Pain Basics
Coping Skills
Communication and Potpourri
Misc
Impact of Pain on your life
100
This type of pain is caused by local damage to non-neural tissue (ligaments, muscle, bone etc.) and is often due to the unusual demands that SCI places on the upper limbs
What is Nociceptive or musculoskeletal pain?
100
The Relaxation Response is the same as feeling relaxed? True or False
What is false!
100
Family members reported feeling this way when they can't take your pain away.
What is helpless?
100
One of the following factors is the worst thing you can do to your sleep A. consume caffeine B. take a nap C.consume alcohol
What is take a nap?
100
Don is prescribed opioid medication for his chronic pain. He finds that over time, more medication is needed to get the same effect. What is he experiencing?
What is tolerance?
200
Pain that persists longer than 90 days is generally considered to be ________ pain.
What is chronic?
200
Which of the following is not a short term effect of the relaxation response? A. Lowered Heart Rate B. Lowered Breathing C. Decreased Anxiety and Depression
What is Decreased Anxiety and Depression?
200
Which of these is not an assertiveness style we learned in this program: a) passive b) aggressive c) passive-aggressive d) assertive e) submissive
What is submissive?
200
Over the past 20 years, this is found to be the best single tx for chronic pain; doesn’t work for everyone, but works for the greatest number of people
What is relaxation?
200
Don loves to watch Netflix on his iPad in bed before he goes to sleep. However, it takes him 60 minutes to fall asleep after he stops watching. What might he do to fall asleep sooner?
What is read a book or listen to relaxing music rather than watch TV or Netflix?
300
This type of pain arising as a direct consequence of a lesion or disease affecting the somatosensory system and is experienced by 40% of people with SCI.
What is neuropathic pain?
300
Bob notices that he holds his breath when he is anticipating pain or experiencing pain? What could help him feel better?
What is a. Stop and pause b. Take a slow, deep breath from his diaphragm. c. Focus on what he is doing and how he is feeling in that moment.
300
The advantages of this type of assertiveness style include: confidence shown, personal integrity and strength; increased self-esteem; and prevent and resolve problems
What is assertive?
300
To maintain a reasonable and consistent schedule of activity is to _____________ yourself.
What is pace?
300
Ralph wakes up in the middle of night and cannot get back to sleep within 15-20 minutes should he a). remain in bed trying hard to sleep b). get up and watch television c). get out of bed and do some quiet activity
What is get out of bed and do some quiet activity?
400
Chronic pain is an on-going complication for _____% of patients with spinal cord injuries (SCI) A. 45-63% B. 65-85% C. 20-40%
What is 65-85%?
400
If you want to change how you feel, you should change __________.
What is thoughts and behaviors?
400
Brett can't seem to achieve the relaxation response because his muscles are always tense! What advice would you give him?
What is try a different type of relaxation exercise, minimize distractions, add music, and keep trying!
400
Mike's goal for SCI Pain MILO is "To improve my pain management." How can you make this better using the SMART goal setting method?
What is "To improve my pain management by using my relaxation skills twice a day before my pain level intensifies over the next month?"
400
This occurs when you do not process or notice your pain.
What is distraction or not attending?
500
To understand pain, the biopsychosocial model says we need to take into account the three various factors or ways pain affects your life.
What is physical, mental, and social factors?
500
Anne is experiencing a type of catatrophizing cognitive distortion in which she tells herself: “I can’t do anything because of my pain” How can she change her thought to feel better?
What is “although my pain is bad, I can still do some things”?
500
This is a communication related stress management technique.
What is utilizing social support or connecting with someone supportive?
500
This can develop with regular use of opioids, resulting in an increased baseline level of pain.
What is hyperalgesia?
500
You learned about the gate control theory of chronic pain in which there is a type of "gate" in the spinal cord that can open and close, based upon the input from the brain and the body. What can you do to close the gate?
What Is: a. Physical--medications, surgery, decreased muscle tension, activity pacing b. Cognitive--distraction, thoughts of control over pain, beliefs that pain is predictable and manageable c. Emotions--emotional stability, relaxation & calm, positive mood d. Social--support from others, reasonable family involvement, encouragement from others to maintain moderate activity