What are the consequences of pain that is not controlled?

Common sequelae of untreated chronic pain include decreased mobility, impaired immunity, decreased concentration, anorexia, and sleep disturbances [9],[10].

How does pain impact quality of life?

Pain, when it is ongoing and uncontrolled, has a detrimental, deteriorative effect on virtu- ally every aspect of a patient’s life. It produces anxiety and emotional distress; undermines well-being; interferes with functional capacity; and hinders the ability to fulfill family, social, and vocational roles.

How does pain interfere or impact the patient’s activities of daily living?

The most common musculoskeletal diseases, osteoarthritis, osteoporosis, and back pain lead to impairments in quality of life and in the activities of daily living (ADLs); as a consequence, they further lead to dependency, institutionalisation and increased health-care costs [1].

What are the consequences of pain?

Chronic pain can lead to medical problems that can result in immobility, malnutrition and an increased risk of falling. Fortunately, research also shows us that when effectively treated, brain effects related to chronic pain may be reversible.

What happens when pain is uncontrolled?

Muscle, nerve, and joint weakness, and deterioration result. It is not uncommon to see the patient with severe, uncontrolled pain progressively deteriorate due to muscle atrophy and contractures and go from cane to walker to wheelchair. An unappreciated complication of deconditioning and immobility is obesity.

What can a failure to provide an efficient pain management lead to?

Inadequate management of acute pain negatively impacts numerous aspects of patient health, and may increase the risk of developing chronic pain. Although opioids are the preferred treatment for most moderate to severe acute pain, their side effects can impede their use, and thus, their clinical effectiveness.

How does pain affect mobility?

The findings that older adults with chronic musculoskeletal pain conditions walk slower [7,10,16,18,20] and experience greater reductions in walking speed over time, compared with those without pain [17,19], support the notion that these conditions expedite the age-related decline of functional mobility.

How back pain affects daily life?

Depression and Mood Swings Over time, chronic back pain can take an emotional toll on sufferers. Constantly dealing with pain and the stress of not knowing if the pain will improve can cause serious emotional issues. Depression, anger, anxiety and mood swings are just some of the emotional side effects of chronic pain.

What are some barriers to pain management?

Lack of knowledge and false concerns about addiction and overdosing are examples of physician-related barriers. Nurse-related barriers include inadequate knowledge, heavy workload, and lack of time. Reluctance to take analgesics, fear of side effects, and fear of addiction are examples of patient-related factors.

What are three major barriers to effective pain management?

Barriers to the provision of effective pain management

• Pain assessment. Pain is often underestimated and under-treated.
• Patient self-reporting.
• Assessment tools.
• Prescribing analgesics.
• Dosing of analgesic drugs.
• Dosing intervals.
• Mode of delivery.
• Iatrogenic problems and opioids.

How does pain affect behavior?

How Pain Affects Mood. Unfortunately, living with pain can affect a person’s mood by making someone more susceptible to emotional changes that can foster depression, anxiety, and fear. Such mood disorders can also promote a person’s dependence on prescription medications designed to treat the pain, such as opioids.

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