Patients are in constant conversation with their bodies–how will they feel tomorrow? Will they be able to tolerate the pain of an activity? If they are active now, what price will they pay later? They know that their body is telling them “No!”, but because Patients are often in the prime of their life when they are affected with RA/PsA, family and work duties take priority over heeding their bodies warnings, so they fight through the pain and discomfort
It talks and sometimes I listen. I can be in a lot of pain. But I have to get up and do it. I don’t always listen to my body. I have pain. I just deal with it – RA, Chi
Listen to your body and react accordingly. I am listening to my body, but I’m not always acting accordingly – RA, NYC
Hell no! I’m not at a place where I am listening closely. I don 't
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This is me – RA, NYC
This is how I feel. It is so present in my mind compared to something that shows up on an x-ray. It is validating what I am feeling – RA, Chi
The main idea really hits home. I struggle with this. Listen and take control before it is too late – PsA, Dallas
I just can’t not go to work today because my hands or knees hurt. I have responsibilities. I have to be two different people – RA, Dallas
“Listen to your Body” refers to two benefits. First, it is giving the Patient permission to heed their body’s call for help with a more effective medication, rather than powering through on their current treatments. It also addresses that pain the body’s way of alerting them to the bigger issue of joint damage and that action needs to be taken
This is telling me by not listening I am doing more damage. You are causing irreversible damage when you don’t listen to your body – RA,
A long term condition not only brings the physical symptom of pain, but a number of psychological and social effects too. In 2014 the Department of Health recognised that the impact of having a long term condition can contribute to mental health problems like depression and anxiety (Department of Health, 2014). As well as finding ways to manage their physical symptoms, patients are encouraged to adopt acknowledge and address all of their health and wellbeing needs, in particular self-management at home and incorporating and educating the patient’s family and close friends as a support system (Kraaimaat and Evers, 2003). The suffering that a person with chronic pain endures not only impacts on their life, but also affects their family, time lost from employment and uses up precious healthcare resources.
The guidelines generate the latest high-quality evidence which can very helpful to Physiotherapists as it will allow them to provide the best quality of care to the patients and improve the quality of their clinical decision making. However, guideline recommendations can be misleading, misinterpreted or wrong for some patients. It is important to evaluate the evidence and see if it is compatible with the patient the treatment is being provided for before selecting the recommended treatment. Furthermore, guideline evidence can be difficult to scrutinise for limitations as this requires a lot of time, resources and skills which is not available for all clinicians. Overall, if used correctly and appropriately Evidence-Based guidelines can be an effective process when Physiotherapists are choosing a treatment for a
These include the specificity theory which maintains that specific fibers and pain receptors are activated by injury after which the pain signals are projected via the spinal pathway to an area in the brain that interprets the pain. In this regard, the specificity theory virtually equates the peripheral injury with the psychological experience caused by the pain (Anderson, 2004, p. 355). However, this theory has been found to harbor several limitations as research about pain has intensified with time. In light of this, the gate theory that was proposed by Melzack and Wall has had a major contribution to the understanding of pain transmission and perception (Pain Game Part 2, 2011). Research has demonstrated that pain is affected by psychological and physiological factors which helps to explain the mechanism underlying inhibition and/or facilitaion of pai...
chronic pain could be handled at the bedside with no need to await a doctor's
Bibliography: Arthritis Foundation, Understanding Arthritis (1986); Kelley, William N., et al., eds., Textbook of Rheumatology, 2d ed., (1985); McCarty, Daniel F., ed., Arthritis and Allied Conditions, 11th ed. (1988); Moll, J. M. H., Rheumatology in Clinical Practice (1987).
What prompted me to research about the various pain pathways was my grandmother's arthritis. She has suffered for many years with severe joint pain and in the past, has been treated with corticosteroids. Currently, she is taking Celebrex, (COX-2 inhibitor) which is a relatively new drug in the family of 'superaspirins'. What impressed...
Getting a massage with jan, and learning even more about traditional chinese medicine has motivated me to seek out other forms of traditional chinese forms of healing such as reflexology, acupuncture and a more structured form of meditation. Jan explained that life is all about balance, and even in western medicine, when balance is off problems form. It has made me think even more about how out of balance people are, and how much commitment it takes to be in constant balance especially with the large amount of technology, and poor diets in today’s society.
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
Background: Chronic pain results when there is delayed healing. Grumbine claims that chronic pain ‘produces a fear in the patient and a panicked feeling that the pain will
...ally cynical about notions that are not physiologically observable, I am surprisingly excited by the idea of a neuromatrix and look forward to rethinking my pervious understandings of the nervous system's workings. It may be interesting to see how the I-function is involved with this process and why pain treatments such as biofeedback have been known to produce positive results.
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
The belief that the mind and body were separate, and that all diseases and disorders could be explained by science, founded this conceptual model (Sarafino, 2008). Ergo, this approach saw health care professionals focusing predominately on the physical processes and looked at biochemistry, pathology and other related fields to explain, diagnose and treat illness or disease (Wade, 2004). As a consequence, medical intervention was the primary method used to return the health of an individual to a pre-illness state ‘free from pain, disease or defect’ (Williams, 2016, p.1). However, this model did not take into account any of the external considerations that lead up to the development of certain health conditions. Nor did it consider that a person’s mind could play a role in becoming ill or getting well (Sarafino, 2008). (DOES THIS EXPLAIN IN BETTER
Since the times of Plato and Aristotle, the argument of dualism and mutualism of the mind and body has been in existence. Dualism has been the driving force behind the existence of the mind/body problem and has been by far the majority view due largely to the influence of Descartes. In recent times, modern medicine has taken a shift towards mutualism. Outside stimuli, as perceived by the mind, affects the body either beneficially or adversely. While the body as an organism has the capacity to heal, evidence proves that the mind expedites recovery. The mind and body are one. Evidence of this mutualism exists in Divakaruni's "What the Body Knows." This story shows that the condition of the mind is a pertinent necessity in recovery of the physical person. - In the story Aparna gives birth to a son by cesarean section. She is mutilated in a sense; however, the pain is overpowered by the good in bringing life into the world. What turns into a healthy state of mind soon turns sour by experience. The pain continues and within a short period of time she ends up back in the hospital with complications. She awakes in the same room feeling the loss of her baby not being near but also losing to the pain. The multiples of negative stimuli have begun. Aparna spends a period of time being poked and prodded by the medical staff while they figure out what to do. She periodically hears the congenial claps and hurrahs as other women leave the ward. What was once a festive occasion turns negative in her perception. She feels like the medical staff is giving her a lot of lip service. Though all are perceptions in attitude, Aparna is too angry and upset to see any positive ou...
Psychology deals with the study of mental processes and a variety of behaviors. In order to fully comprehend ourselves, we need to understand the causes of our behaviors and our outlook on life. Habits and behaviors have positive and negative effects in our life. When we know ourselves and learn about our unique personality, we can develop and pursue goals. Psychology also helps us to understand other people and the differences of people. Gaining this knowledge can improve the relationships and enhance our communication skills. Throughout the psychology course I gained knowledge in various areas, and the topics that impacted me the most included: the introvert, anxiety disorders, stress management, self discipline and how to develop strong relationships.
Many doctors, therapists, and other health care providers never hear about this concept during their medical training, as this is not part of their treatment protocol. However, becoming aware of your body and the sensations you experience within your body and on your skin is the key to solving many health problems, including physical pain. It was a major key to Cornelia's physical healing process eighteen years ago and key in Janet's healing from early life trauma.