{"id":34,"date":"2022-09-19T09:04:37","date_gmt":"2022-09-19T13:04:37","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/?post_type=chapter&#038;p=34"},"modified":"2022-11-17T13:00:52","modified_gmt":"2022-11-17T18:00:52","slug":"conceptualizing-pain","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/chapter\/conceptualizing-pain\/","title":{"raw":"Conceptualizing Pain","rendered":"Conceptualizing Pain"},"content":{"raw":"<span style=\"color: #000000\">The International Association for the Study of Pain [IASP] (2020) recently redefined their 1979 definition of pain as \u201can <strong>unpleasant<\/strong> and <strong>sensory experience<\/strong> associated with, or resembling that associated with,<strong> actual<\/strong> or <strong>potential tissue damage<\/strong>.\u201d The IASP\u2019s definitions are widely known and accepted, and highlight the emotional, the sensory, and the potential tissue damage associated with pain.<\/span>\r\n\r\n<span style=\"color: #000000\">However, pain researchers and clinicians continue to critique and expand on the IASP\u2019s definition because it has the potential to overshadow important components. Additional considerations include:<\/span>\r\n<ul>\r\n \t<li style=\"font-weight: 400\"><span style=\"color: #000000\">More emphasis on the subjective nature of pain in terms of how it is personalized to the client.<\/span><\/li>\r\n \t<li style=\"font-weight: 400\"><span style=\"color: #000000\">The need to emphasize the <strong>somatic nature of pain<\/strong> in terms of how it is embedded within the body (Cohen et al., 2018).<\/span><\/li>\r\n \t<li style=\"font-weight: 400\"><span style=\"color: #000000\">A more <strong>comprehensive descriptor<\/strong> of pain than \u201cunpleasant\u201d, which may act to minimize what may be described as quite distressing for some (Craig &amp; MacKenzie, 2021).<\/span><\/li>\r\n \t<li style=\"font-weight: 400\"><span style=\"color: #000000\">The <strong>cognitive<\/strong> and <strong>social features<\/strong> of pain (Craig &amp; MacKenzie, 2021) in terms of how pain affects one\u2019s cognitive capacity (how one thinks, reasons, and remembers) and social functioning (engaging in social interactions and interpersonal relationships).<\/span><\/li>\r\n \t<li><span style=\"color: #000000\">Also, keep in mind, that not all physical pain is associated with tissue damage.<\/span><\/li>\r\n<\/ul>\r\n<span style=\"color: #000000\">By expanding and critiquing how pain is conceptualized, we can obtain a more comprehensive and inclusive understanding of what pain is and as a result, how it is best assessed and managed. What is important to take away from these definitions is that <strong>pain is complex<\/strong> and <strong>multifaceted.<\/strong><\/span>\r\n<h2><span style=\"color: #000000\"><strong>References<\/strong><\/span><\/h2>\r\n<span style=\"color: #000000\">Cohen, M., Quintner, J., &amp; van Rysewyk, S. (2018). Reconsidering the International Association for the Study of Pain definition of pain. Pain Reports, 3(2), 1-7.<\/span> <a href=\"https:\/\/doi.org\/10.1097\/PR9.0000000000000634\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1097\/PR9.0000000000000634<\/a>\r\n\r\n<span style=\"color: #000000\">Craig, K., &amp; MacKenzie, N. (2021). What is pain: Are cognitive and social features core components? Pediatric &amp; Neonatal Pain, 3(3), 106-118.<\/span> <a href=\"https:\/\/doi.org\/10.1002\/pne2.12046\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1002\/pne2.12046<\/a>\r\n\r\n<span style=\"color: #000000\">International Association for the Study of Pain (2020). IASP announces revised definition of pain.<\/span> <a href=\"https:\/\/www.iasp-pain.org\/publications\/iasp-news\/iasp-announces-revised-definition-of-pain\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.iasp-pain.org\/publications\/iasp-news\/iasp-announces-revised-definition-of-pain\/<\/a>","rendered":"<p><span style=\"color: #000000\">The International Association for the Study of Pain [IASP] (2020) recently redefined their 1979 definition of pain as \u201can <strong>unpleasant<\/strong> and <strong>sensory experience<\/strong> associated with, or resembling that associated with,<strong> actual<\/strong> or <strong>potential tissue damage<\/strong>.\u201d The IASP\u2019s definitions are widely known and accepted, and highlight the emotional, the sensory, and the potential tissue damage associated with pain.<\/span><\/p>\n<p><span style=\"color: #000000\">However, pain researchers and clinicians continue to critique and expand on the IASP\u2019s definition because it has the potential to overshadow important components. Additional considerations include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"color: #000000\">More emphasis on the subjective nature of pain in terms of how it is personalized to the client.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"color: #000000\">The need to emphasize the <strong>somatic nature of pain<\/strong> in terms of how it is embedded within the body (Cohen et al., 2018).<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"color: #000000\">A more <strong>comprehensive descriptor<\/strong> of pain than \u201cunpleasant\u201d, which may act to minimize what may be described as quite distressing for some (Craig &amp; MacKenzie, 2021).<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"color: #000000\">The <strong>cognitive<\/strong> and <strong>social features<\/strong> of pain (Craig &amp; MacKenzie, 2021) in terms of how pain affects one\u2019s cognitive capacity (how one thinks, reasons, and remembers) and social functioning (engaging in social interactions and interpersonal relationships).<\/span><\/li>\n<li><span style=\"color: #000000\">Also, keep in mind, that not all physical pain is associated with tissue damage.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000\">By expanding and critiquing how pain is conceptualized, we can obtain a more comprehensive and inclusive understanding of what pain is and as a result, how it is best assessed and managed. What is important to take away from these definitions is that <strong>pain is complex<\/strong> and <strong>multifaceted.<\/strong><\/span><\/p>\n<h2><span style=\"color: #000000\"><strong>References<\/strong><\/span><\/h2>\n<p><span style=\"color: #000000\">Cohen, M., Quintner, J., &amp; van Rysewyk, S. (2018). Reconsidering the International Association for the Study of Pain definition of pain. Pain Reports, 3(2), 1-7.<\/span> <a href=\"https:\/\/doi.org\/10.1097\/PR9.0000000000000634\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1097\/PR9.0000000000000634<\/a><\/p>\n<p><span style=\"color: #000000\">Craig, K., &amp; MacKenzie, N. (2021). What is pain: Are cognitive and social features core components? Pediatric &amp; Neonatal Pain, 3(3), 106-118.<\/span> <a href=\"https:\/\/doi.org\/10.1002\/pne2.12046\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1002\/pne2.12046<\/a><\/p>\n<p><span style=\"color: #000000\">International Association for the Study of Pain (2020). IASP announces revised definition of pain.<\/span> <a href=\"https:\/\/www.iasp-pain.org\/publications\/iasp-news\/iasp-announces-revised-definition-of-pain\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.iasp-pain.org\/publications\/iasp-news\/iasp-announces-revised-definition-of-pain\/<\/a><\/p>\n","protected":false},"author":34,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-34","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapters\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/wp\/v2\/users\/34"}],"version-history":[{"count":10,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapters\/34\/revisions"}],"predecessor-version":[{"id":747,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapters\/34\/revisions\/747"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapters\/34\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/wp\/v2\/media?parent=34"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/pressbooks\/v2\/chapter-type?post=34"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/wp\/v2\/contributor?post=34"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursing2\/wp-json\/wp\/v2\/license?post=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}