gone wrong’. AD then embarked on a process of trying to find pain relief. He received monthly epidurals, midazolam spinal injections and finally, in 1998, a spinal-cord stimulator was implanted following comprehensive physical and psychological assessment. At the same time as receiving all these he Models of health and illness 9 was being prescribed a range of pharmaceutical interventions among which were amitriptyline, morphine sulphate, carbamazepine and tramadol.

Two years after the birth of her second child she bent over and pulled out a bed, hurting her lower back. This initial pain eased over time but returned 6 months later. A cyclical pattern developed where JAS was in some pain, although not excruciating pain, but was then in severe pain for a period of time. The medications she took included co-proxamol, co-dydramol and diazepam and, at the time we met, she had also been on antidepressants for a number of months. The time between the pain developing and our meeting was approximately 3 years.

Failure to consider a prolonged experience of pain from a multidimensional perspective is likely to lead into a well-documented process of doctor shopping, high medication use, decreased psychological control and coping, increasing use of intrusive interventions, and an inevitable and predictable decline in psychological and social wellbeing. Gallagher argues that using the biopsychosocial model enables the clinician to take an analytic approach. This is then used to elucidate the relevant information, organize it categorically and reach a workable formulation/hypothesis.

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