The chronic pain assessment through disability

Abstract

Nous proposons, face à la complexité de l'évaluation de la douleur chronique, le recours à une approche globale proposée par le modèle conceptuel de la Classification québécoise du processus de production du handicap. Nous y intégrons les mécanismes physiopathologiques et psychopathologiques de la douleur chronique, tout en respectant une démarche pluridisciplinaire. Ce type d'approche ouvre le champ thérapeutique et permet de redonner au patient les moyens de recouvrer une autonomie optimale face à la douleur.Abstract: Considering the complexity of the assessment of chronic pain, we suggest using the comprehensive approach suggested by the conceptual model of the Quebecois disability creation process. We integrate into it the physiopathological and psychopathological mechanisms linked to chronic pain, while respecting a pluridisciplinary approach. This type of approach broadens the therapeutic field and makes it possible to give the patient the means to recover optimal autonomy with pain.

Chronic Pain Assessment in Moroccan Hemodialysis Population

“…Also, usual work is completely hampered by chronic pain in 71.7 % of cases. Indeed, several authors have reported that chronic pain disrupts body patterns, reduces overall activity level, and causes intolerance to physical and/or intellectual effort [2,26], chronic pain is, therefore, a source of disability, and major alterations in daily life [2]. Furthermore, due to chronic pain complete sleep discomfort was noted in 38.01 % of cases, several studies prove that chronic pain is significantly associated with sleep disorders and even insomnia in hemodialysis patients [11,18,27,28].…”

“…In our study, these aspects are completely affected in 69.80 %, 34.6 % and 34 % respectively. Chronic pain can therefore only be evaluated in a relevant way if it is listened to, observed, but also analyzed through the repercussions that are personal, physical, and psychological, as well as social and professional [26].…”