MEDI7212 Lecture Notes - Lecture 2: Inositol, Serum Protein Electrophoresis, Weight Loss
Document Summary
Chronic pain: brief period, peripheral processes, adaptive, evolving process of illness and healing, treatment focus on the injured part, curative, resume normal life. Focus on disease & symptoms: passive patient, plan short term, hands on treatment, rest, prn regimes, resume normal life. Sleep: appetite, git ileus, constipation, urinary retention, cardiac or respiratory dysfunction, endocrine dysfunction, tension, energy, strength, movement. Complications: continuous process, no end (>3 months, central processes, maladaptive, physically stable, rehabilitation focus on whole person. Focus on functioning: active patient, plan long term, hands off counselling, activity, regular regimes, retraining, adjustment to new life. Physiological: central sensitization, disuse atrophy/ deconditioning, medication side effects. Psychological: mood - depression, anxiety, irritability, cognitive - attention, concentration, memory. Self - image, identity, sense of worth, sense of control, independence, optimism, confidence, trust: note: chronic pain causes shrinkage of brain. Social: occupational - employment, income, finance, third party - litigation, insurance, relationships - family, friends, activities - family, social, interests, mobility.
