Question 1

In working with Catalina,the occupational therapist should ensure that she takes her pain medications at least 30 minutes before the therapy session to promote maximal participation.Interventions include which of the following?

A) Instruction to bend from the waist when picking up heavy objects
B) Teaching her tasks and positions that move her body out of balance to challenge the low back muscles
C) Energy conservation and pacing during activities of daily living and instrumental activities of daily living
D) Use of a front-wheeled walker

C

Accepted Answer

Pain management is crucial for optimal participation in therapy sessions. Energy conservation and pacing techniques can also help manage pain by avoiding fatigue and overexertion. Teaching tasks and positions that move the body out of balance and instructing to bend from the waist when picking up heavy objects may actually exacerbate Catalina's pain and are not recommended. Use of a front-wheeled walker may be appropriate for Catalina if she has difficulty with balance, but it is not directly related to pain management.

Question 2

What assessments are appropriate for an occupational therapist to use with clients,such as Catalina,who report pain?&#10;A) Visual analog scale&#10;B) Occupational profile&#10;C) Numeric pain intensity scale&#10;D) Activity diaries&#10;E) All of the above

Accepted Answer

All of the options listed are appropriate assessments for occupational therapists to use with clients who report pain. The visual analog scale and numeric pain intensity scale are commonly used to measure pain levels. The occupational profile can provide insight into the client's daily activities and routines that may be contributing to their pain, while activity diaries can help track pain levels in relation to specific activities. Using all of these assessments together can provide a comprehensive understanding of the client's pain and help guide treatment planning.

Question 3

What are the four distinct domains of the biopsychosocial model of pain?&#10;A) Nonmalignancy, trauma, disease, and fear&#10;B) Muscular weakness, noxious stimuli, nervous system syndrome, and chronic illness&#10;C) Nociception, pain, suffering, and pain behavior&#10;D) Arthritis, fibromyalgia, cancer, and headaches

Accepted Answer

The four distinct domains of the biopsychosocial model of pain are nociception (the physiological process of detecting noxious stimuli), pain (the subjective experience of an unpleasant sensation), suffering (the emotional response to pain), and pain behavior (observable behaviors related to pain, such as limping or grimacing). Option A and D are incorrect as they do not represent the domains of the model. Option B seems to mix different concepts related to pain, which is not consistent with the biopsychosocial model.

Question 4

Which of the following best defines pain?&#10;A) An objective experience that is either acute or chronic&#10;B) An unpleasant sensory and emotional experience, usually associated with actual or potential tissue damage&#10;C) A physical disability with an emotional component&#10;D) A negative sensation that always disrupts normal occupations&#10;E) All of the above

Accepted Answer

Pain is commonly defined as an unpleasant sensory and emotional experience that is typically associated with tissue damage or has the potential for tissue damage to occur. This definition captures both the physical and emotional aspects of pain, as the experience includes both sensory perceptions and emotional responses. Other options do not fully capture the multifaceted nature of pain.

Question 5

Catalina's story was used as the case study in the evaluation and pain management chapter.Approximately 5 months before being evaluated by the occupational therapist,she sustained a lumbar strain after catching a heavy weight while working.She reports nearly constant severe pain.She has not returned to work and describes her lifestyle as sedentary.When the occupational therapy evaluation occurred,her pain could be described as _____________.

A) Acute, because it served a biological purpose that signaled the need for immobilization and bed rest.
B) An arthritic spine condition caused by degenerative joint disease characterized by progressive joint swelling and aching.
C) A central pain syndrome caused by damage to the central nervous system
D) Chronic pain because it was not amenable to routine methods of pain control and was negatively affecting her occupational performance

Accepted Answer

Catalina's pain has been ongoing for 5 months and is described as nearly constant severe pain that has prevented her from returning to work and living a sedentary lifestyle. This indicates that her pain is chronic and not amenable to routine methods of pain control, which is consistent with choice D.

Deck 30: Evaluation and Pain Management