Pain Management Commons^™

Availability And Nursing Implementation Of Measurement Tools In The Co-Occurrence Of Depression And Chronic Pain: An Integrative Literature Review, Ashley Thomas

Grace Peterson Nursing Research Colloquium

Availability and Nursing Implementation of Measurement Tools in the Co-Occurrence of Depression and Chronic Pain: An Integrative Literature Review

Ashley Thomas

Faculty Sponsor: Barbara Harris

Background: There is high correlation between chronic pain and depression. They are seen throughout the literature to interact and feedback symptoms upon each other. However, there is not a comprehensive screening tool that assess both symptoms and not a clear indication of nursing responsibility in assessment of the co-occurrence.

Objectives: The purpose of this literature review is to create a comprehensive review of current research concerning the availability of screening tools that measure the co-occurrence …

Trespassing Physical Boundaries: Transgression, Vulnerability And Resistance In Sarah Kane’S Blasted (1995), Paula Barba Guerrero, Ana Mª Manzanas Calvo

CLCWeb: Comparative Literature and Culture

Sarah Kane’s Blasted has been analyzed from various perspectives that address the layers of destruction it exposes. From the questioning of its title and meaning, to the unravelling of the protagonists’ abusive relationship, the analyses have emphasized the depiction of vulnerability as the defining human trait that Jean Ganteau observes in contemporary British literature. However, a key aspect has been overlooked in the critical response to the play: for Kane vulnerability does not equal helplessness, but rather stands in opposition to it. Hence, this article concentrates on how Blasted formulates a new understanding of vulnerability that fits Judith Butler’s later …

How Hugging Mom Teaches Me The Meaning Of Love And Perhaps Beyond, Ethan Trinh

The Journal of Faith, Education, and Community

Hugging mom is unconventional in a traditional Vietnamese family. I write this piece to articulate my thoughts to describe different ways to look at the meanings of hugging. During my writing process, I use a walking meditation as a Buddhist practice to calm my mind so that I can see my true self and a clearer picture of different layers of the act of hugging. I believe hegemonic gender roles and patriarchy happen everywhere in the world, not particularly in Vietnam. I do not plan to devalue my home country’s cultural values in this paper. This is not the purpose …

Coping With Medically Unexplained Physical Symptoms: The Role Of Illness Beliefs And Behaviors, Lisa M. Mcandrew, Nicole Sullivan, L. Alison Phillips, Wilfred R. Pigeon, Karen S. Quigley, Fiona Graff, David R. Litke, Drew A. Helmer, Joseph F. Rath

Educational & Counseling Psychology Faculty Scholarship

Background: Medically unexplained syndromes (MUS) are both prevalent and disabling. While illness beliefs and behaviors are thought to maintain MUS-related disability, little is known about which specific behavioral responses to MUS are related to disability or the way in which beliefs and behaviors interact to impact functioning. The purpose of the present study was to examine the relationship between illness beliefs and disability among patients with MUS, and assess the extent to which behaviors mediate this relationship. Methods: The study examined data from the baseline assessment of a multi-site randomized controlled trial (RCT). Participants were 248 veterans with MUS. Illness …

Predictors And Health Outcomes Of Treatment-Resistant Depression Among Adults With Chronic Non-Cancer Pain Conditions And Major Depressive Disorder, Drishti Shah

Graduate Theses, Dissertations, and Problem Reports

Understanding major depressive disorder (MDD) as a comorbidity in patients with chronic non-cancer pain conditions (CNPC) is of importance because of the high prevalence and well documented bi-directional relationship between MDD and pain. Furthermore, presence of CNPC among adults with MDD often reduces benefits of antidepressant therapy, thereby increasing the possibility of treatment resistance. Treatment-resistant depression (TRD) commonly defined as insufficient response to multiple antidepressant trials, often worsens depression and pain symptoms and can amplify the clinical and economic burden among adults with CNPC and MDD. Additionally, long-term opioid therapy (LTOT) may be prescribed at a higher rate to adults …

The Effects Of Medical Cannabis Use Among Adults With Chronic Pain: An Integrative Review Of The Literature, Bridget A. Asevedo

Honors Undergraduate Theses

The purpose of this integrative literature review was to understand the effects of medical cannabis for chronic pain management in adults. Anecdotal reports suggest the use of medical marijuana as a pain management therapy could be an alternative to opioids and other medications which have long term consequences. Potential uses span the health care continuum, from prescribed outpatient symptom management, to acute care, extended care, home care, and hospice treatment settings. The methodology included a review and synthesis of relevant research articles from 2012 to 2018, written in the English language. The findings suggest medical cannabis has the potential of …

The Use Of Behavioral Pain Assessment Tools And Pain Outcomes In Nonverbal Patients, Patrick A. Healy

Honors Undergraduate Theses

Acute and critical care patients experience significantly more pain than those patients on a general nursing unit. Due to the severity of their condition, acute care patients may be nonverbal and unable to self-report their pain. Behavioral pain assessment tools are a method of objectively measuring pain in patients who are unable to communicate. While the use of these tools has been shown to improve short- and long-term outcome for patients, there is a paucity of evidence as to nurses' perceptions related to their use. The purpose of this study is to investigate acute care nurses' perceptions of the relationship …

Art In The Stages Of Suffering And Death, Joanna Aramini

Visual Arts Department Student Scholarship

There has always been a strong link between art and the study of science and medicine, and one of the most iconic images of suffering and death in history to date is Christ suffering on the cross. In this thesis, I examine if and how art can make it possible to transcend human pain and overcome suffering, especially in our modern society where pain is seen as something we cannot deal with, and where we look to medicine and prescriptions to diminish it. I argue that art in the states of suffering and death, closely examining Michelangelo’s La Pieta and …

Psychological And Family Variables Associated With The Treatment Of Pediatric Idiopathic Pain, Rachael Hoffman

Electronic Theses and Dissertations

The present study examined variability in treatment outcomes of children with idiopathic chronic pain. Specifically, the biopsychosocial model was used as a framework to consider the way that symptoms of depression and anxiety as well as parent response to pain contributed to the change in a child’s confidence in participating in daily activities following treatment in an inpatient chronic pain treatment program.

A Military Chronic Pain Interdisciplinary Outpatient Program’S (Iop) Approach To Reducing Pain And Disability And Increasing Functional Ability, Paris N. Mcdonald

USC Aiken Psychology Theses

The present study employed self-report measures to assess pain intensity, self-report perception of disability, and patient activation, and objective functional measures to explore the outcomes of a military interdisciplinary chronic pain intensive outpatient program. Seventy-three Active Duty Service Members (SM) with chronic pain completed baseline measures (pre-IOP) and graduation day measures, 60 SMs completed one-month follow-up measures, and 28 completed three-month follow-up measures. Results indicated that self-report pain levels decreased from pre-IOP to graduation day. The decrease was maintained; however, no additional significant decrease in pain occurred following program completion. Further, participant’s self-reported perception of disability due to back pain …

A Program Evaluation On The Effectiveness Of Chronic Pain Management In A Rural Community, Sylvia D. Ramirez

Doctor of Psychology (PsyD)

Chronic pain is a well-known, significant problem in the United States, affecting approximately 55% of adults in Western countries. Opioid use to manage chronic pain impacts individual’s social, psychological, and physiological health. The shortcomings of monotherapy, such as opioid use, have been led to extensive research to develop and assess the outcome of multi-disciplinary evidence-based programs. Rather than eliminating pain, interventions focus on pain management and improving quality of life, independence, and mobility. This quasiexperimental study examined the effectiveness of the Persistent Pain Program (PPP), an 8-week Cognitive Behavioral Treatment program and movement therapy intervention for patients living in a …

Cognitive And Emotional Correlates Of Improved Gait Distance During The Course Of Physical Therapy Treatment For An Incomplete Spinal Cord Injury, Danielle Miller

Honors Theses

Objective

The focus of spinal cord injury rehabilitation over the past four decades has shifted from medical management to issuses that affect quality of life and community participation (Gómara- Toldrà, Sliwinski, & Dijkers, 2014). However, the care team for spinal cord injury patients still need to collaberate in order to design and implement interventions that result in maximum participation to provide an individual with a spinal cord injury an effective rehabilitation program. In order to create such a rehablitation program, the care team must know how certain psychological and cognitive aspects, such as depression and implict memory, are related to …

Effects Of One Neurofeedback Session On Relationship Between Fear-Of-Pain And Visual Avoidance Of Pain, Timothy Swift

Electronic Theses and Dissertations

Chronic pain is increasingly prevalent and costly and will continue to be with the increasing mean age of America’s population. It is important to identify interventions addressing pain-related biopsychosocial aspects. The purpose of the current study was to examine if a single session of specific neurofeedback (NF) protocols had an effect on subjective fear and physiological fear-avoidance behaviors in relation to pain-related stimuli. Correlational analyses revealed that FPQ-III minor pain scores were negatively associated with total fixation duration while looking at pain-related pictures. One-way ANOVAs revealed differences approaching significance for those trained on Left-Hemisphere NF protocols compared to those in …

Chronic Pain Profiles And Past Bullying Experiences, Stephen Ratliff

Electronic Theses and Dissertations

The biopsychosocial model of chronic pain posits that chronic pain is influenced by factors such as depression, somatization, and psychological trauma (Gatchel, Peng, Peters, Fuchs, & Turk, 2007). Being bullied in childhood is one such factor that has been shown to be associated with chronic pain (Sigurdson, Wallander, & Sund, 2014; Voerman et al. 2015). Furthermore, those with chronic pain fit into one of three distinct psychological profiles (Williams, Urban, Keefe, Shutty, & France, 1995). The purpose of the current study was to examine the relationship between chronic pain profiles and reports of past bullying experiences. It was hypothesized that …

Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins

Dissertations, Theses, and Capstone Projects

This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.

In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …

How To Be The Perfect Asian Wife!, Sophia Hill

Art and Art History Honors Projects

“How to be the Perfect Asian Wife” critiques exploitative power systems that assault female bodies of color in intersectional ways. This work explores strategies of healing and resistance through inserting one’s own narrative of flourishing rather than surviving, while reflecting violent realities. Three large drawings mimic pervasive advertisement language and presentation reflecting the oppressive strategies used to contain women of color. Created with charcoal, watercolor, and ink, these 'advertisements' contrast with an interactive rice bag filled with comics of my everyday experiences. These documentations compel viewers to reflect on their own participation in systems of power.

The Impact Of Prosthetics On Amputee Quality Of Life, Courtney Tabor

Liberal Arts Capstones

After someone has a limb amputated, their lifestyle must be rearranged to accommodate for the loss of the limb. This can include adjusting to an inability to do tasks that used to come easily and a drastic reduction in mobility. They may now require assistance with caring for themselves. As a side effect, amputees often experience a significant level of depression and anxiety related to their situation. A selection of literature was analyzed for the physiological, psychological, and sociological effects of losing a limb, and then for the ways in which a prosthetic limb would alleviate some of these issues. …

The Empathy Mitigation: Empathy And Its Impact On Pain Perception And Altruistic Motivation, Amanda Daly

Electronic Theses and Dissertations

Empathy and its impact on pain perception has been studied narrowly with the focus being on participants receiving empathy during a pain procedure. This study reversed the focus and ran a standard cold pressor test (CPT) in the context of an empathy frame structured to elicit an empathic response for others from participants. It was hypothesized that the group receiving the empathic frame would have longer CPT times due to alterations in pain perception from empathy activation and these subjects’ self-reported state-trait empathy level would positively correlate with the increased times. 85 subjects participated with a control group of 43 …

Emotion Regulation And Positive Affect In The Context Of Salivary Alpha-Amylase Response To Pain In Children With Cancer, Brooke N. Jenkins, Douglas A. Granger, Ryan J. Roemer, Ariana Martinez, Tara K. Torres, Michelle A. Fortier

Psychology Faculty Articles and Research

Background

Children with cancer routinely undergo painful medical procedures invoking strong physiological stress responses. Resilience to this pain may be conferred through resources such as emotion regulation strategies and positive affect.

Procedure

This study measured dispositional positive affect in children with cancer (N = 73) and randomly assigned participants to one of three emotion regulation strategy conditions (distraction, reappraisal, or reassurance). Children applied their assigned strategy during an experimental pain procedure (the cold pressor task [CPT]) and provided saliva samples before, immediately after, and 15 min after the CPT. Saliva samples were later assayed for salivary alpha amylase (sAA)—a surrogate …

Dissecting The Components Of Neuropathic Pain, Dale George

Electronic Theses and Dissertations

Pain is a public health issue affecting the lives of nearly 116 million adults in the US, annually. Understanding the physiological and phenotypic changes that occur in response to painful stimuli is of tremendous clinical interest, but, the complexity of pain and the lack of a representative in vitro model hinders the development of new therapeutics. Pain stimuli are first perceived and transmitted by the neurons within the dorsal root ganglia (DRG) which become hyperexcitable under these conditions. It has now been established that satellite glial cells (SGCs) that ensheathe the DRG cell body actively contribute to this neuronal dysregulation. …