JAMDA
Volume 7, Issue 7 , Pages 432-434 , September 2006

Finding the Person Behind the Pain: Chronic Pain Management in a Patient With Traumatic Brain Injury

  • Romayne Gallagher, MD, CCFP

      Affiliations

    • Division of Residential Care, Providence Health Care, Vancouver, BC, Canada
    • Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
    • Corresponding Author InformationAddress correspondence to Romayne Gallagher, MD, CCFP, Division of Residential Care, Providence Health Care, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6.
    • ,
  • Elisabeth Drance, MD, FRCP(C)

      Affiliations

    • Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
    • ,
  • Susan Higginbotham, RN

      Affiliations

    • Division of Residential Care, Providence Health Care, Vancouver, BC, Canada

References 

  1. Lahz S , Bryant R . Incidence of chronic pain following traumatic brain injury . Arch Phys Med Rehabil . 1996;77:889–891
  2. Bonica J , Loeser J . Applied anatomy relevant to pain . In:  Loeser J editors. Bonica’s Management of Pain . Philadelphia, PA: Lippincott Williams & Wilkins; 2001;p. 196–221
  3. Uomoto J , Esselman P . Traumatic brain injury and chronic pain: Differential types and rates by head injury severity . Arch Phys Med Rehabil . 1993;74:61–64
  4. Martelli M , Zasler M , Bender M , Nicholson K . Psychological, neuropsychological, and medical considerations in assessment and management of pain . J Head Trauma Rehabil . 2004;19:10–28
  5. Apkarian AV , Bushnell C , Treede R-D , Zubieta J-K . Human brain mechanisms of pain perception and regulation in health and disease . Eur J Pain . 2005;9:463–484
  6. Walker W . Pain pathoetiology after TBI: Neural and nonneural mechanisms . J Head Trauma Rehabil . 2004;19:72–81
  7. Hart R , Martelli M , Zasler N . Chronic pain and neuropsychological functioning . Neuropsychol Rev . 2000;10:131–149
  8. Wiech K , Seymour B , Kalisch R , et al.   Modulation of pain processing in hyperalgesia by cognitive demand . Neuroimage . 2005;27:59–69
  9. Weiner D , Rudy T , Morrow L , Sloboda T , Liebers S . The relationship between pain, neuropsychological performance and physical function in community-dwelling older adults with chronic back pain . Pain Med . 2006;7:60–70
  10. Hart R , Wade J , Martelli M . Cognitive impairment in patients with chronic pain: The significance of stress . Curr Pain Headache Rep . 2003;7:116–126
  11. Arnow B , Hunkeler E , Blasey C , et al.   Comorbid depression, chronic pain and disability in primary care . Psychsom Med . 2006;68:262–268
  12. Unutzer J , Ferrell B , Lin E  , Marmon T . Pharmacotherapy of pain in depressed older adults . J Am Geriatr Soc . 2004;52:1916–1922
  13. AGS Panel on Persistent Pain in Older Persons . The management of persistent pain in older persons . J Am Geriatr Soc . 2002;50:S205–S224
  14. Dean M . Opioids in renal failure and dialysis patients . J Pain Symptom Manage . 2004;28:497–504
  15. Herr K , Bjoro K , Decker S . Tools for assessment of pain in non-verbal older adults with dementia: A state-of-the-science review . J Pain Symptom Manage . 2006;31:170–192

 R.G. accepts honoraria for educational presentation by Purdue Pharma, makers of long-acting oxycodone.R.G. wrote the paper with contribution and feedback from E.D. and S.H.The patient in this case report is not capable of giving informed consent. We have consent from her daughter.No funding was required.

PII: S1525-8610(06)00253-2

doi: 10.1016/j.jamda.2006.04.010

JAMDA
Volume 7, Issue 7 , Pages 432-434 , September 2006

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