PSY 446 Lecture Notes - Lecture 9: Gastroenterology, Pediatrics, Amitriptyline
28 Feb 2018
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Acute pain: immediate, going to dissipate over time: e. g. kid who has just had surgery. Chronic pain: 3 6 months, continuously (daily basis) Recurrent pain: 3 6 months, intermittently (comes and goes) 25-30% of children/adolescents experience chronic or recurrent pain. Common types of chronic pain in pediatrics: headaches (migraine, growing pains (muscles, or skeletal issues, babies teething/toothaches, stomachaches/gastrointestinal/abdominal pain, sore throats, pain related to a specific disease, e. g. Sickle cell disorder: procedural pain (pain related to a procedure) Goes to see pediatrician for severe stomach pain: finds no symptom relief, referred to gastroenterologist, referred to behavioral medicine clinic to work with pediatric psychologist. Want to know: when did pain start (onset): 6 months ago, when she had a bad stomach bug, pain scale: 1 10 pain intensity rating, 8/10; most painful before bed. Is there anything making you nervous: she"s a (cid:449)o(cid:396)(cid:396)ie(cid:396), (cid:449)o(cid:396)(cid:396)ies a(cid:271)out s(cid:272)hool, g(cid:396)ades, a(cid:374)d (cid:374)o(cid:449) he(cid:396) pai(cid:374).
