PSYC 3170 Lecture Notes - Lecture 12: American Pain Society, Chronic Pain, Epidural Administration
13 Dec 2017
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Synovectomy removal of inflamed membranes in arthritic joints. Patient not asking for meds: conventional methods for administering pain medications, pills or injections. Administered on a prescribed schedule or as needed (prn: epidural block injection near the spinal cord, patientcontrolled analgesia. Although physicians have been concerned about abuse potential, patients actually decrease medication when given control. Chronic headache patients use maladaptive coping strategies to deal with stressors. Arthritis patients with feelings of helplessness before drug treatment report poor treatment results. Great deal of variability in range of improvements (17-94%): other psychological factors play a role in pain reduction. Placebo conditions more effective than simply monitoring headache pain. Massage therapy over time can reduce pain. Redefinition found to be more effective in relieving chronic pain than distraction in studies on arthritis, amputation, and spinal cord injury: programs combining behavioral and cognitive methods as effective as chemical methods in reducing pain.
