Pain management Special Presentation . 

Pain...Oh, What a Pain!

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Pain is an unpleasant sensation in animals that is caused by actual or perceived injury to body tissues and produces physical and emotional reactions. Presumably, pain sensation has evolved to protect our bodies from harm by causing us to perform certain actions and avoid others. Pain might be called a protector, a predictor, or simply a hassle. In this article, I will discuss some basic concepts of pain.

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We all experience pain to greater or lesser degrees at various points of our lives. It is said that pain is the most common reason patients seek medical attention. But, each of us perceives a given pain stimulus in our own unique manner. The intensity of the response to a pain stimulus is largely subjective, meaning the severity of the pain can most accurately be defined by the person with the pain, rather than by other observers.

Our individual pain perception can vary at different times, even in response to the identical stimulus. For example, an athlete during competition may not be able to feel the tissue injury of a cut or a bruise until the competition has finished. We may feel more or less pain depending on our mood, sleep pattern, hunger, or activity.

Read more about pain and pain management »

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Introduction to pain management

 

Pain management can be simple or complex, depending on the cause of the pain. An example of pain that is typically less complex would be nerve root irritation from a herniated disc with pain radiating down the leg. This condition can often be alleviated with an epidural steroid injection and physical therapy. Sometimes, however, the pain does not go away. This can require a wide variety of skills and techniques to treat the pain. These skills and techniques include:

• Interventional procedures

• Medication management

• Physical therapy or chiropractic therapy

• Psychological counseling and support

• Acupuncture and other alternative therapies; and

• Referral to other medical specialists

All of these skills and services are necessary because pain can involve many aspects of a person's daily life.

 

How is pain treatment guided?

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Subject coverage

• Traumatic stress and mental health sequelae

• Assessment

• Prevention

• Treatment

• Mental health services

• Professional ethics

• Public Policy

• Traumatized populations

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What Is Telehealth?

VA Telehealth Services uses health informatics, disease management and telehealth technologies to target care and case management to improve access to care, improving the health of veterans. Telehealth changes the location where health care services are routinely provided.

The value VA derives from telehealth is not in implementing telehealth technologies alone, but how VA uses health informatics, disease management and telehealth technologies to target care/case management thereby facilitating access to care and improving the health of veterans. Watch Video  free by VA 

• VA Telehealth; Real-Time Access to Care

• My Life, My Health, My Choices

Technology

New technologies such as telehealth help improve health care services. For technology to work it must work for the people it is meant to help - patients and the professionals providing care.

Telehealth in VA helps ensure veteran patients get the right care in the right place at the right time and aims to make the home into the preferred place of care, whenever possible.

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