Pain management and occupational therapy

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Pain management and occupational therapy

  1. 1. OUTLINE • • • • • • • Definition of pain Types of pain Definition of pain management Pain management team Clinical conditions Assessment Intervention MOHSEN ESLAMPANAH USW R 2
  2. 2. 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 3
  3. 3. TYPES OF PAIN Acute Chronic MOHSEN ESLAMPANAH USW R 4
  4. 4. DEFINITION OF PAIN MANAGEMENT • • • MOHSEN ESLAMPANAH USW R 5
  5. 5. MOHSEN ESLAMPANAH USW R 6
  6. 6. 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 MOHSEN ESLAMPANAH USW R 7
  7. 7. 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 8
  8. 8. 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 9
  9. 9. ACTICITY TELORANCE • • • • MOHSEN ESLAMPANAH USW R 10
  10. 10. BODY MECHANICS AND POSTURE TRAINING • • MOHSEN ESLAMPANAH USW R 11
  11. 11. ENERGY CONSERVATION,PACING AND JOINT PROTECTION • • MOHSEN ESLAMPANAH USW R 12
  12. 12. SPLINTING • Static resting splints CRPS • • MOHSEN ESLAMPANAH USW R 13
  13. 13. ADAPTIVE EQUIPMENT • Back support • Occupation MOHSEN ESLAMPANAH USW R 14
  14. 14. RELAXATION • • MOHSEN ESLAMPANAH USW R 15
  15. 15. THERAPEUTIC MODALITIES • • • • MOHSEN ESLAMPANAH USW R 16
  16. 16. REFERENCES MOHSEN ESLAMPANAH USW R 17

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