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Pain
The word pain derives from Sanskrit and Latin roots: pu, meaning purification, and poena, meaning punishment. Pain can be physical, psychological, or sociocultural. Pain can be manifest in a variety of forms, such as back pain, bone pain, and tooth pain. Pain is a subjective and variable experience and depends on the individual, as individuals may have different thresholds. Pain is a symptom of many medical conditions, and it can have a significant impact on an individual's quality of life and daily functioning. The diagnosis and treatment of pain is based on its classification according to its duration, intensity, type, source, and location. For example, pain can be classified as either acute or chronic. Most bodily pain is able to be resolved with little or no intervention and is generally considered to be acute pain. Chronic pain, also known as persistent or intractable pain, on the other hand, is considered to be an illness and not a symptom.
Pain can be defined in many different ways. One commonly used definition defines pain as an unpleasant experience that can be sensory or emotional in nature, is generally associated with possible or actual damage to bodily tissues, and is expressed through an individual's behavior.
Importance
Pain plays an important role in health services research. Specifically, it directly affects access, cost, quality, and outcomes of healthcare. For example, the occurrence of pain is one of the most common reasons for a physician visit by individuals, resulting in about half of all Americans seeking medical care each year. In addition, pain causes visits by individuals to other ancillary healthcare providers, including physical therapists, occupational therapists, nurses, and psychologists, among others, as well as visits to complementary and alternative medical providers such as acupuncturists and massage therapists. The annual cost associated with pain exceeds $5 billion in the United States.
There are several burdens associated with pain, including costs of healthcare, disability, and lost productivity. Pain is one of the leading causes of disability and functional problems. Furthermore, back, neck, and upper extremity pain are cited as the most common reasons for being sick and taking time off from work, resulting in work and productivity losses. An estimate from a national health survey found that about 18% of U.S. workers experienced approximately 149 million days of lost work due to back pain.
Models of Pain
Historical models of pain include Descartes's mind-body model. The Cartesian model of pain held that there is a direct connection between the nerves and the brain and had a dualistic view of mind and body. Pain is the result of an injury that causes a sensation in the person's mind. The model assumed that the greater the injury, the greater the pain that is experienced by the individual. Pain was thought to result in direct tissue damage to the body. This model also held that pain is either physical or psychological in nature. Modern models of pain integrate the biological, cognitive, emotional, behavioral, and social aspects of this phenomenon. Studies have shown that many factors may have an influence on pain perception and that this is the result of not only physiological aspects but cognitive and behavioral aspects as well. The modern models tend to view pain as a sensory and emotional experience that is not necessarily the result of tissue injury or a nerve signal.
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- Access to Care
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