ACUTE POSTSURGICAL PAIN
While the prospect of having surgery is fearful for many reasons, one of the most frequent concerns people have is that of pain after the surgery.How much will it hurt? For how long will it hurt? Will I be able to copewith the pain? What if I cannot bear the pain? Psychologists helpsurgery patients come to terms with their fears about pain, they can helpthem cope with the pain itself, and can even help to reduce the intensityof the pain.
Pain is a private experience
Pain is a private experience that differs in important ways from other every day experiences. For example, the sights and sounds weencounter on a daily basis are part of the external world that others canalso see and hear. No one else can ever feel another person’s pain, nomatter how close they are to them or how well they know them. It istrue we can use words and numbers to convey to others the intensityand quality of the pain we feel (e.g., burning, throbbing, aching). Andmany of our behaviours (e.g., limping, moaning) also indicate to othersthat we are in pain, but ultimately, pain is subjective and personal.Psychologists have long been involved in the area of pain, both throughclinical research and through direct patient care. Both research andclinical experience have taught that, because it is a private experience, people suffering from pain may feel alone and misunderstood. Painspecialists agree that "
pain is what the patient says it is
Improvements in postsurgical pain management are still needed.
Sometimes a person who is suffering from chronic pain requiressurgery. The reason for surgery may or may not be related to thechronic pain problem. For example, a person with low-back pain or someone with chronic pelvic pain may need an operation to removetheir gall bladder. There has been very little research in this area but people who have chronic pain may be at risk for developing moreintense acute pain after surgery than patients who do not havechronic pain. These patients may require extra care from the APSteam in helping them manage the pain. In particular, psychologistscan be helpful to these patients who are especially vulnerable and inneed of support, encouragement and understanding.
Consultation with or referral to a registered psychologist
canhelp guide you as to the use of these therapies. For a list of psychologists in your area, please visithttp://www.cpa.ca/cpasite/showPage.asp?id=3&fr=
This summary has been created for the Clinical Section of the CanadianPsychological Association by Drs. Joel Katz and Dean Tripp. Dr. Katz is Professor and Canada Research Chair in Health Psychology at York University, Toronto,Ontario and Co-Director of the Acute Pain Research Unit in the Department of Anesthesia and Pain Management at the University Health Network and MountSinai Hospital, Toronto Ontario. Dr. Tripp is an Assistant Professor in theDepartments of Psychology & Anesthesiology at Queen's University, Kingston,Ontario. He is the primary clinical psychologist and research coordinator for theChronic Pain Clinic of the Kingston General Hospital.