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Recommended: Pain Concept
IASP’s definition of pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (H. Merskey and N. Bogduk 1994). Pain however is much broader and can be further classified by its duration or pathophysiology. Most commonly pain can be classified as acute or chronic. Acute pain is a essential warning sign that helps the host protect itself from a potentially dangerous environment. The unset of acute pain is sudden and it usually accompanied by tissue damage and inflammation. The duration of acute pain is anything that last less than 3 months and subsides when the injury is healed.
Chronic pain is long lasting and does not go away when the tissue injury is healed. It has the possibility of even spreading beyond the original site of the injury. The underlying mechanism is not very well understood. It is essential to understand normal pain processing in order to understand the pathology in more detail. Normal pain processing involves receptors, nerve fibers and action potentials which help to carry the pain stimuli’s from the site of injury, up the afferent nerve, to the dorsal root ganglion which then relays the stimulus to the brain (Benoliel et al, 2012).
There are 4 steps that make up the mechanisms of pain and they include transduction, transmission, modulation and perception. The pain originates in the periphery at the receptors in the end of nerves and can be in the form of heat, cold, mechanical or even chemical pain. The first step is transduction which is when the external stimuli are converted into an electrical impulse in the form of an action potential. Next there is a transmission of the action potential through the afferent neurons to t...
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...as able to remain on the Rotarod was then recorded and compared to baseline, which has been shown to be an effective method for testing motor coordination (Bohlen et al, 2009). To further test the drug’s effect on the rat’s sensory motor coordination the rats were put through an open field test. This was done through using an ANY-maze y shape platform and the number of times the rat reached the center of the maze was recorded
Although the results have not yet been published, the expected finding of the research was that topical medications can reduce neuropathic orofacial pain. In addition, it was expected that the topical medication would show significantly less side effects when compared to systemic medications. The results of this study could propose a new mechanism of action to treat neuropathic orofacial pain which would have significant clinical relevance.
It has been shown that intrathecal administriton of GABA receptor antagonists cause hyperalgesia and allodynia. Constitutive, the increase in the endogenous GABA activity in the spinal cord alleviate pain resulting from noxious and innoxious mechanical and thermal stimuli. Different GABA receptors have different roles in alleviating thermal and mechanical pain in different animal pain models. There is no study to date that has examined the involvement of GABA A and GABA B in sensory dimension of neuropathic pain resulting from compression of spinal cord. The current study tests the hypothesis that GABA A or GABA B receptors contributes to the allodynia and hyperalgesia observed after spinal cord injury. The results showed that the effect of GABA A and GABA B receptors on mechanical hyperalgesia is similar but these receptors have different effects on thermal hyperalgesia. While using baclofen as GABA B receptor agonist does not affect the thermal pain, thermal hyperalgesia resulting from spinal cord injury was greatly alleviated by different doses of GABA A agonist, muscimol. Both Baclofen and muscimol are able to reduce the mechanical and cold allodynia has been seen after spinal cord injury but the effect of baclofen is dose dependent with no effect in higher doses used in this study. While almost all doses of muscimol were used in this study reduce the amount of cold and mechanical allodynia. The other result obtained in this study is the short term effect of GABA agonist. The anitinociceptive effect of Baclofen and muscimol appear to be maxium at 15 min after injection and gradually diminished by time and their analgesic effect disappeared 3 hours after injection.
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
Chronic pain is a long term condition, which means it cannot be cured, but the symptoms may be controlled by therapies and medications (Saxon and Lillyman, 2011). When pain is considered chronic, it lasts longer than the expected healing period and there may not be a clear cause (Kraaimaat and Evers, 2003).
Have you ever wondered why when you stub your toe on the chair in the living room, it helps tremendously to yell out an expletive or two and vigorously rub the area? I may not be able to discuss the basis for such language in this paper, but we will explore the analgesic response to rubbing that toe, in addition to the mechanism of pain and alternative treatments such as acupuncture and transcutaneous electrical nerve stimulation.
"Chronic pain persists despite the fact that the fact the injury has healed. Pain signals remain active in the nervous system for the prolonged or infinite amount of time. Physical effects include tense muscles, limited mobility, lack of energy, and changes in the appetite. Emotional effects include depression, anger, anxiety, and fear of re-injury"(Cleveland Clinic 2013). Chronic pain can develop from multiple common conditions. These can include; instance migraines, diabetes, IBS, fibroids, and endometri...
Patients feel fear not so much from the actual pain but from the lack of control that they feel lying in a dental chair. That creates a lot of anxiousness in some patients, as they don’t feel helpless. Most dentists continue treating all patients in a similarly assuming that they all have similar pain level and will handle the procedure in the same way. Dentists should be mindful of their patient’s level of tolerance and make them aware of the entire procedure ahead of time so that they are able to handle the unexpected situations. They should take time to ensure that the patient feels comfortable at every step. Use of medications and wide array of techniques can help patients eliminate pain and anxiety and making dental visits a pleasant experi...
Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept. Good, 1998, related that there was a balance between analgesia and side effects in which two outcomes can be deduced: (1) a decrease in pain, and (2) a decrease in side effects. These outcomes can be studied further or more detailed concepts can be deduced from them.
The human body has developed a pain response in order to avoid injury. For example, if an individual were to place their hand on a hot oven, the excruciating pain would signal the nervous system to move the hand immediately before experiencing irreversible damage.
Rationale. Pain is one of the most common reasons why individuals seek medical attention in a health care setting. Clarifying the concept of pain will help health care providers provide the best effective care of pain and pain management.
Somatic pain is that in which nociceptors in the cutaneous or deep tissues are activated by noxious stimuli. This is usually characterized by dull, aching pain which is well localized. This type of pain may be commonly experienced by individuals with metastatic bone pain or those who h...
Chronic Pain is described as a long lasting pain that people experience beyond a normal healing time (Hasenbring, Rusu & Turk, 2012). This time is usually up to three or six months prior to an incident (Hasenbring, Rusu & Turk, 2012). Chronic back pain can include common diagnosis of muscle spasms, back strain, or myofasical syndrome (Weiner & Nordin, 2010). There are three different types of chronic back pain; simple musculoskeletal back pain, spinal nerve root pain and serious spinal pathology (Jackson & Simpson, 2006). (Hasenbring, 2012)
In a pain assessment, the pain is always subjective, in a verbal patient; pain is what the patient says that it is. Nurses must be able to recognize non verbal signs of pain such as elevated pulse, elevated blood pressure, grimacing, rocking, guarding, all of which are signs of pain (Jensen, 2011). A patient’s ethnicity may have a major influence on their meaning of pain and how it is evaluated and responded to behaviorally as well as emotionally (Campbell, & Edwards 2012). A patient may not feel that their pain is acceptable and they do not want to show that they are in pain. For some people, showing pain indicates that they are weak. Other patients will hide their pain as they do not want to be seen as a bother or be seen as a difficult patient.
Dendrites are located on either one or both ends of a cell.The peripheral nervous system then takes the sensory information from the outside and sends the messages by virtue of neurotransmitters. Neurotransmitters are chemicals that relay signals through the neural pathways of the spinal cord. The neurotransmitter chemicals are held by tiny membranous sacs located in the synaptic terminals. Synaptic terminals are located at the ends of nerve cells. The release of neurotransmitters from their sacs is stimulated once the electrical nerve impulse has finished travelling along a neuron and reaches the synaptic terminal. Afterward, neurotransmitters travel across synapses thus stimulating the production of an electrical charge that carries the nerve impulse onward. Synapses are junctions between neighboring neurons. This procedure is reiterated until either muscle movement occurs or the brain picks up on a sensory reaction. During this process, messages are being transmitted from one part of the body onto the next. The peripheral and central nervous system are two crucial subdivisions of the nervous system. The brain and spinal cord make up the central nervous
"There is much pain that is quite noiseless; and that make human agonies are often a mere whisper in the of hurrying existence. There are glances of hatred that stab and raise no cry of murder; robberies that leave man of woman for ever beggared of peace and joy, yet kept secret by the sufferer-committed to no sound except that of low moans in the night, seen in no writing except that made on the face by the slow months of suppressed anguish and early morning tears. Many an inherited sorrow that has marred a life has been breathed into no human ear." George Eliot (1819-80), English novelist,editor. Felis Holt, the Radical, Introduction (1866).What is pain? In the American Heritage Dictionary, pain is referred to as "an unpleasant sensation occurring in varying degrees of severity as a consequence of injury, disease, or emotional disorder." The word is rooted in Middle English, from an Old French piene, from Latin poena, meaning "penalty or pain", and from Greek pointe, meaning "penalty." Pain is a very realistic problem that many individuals face daily.