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OUTLINE
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Definition of pain
Types of pain
Definition of pain management
Pain management team
Clinical conditions
Assessment
Intervention

MOHSEN ESLAMPANAH USW R

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DEFINITION OF PAIN
an unpleasant sensory and emotional experience, which we primarily
associated with tissue damage or describe in terms of such damage, or Both.
International Association for the Study of Pain (IASP)

MOHSEN ESLAMPANAH USW R

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TYPES OF PAIN
Acute

Chronic

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DEFINITION OF PAIN MANAGEMENT
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CLINICAL CONDITIONS
1. Migraine, tension or mixed headache
2. Musculoskeletal pains (e.g low back pain, arthritis)
3. Pain associated with burns

4. Pain in progressive disease, terminal illness (cancer)
5. Pain associated with neurological conditions
6. Complex regional pain syndrome, myofascial pain syndrome, fibryomyalgia
7. Phantom limb pain

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ASSESSMENT
• Physical = > pain area, pain rating, triggers , location, spatial
distribution, and symptomotology

• Cognitive and behavioral => numbers of doctor visits and

hospitalizations, drug usage, and verbal and nonverbal behaviors

• Affective or emotional => depression and anxiety
• Functional =>uptime, disability, and productivity
• Economic => costs and lost workdays
• Sociocultural => independence, productive

family, involvement, quality of life, and patient goals

MOHSEN ESLAMPANAH USW R

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Medication

Activity tolerance

Body mechanics and
posture training

Energy
conservation,pacing
and joint protection

Splinting

Adaptive equipment

Relaxation

Biofeedback

Distraction

Theraputic modalities

Transcutaneous
electrical nerve
stimulation

Relapse management

21 December 2013

Mohsen Eslampanah USWR

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ACTICITY TELORANCE
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BODY MECHANICS AND POSTURE TRAINING
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ENERGY CONSERVATION,PACING AND JOINT PROTECTION
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SPLINTING
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Static resting splints CRPS

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ADAPTIVE EQUIPMENT
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Back support

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Occupation

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RELAXATION
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THERAPEUTIC MODALITIES
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REFERENCES

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Pain management and occupational therapy