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Prevalence and burden of pain - 🧠 ANSWER ✔✔1/5 Canadians live with
pain (7 million Canadians -> 9 million by 2030)
10% of total healthcare expenditure is for pain = financial strain on the
health care system
Pain distribution accros populations - 🧠 ANSWER ✔✔Chronic pain
disproportionately affects:
Seniors, people living in poverty, people living with mental health and
substance use disorders, people working in the trades and transportation
industry, Veterans, Indigenous Peoples, certain ethnic and racialized
communities, sexually and gender diverse persons, those who have
experienced past trauma or violence, persons with disabilities, and women.
,True or False:
Untreated pain results in poor outcomes for individuals, families and
communities
Untreated chronic pain is connected to the opioid overdose crisis
Pain and its impacts are exacerbated by the COVID-19 pandemic
Pain is not 'equally distributed' across the population - 🧠 ANSWER ✔✔All
True
Canada's Opioid Crisis - 🧠 ANSWER ✔✔Over-prescription, ignorance to
alternative options, widespread market availability, illicit synthetic options
(fentanyl), socio-economic injustice & despair (racial, poverty, trauma).
Chronic pain associated w/↓quality of life, ↑suicide & interference w/ADLs.
Unrelieved pain is dangerous & can lead to many physical/psychological
complications.
The burden of pain - 🧠 ANSWER ✔✔▷ Chronic pain is associated with the
worst quality of life (compared to chronic heart and lung disease)
▷ People living with pain have double the risk of suicide
,▷ People living with pain report a lower SQL and higher interference with
activities
▷ Untreated chronic pain is linked to the opioid overdose crisis
▷ Pain and its impacts are exacerbated by the COVID-19 Pandemic
Pain vs. suffering - 🧠 ANSWER ✔✔▷ Pain: damage to biological integrity =
Physiological concept
▷ Suffering: damage to inner self/imbalance = Emotional, spiritual, mental
concept
Pain definition - 🧠 ANSWER ✔✔Unpleasant physical sensory and
emotional experience associated with actual or potential tissue damage as
well as an unpleasant emotional experience
Analgesia definition - 🧠 ANSWER ✔✔Inability to feel pain, absence of pain,
relief of pain w/out loss of consciousness.
Anesthesia deifnition - 🧠 ANSWER ✔✔Temporary induced loss of
sensation/awareness.
Pain threshold - 🧠 ANSWER ✔✔Minimum level of noxious stimulation
necessary for a person to label a sensation as pain
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, Pain tolerance - 🧠 ANSWER ✔✔The maximum amount of painful stimuli
that a person is willing or able to endure without seeking avoidance/relief
Pain transduction - 🧠 ANSWER ✔✔Conversion of a noxious stimulus
(thermal = heat, mechanical = pressure, chemical = toxic substance) into
an action potential
Pain transmission - 🧠 ANSWER ✔✔Movement of the pain impulse from the
periphery to the CNS (3 step process):
1. Transmission to the spinal cord (nociceptors = afferent nerves)
2. Dorsal horn processing
3. Transmission to thalamus and cortex
Pain perception - 🧠 ANSWER ✔✔Recognition, definition and response to
pain
Pain Modulation - 🧠 ANSWER ✔✔-Increase or decrease in pain signal
intensity
-Occurs before, during, and after pain is perceived