Question 1

Intervention that is multidisciplinary is more effective than monodisciplinary management for the patient with chronic pain.What is the MOST effective decision regarding the structuring of the team?&#10;A)A psychologist should always be the team leader.&#10;B)As many disciplines as possible should be involved on the team.&#10;C)Physical therapy is the most important discipline on the team.&#10;D)The patient should be involved in the structuring of the team.

Accepted Answer

Involving the patient in the structuring of the team is the most effective decision, as it allows for personalized care that takes into account the patient's unique needs and preferences. This approach also increases patient satisfaction and adherence to treatment, which can lead to better outcomes. While each discipline on the team is important, the patient's input should be prioritized in order to ensure the best possible care.

Question 2

A patient is referred for management of chronic pain in the thoracic region.Several factors have been identified as contributing to the condition,including lack of exercise,diagnosis of depression,and older age.Treatment of which of the following factors should be the priority goal of physical therapy management?

A)Encouragement of self-management,including increase in exercise
B)Release of intra-articular adhesions in the thoracic region and improved mobility
C)Referral to a psychologist for the treatment of depression
D)Referral to a pain management clinic for steroid injections

A

Accepted Answer

Lack of exercise has been identified as a contributing factor to the patient's chronic pain in the thoracic region. Therefore, the priority goal of physical therapy management should be to encourage self-management, including an increase in exercise, to address this underlying issue. Referral to a psychologist or pain management clinic may also be helpful, but without addressing the lack of exercise, the patient's chronic pain may continue. Releasing intra-articular adhesions may also be helpful, but this would be a secondary goal if lack of exercise is identified as the primary contributing factor.

Question 3

What is the primary goal in a physical therapy assessment of a patient with chronic pain?&#10;A)Assessing for yellow flags that need to be addressed urgently in the plan of care&#10;B)Identifying biological,psychological,and social factors that may contribute to the patient's experience of chronic pain&#10;C)Assessing and addressing functional limitations associated with chronic pain&#10;D)Evaluating body structures and functions that may contribute to chronic pain

Accepted Answer

Chronic pain is a complex experience that involves biological, psychological and social factors. Therefore, the primary goal of a physical therapy assessment of a patient with chronic pain is to identify these factors that may contribute to the patient's experience of chronic pain. This will help the physical therapist to develop an individualized plan of care that addresses not only the patient's physical impairments but also their psychological and social needs. Assessing for yellow flags (A) and evaluating body structures and functions (D) are important components of the assessment, but they are not the primary goal. Addressing functional limitations (C) is an important aspect of the plan of care but does not capture the full scope of factors that need to be addressed in patients with chronic pain.

Question 4

Which of the following BEST represents the goal of medical management in chronic pain?&#10;A)Assessment and treatment of body structures,body functions,and participation in life activities&#10;B)Assessment and treatment for appropriate pharmaceutical treatment of pain&#10;C)Assessment of appropriateness for surgical treatment and other interventional strategies&#10;D)Assessment of appropriate referral to other disciplines

Accepted Answer

The goal of medical management in chronic pain is not just to manage the pain itself, but to assess and treat the underlying body structures, body functions, and participation in life activities that may be contributing to the pain. This approach is known as a biopsychosocial model and is considered the gold standard for chronic pain management. B, C, and D are also important considerations in chronic pain management, but none of them alone fully encompasses the comprehensive approach of the biopsychosocial model.

Question 5

Which of the following definitions BEST reflects the patient experience of chronic pain?&#10;A)Pain that persists past the healing phase following an injury with impairment greater than anticipated in the absence of observed tissue injury or damage&#10;B)Pain that persists for a period of time exceeding 12 months&#10;C)Long-lasting pain of sufficient duration and intensity,adversely affecting a patient's function and quality of life&#10;D)Pain that is predominantly psychological or psychosomatic in origin

Accepted Answer

The answer of Which of the following definitions BEST reflects...

Question 6

What societal groups are MORE likely to experience chronic pain?&#10;A)People who have sustained serious injuries that are prolonged in healing time&#10;B)People who have traditionally been passive in their approach to their own health care&#10;C)People in jobs that are associated with high stress levels&#10;D)Older adults,women,people with past traumatic experiences,and people with a history of mental illness

Accepted Answer

Older adults, women, people with past traumatic experiences, and people with a history of mental illness are more likely to experience chronic pain. Research has shown that these factors can contribute to a greater likelihood of developing chronic pain due to a range of physiological, psychological, and social factors. For example, women are more likely to experience chronic pain due in part to hormonal and genetic factors, while older adults may experience age-related changes in the body that can lead to chronic pain. People with a history of mental illness or past traumatic experiences may also be more susceptible to developing chronic pain due to the impact of stress and emotional factors on the body.

Deck 25: Chronic Pain