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C o n t e n t s

List of illustrationsAcknowledgementsPART iI n t r o d u c t i o n : w h a t is p ain ?

1 Introduction2 Some experiences of painPART IIF a c t o r s in f l u e n c i n g t h e p a in e x p e r i e n c e

3 Nociception: sensory-discriminative aspects4 Emotional and motivational aspects of pain5 Cogn itive an d evaluative aspects of pa in6 Social and cultural aspects of pa in

PART IIII n te r ven t i o n s to h e l p th e p er so n i n p a i n

viivi i i

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v i Con ten ts7 Pharmacological and physical interventions8 Psychological interventions

PART IVT h e m a n a g e m e n t o f p a i n

9 The assessment and monitoring of pain10 Administration of interventions11 Conclusion: the future - research and education

Appendix: useful organisationsReferencesIndex

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I l us t ra t ions

Figures3.1 Soc io-cultural extension of the gate con trol m ode lof pain3.2 Sensory ne uro ne indicating the link betwe en theperiphery and the spinal cord3.3 A synapse3.4 D iag ram of a section of the spinal cord3.5 The ascending and descending pain pathw ays5.1 A com pariso n of m odels of cognitive developm ent5.2 Ch ildren's exp lanatio ns of illness and pa in7.1 Th e analgesic ladd er7.2 Diagram showing a TE N S st imulator9.1 Signs and sym ptom s for pain assessm ent9.2 Pa in ratin g scale9.3 The M cGill Pain Qu estionnaire9.4 Th e infant 'pa in' face9.5 Bieri's 'faces ' pa in ratin g scale

BoxesBox 2.1 Types of painBox 6.1 Aspe cts of pow erBox 6.2 Th e bio-psy cho-so cial aspects of disease

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