RT Book, Section
A1 Hoeger Bement, Marie K.
A1 Vance, Carol G.T.
A1 Sluka, Kathleen A.
A2 McCulloch, Joseph M.
A2 Kloth, Luther C.
SR Print(0)
ID 1184833118
T1 Managing Wound-Related Pain
T2 Wound Healing Evidence-Based Management, 4e
YR 2010
FD 2010
PB McGraw-Hill Education
PP New York, NY
SN 9780803619043
LK fadavispt.mhmedical.com/content.aspx?aid=1184833118
RD 2024/04/25
AB Pain  is  defined  as  an  unpleasant  sensory  and  emotional  experience  associated  with  actual  or  potential  tissue  damage  or  is  defined  in  such  terms  as  those  set  forth  by  the  International  Association  for  the  Study  of  Pain  (IASP).1,2  Inherent  in  the  definition  of  pain  is  its  multidimensional  nature.  There  are  three  dimensions  of  pain,  which  are  defined  as  the  sensory  discriminative,  motivational  affective,  and  cognitive  evaluative.3  The  sensory  discriminative  component  of  pain  mediates  the  quality,  intensity,  duration,  and  location  of  the  pain.  The  motivational  affective  component  is  concerned  with  the  emotional  aspects  and  the  unpleasantness  associated  with  pain.  Lastly,  the  cognitive  evaluative  dimension  of  pain  modulates  both  of  the  previous  two  dimensions  and  puts  pain  in  the  context  of  past  experiences  and  current  state  of  the  individual.  This  chapter  will  discuss  the  basic  science  mechanisms  of  pain,  the  assessment  of  pain,  and  the  management  of  wound-related  pain.  When  possible,  reviews,  books,  or  book  chapters  are  referenced  to  provide  additional  information  for  the  reader.  For  a  more  in-depth  review  of  the  basic  science  mechanisms  and  an  evidence-based  approach  for  management  of  a  variety  of  pain  conditions,  the  reader  is  referred  to  "Pain  Mechanisms  and  Management  for  the  Physical  Therapist."1