This presentation is for counselors who treat consumers with chronic pain

1. Terri A. Lewis SIU-Carbondale, REHB Institute [email_address]

4. Pain - an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage . Acute pain - pain that terminates or eases when conditions of illness terminate or surgical interventions heal, generally does not persist for more than a few days, even if it recurs. Chronic pain - a state in which pain persists beyond the usual course of an acute disease or healing of an injury - may or may not be associated with an acute or chronic pathologic process, persists for three to six months or more beyond the onset of an illness or recovery from healing of surgical procedures or trauma Breakthrough pain - pain that acutely elevates in response to known or unknown stressors or reductions in medication levels between available dosages.

10. The chronic pain experience may be seen as the result of a dynamic interaction between pathophysiological, psychosocial, social, and treatment (or prolonged lack of treatment) variables.

12. Acute pain usually resolves within 3 months Chronic pain is still present at 3 mos post onset, hardened by 6 mos