A 60-year-old male client with a long history of back pain has had little success with a variety of analgesic regimens that his family physician has prescribed. He has recently been diagnosed with a chronic pain disorder
Which of the following teaching points about chronic pain would his physician most likely emphasize to the client?
A)
"If your pain comes and goes, then we won't characterize it as chronic, and it will require different treatment."
B)
"You need to remind yourself that this is a purely physical phenomenon that requires physical treatment."
C)
"Our challenge is to bring you relief but still treat the underlying back problem that your body is telling you about."
D)
"These pain signals your body is sending likely serve no real, useful, or protective function."
Ans:
D
Feedback:
A hallmark of chronic pain is that it usually does not serve any useful function, and that it is often remote from, or even irrelevant to, the originating cause. Like all pains, chronic pain is a complex and multifaceted phenomenon that supersedes purely physical considerations. Chronic pain need not be continuous and unchanging to be characterized as chronic.
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