Advertisement

Patient evaluation

  • Michael Serpell

Abstract

The key to successful management of pain in any patient is accurate assessment. For one of the most universal symptoms in medicine this is a surprisingly (but not unexpectedly) difficult task. Chronic painful conditions are present in virtually all medical specialties and the impact of pain on the patient can occur on several levels. This breadth of understanding means that a clinician may often need to use assessment skills developed from other specialities such as orthopaedics and psychology in the same pain patient.

Keywords

Chronic Pain Neuropathic Pain Complex Regional Pain Syndrome Chronic Pain Patient Quantitative Sensory Testing 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Merskey H, Bogduk N (eds). Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd edn. IA SP Task Force on Taxonomy. Seattle, WA: IASP Press, 1994, 209–14.Google Scholar
  2. 2.
    Waddell G. Volvo award in clinical sciences. A new clinical model for the treatment of low-back pain. Spine 1987; 12:632–44.PubMedCrossRefGoogle Scholar
  3. 3.
    Macintyre P, Ready LB. Acute Pain Management: A Practical Guide, 2nd edn. London: WB Saunders, 2001.Google Scholar
  4. 4.
    Galer BS, Jensen ME. Development and preliminary validation of a pain measure specific to neuropathic pain: the Neuropathic Pain Scale. Neurology 1997; 48:332–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Bennett M. The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain 2001; 92:147–57.PubMedCrossRefGoogle Scholar
  6. 6.
    Kendall NAS, Linton SJ, Main CJ. Guide to assessing psychosocial yellow flags in acute low back pain: risk factors for long-term disability and work loss. Wellington, NZ: Accident Rehabilitation & Compensation Insurance Corporation of New Zealand, and the National Health Committee, Ministry of Health, 1997.Google Scholar
  7. 7.
    Ewing JA. Detecting alcoholism — the CAGE questionnaire. JAMA 1984; 252:1905–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ 2006; 332:1430–4PubMedCrossRefGoogle Scholar
  9. 9.
    Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ 2007; 334:1313–17.PubMedCrossRefGoogle Scholar
  10. 10.
    McBeth J, Macfarlane GJ, Benjamin S, Silman AJ. Features of somatization predict the onset of chronic widespread pain. Arthritis Rheum 2001; 44:940–6.PubMedCrossRefGoogle Scholar
  11. 11.
    Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30:473–83.PubMedCrossRefGoogle Scholar

Further reading

  1. Goucke CR. The management of persistent pain. Med J Aust 2003; 178:444–7.PubMedGoogle Scholar

Copyright information

© Current Medicine Group, a part of Springer Science+Business Media 2008

Authors and Affiliations

  • Michael Serpell
    • 1
  1. 1.University Department of AnaesthesiaGartnavel General HospitalGlasgowScotland

Personalised recommendations