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manual [2024/08/21 18:25] – [4. Appendices] ronimanual [2024/10/16 16:16] (current) – [Application of IEMT Techniques to Pain Management] andrewtaustin
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   * **Neuropathic Pain**: This type of pain is a result of damage to the nervous system itself, which can alter pain perception. It might be experienced as a burning, shooting, or stabbing sensation.   * **Neuropathic Pain**: This type of pain is a result of damage to the nervous system itself, which can alter pain perception. It might be experienced as a burning, shooting, or stabbing sensation.
  
 +{{ :pain-classification.png?900 |}}
 ===== Transmission of Pain Signals ===== ===== Transmission of Pain Signals =====
  
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   * **Modulation**: At the spinal cord, neurotransmitters can either amplify or dampen the pain signal.   * **Modulation**: At the spinal cord, neurotransmitters can either amplify or dampen the pain signal.
   * **Perception**: The brain interprets these signals as pain, influenced by both physical and psychological factors.   * **Perception**: The brain interprets these signals as pain, influenced by both physical and psychological factors.
 +{{ :napkin-selection_1_.png |}}
 ==== Types of Pain ==== ==== Types of Pain ====
  
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   - The pain that is current   - The pain that is current
   - The pain that is anticipated   - The pain that is anticipated
 +
 +{{ :napkin-selection_2_.png |}}
  
 In addition, the practitioner needs to consider the response to the pain, which may be adaptive or maladaptive. Pain leads to suffering, and in some instances, alleviating the pain does not necessarily change the experience of suffering, depending on how the person has adapted to it. Alcohol and drug use, self-harm, social withdrawal, self-pity, etc, may continue long after pain has been alleviated. In addition, the practitioner needs to consider the response to the pain, which may be adaptive or maladaptive. Pain leads to suffering, and in some instances, alleviating the pain does not necessarily change the experience of suffering, depending on how the person has adapted to it. Alcohol and drug use, self-harm, social withdrawal, self-pity, etc, may continue long after pain has been alleviated.
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 **Stage 1. Patient expectations and anticipation** **Stage 1. Patient expectations and anticipation**
  
-The patient unfamiliar with MVF use will likely have their preconceptions of what will follow in terms of the experience and the clinical outcome. It should be noted that patients with the most amount of distress and the most to gain may be apprehensive and fearful that the method will be ineffective, and clinicians should note that the greater the distress, then the greater the level of disappointment and added distress will be in the event of MVF proving to be ineffective.+The patient unfamiliar with MVF use will likely have their preconceptions of what will follow in terms of the experience and the clinical outcome. It should be noted that patients with the most amount of distress and the most to gain may be apprehensive and fearful that the method will be ineffective, and clinicians should note that the greater the distress, the greater the level of disappointment and added distress will be in the event of MVF proving to be ineffective.
  
 Clinicians should seek to ascertain and neutralise the patient's expectations, regardless of their beliefs and expectations. The attitude to foster is that of, "//We are finding out what is possible with this process//" rather than, "//This is a treatment for your condition//." Discussion of outcomes should also be avoided other than to offer that "outcomes are largely irrelevant at this stage, as we are simply exploring what is possible." Clinicians should seek to ascertain and neutralise the patient's expectations, regardless of their beliefs and expectations. The attitude to foster is that of, "//We are finding out what is possible with this process//" rather than, "//This is a treatment for your condition//." Discussion of outcomes should also be avoided other than to offer that "outcomes are largely irrelevant at this stage, as we are simply exploring what is possible."
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 ===== 4. Appendices ===== ===== 4. Appendices =====
-  ==== A: Recommended Resources ====+==== A: Recommended Resources ====
     - "Phantom Limb Pain: A Case Study and Review" by K. L. Jensen - Discusses the mechanisms and management of phantom limb pain post-amputation.     - "Phantom Limb Pain: A Case Study and Review" by K. L. Jensen - Discusses the mechanisms and management of phantom limb pain post-amputation.
     - "The Challenge of Pain" by Ronald Melzack and Patrick Wall - Explores the complex nature of pain, including neuropathic and chronic pain.      - "The Challenge of Pain" by Ronald Melzack and Patrick Wall - Explores the complex nature of pain, including neuropathic and chronic pain. 
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     - "Psychological Aspects of Amputation and the Stump" by Hugh Watts - Discusses the mental health challenges faced by amputees, including depression, anxiety, and body image issues.     - "Psychological Aspects of Amputation and the Stump" by Hugh Watts - Discusses the mental health challenges faced by amputees, including depression, anxiety, and body image issues.
     - "Amputation and Prosthetics: A Case Study Approach" by Bella J. May - Includes sections on the psychological adjustment to amputation.     - "Amputation and Prosthetics: A Case Study Approach" by Bella J. May - Includes sections on the psychological adjustment to amputation.
- +    - American Chronic Pain Association - Website - Provides resources on managing chronic pain, including phantom limb pain. 
 +    - Amputee Coalition - Website - Offers comprehensive resources on coping with limb loss, including mental health support. 
 +    - National Institutes of Health (NIH) - Article on Phantom Limb Pain - Provides detailed information on the neurological aspects of phantom limb pain. 
 +    - Mind.org.uk - Mental Health and Amputation - Offers resources for mental health issues specific to amputees.
 ==== B: References ==== ==== B: References ====
  
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 **NGOs (Non-Governmental Organizations)**:  Organizations independent of government involvement, typically focused on humanitarian, environmental, or social causes. **NGOs (Non-Governmental Organizations)**:  Organizations independent of government involvement, typically focused on humanitarian, environmental, or social causes.
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 **Pain Perception Threshold**:  The level of pain intensity required to evoke a response, which can be lowered by chronic pain or depression, leading to heightened pain experiences. **Pain Perception Threshold**:  The level of pain intensity required to evoke a response, which can be lowered by chronic pain or depression, leading to heightened pain experiences.
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   * Standards for Training Delivery   * Standards for Training Delivery
   * Feedback and Continuous Improvement Processes   * Feedback and Continuous Improvement Processes
 +  * Preparation of material ahead of training delivery
 +  * Compliance with ethical guidelines
 +  * Collaboration with the core group to ensure challenges are dealt with promptly
  
  • Last modified: 2024/08/21 18:25
  • by roni