Gunshot Injuries Assessment and Treatment Considerations: Difference between revisions

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== Introduction ==
== Introduction ==


== Sub Heading 2 ==
== General Rules in the Management of Gunshot Injuries ==


== Sub Heading 3 ==
# Build a therapeutic alliance and trust relationship with your patient
# Explain your roles and your abilities
# Be realistic and set your patient's expectations
# Agree on some mutual goals and responsibilities with your patient
# Ongoing collection of  information related to patient's history
# Use trauma-informed approach
# Avoid re-traumatisation of your patient
# Be sensitive to unrevealed story of captivity or torture
 
== Pain and Disability Drivers Model ==
Pain and Disability Drivers Model (PDDM) provides an assessment frame to standardise healthcare provider's approach for the management of gunshot injuries. It "identifies the domains driving pain and disability to guide clinical decisions." <ref>Longtin C, Décary S, Cook CE, Martel MO, Lafrenaye S, Carlesso LC, Naye F, Tousignant-Laflamme Y. Optimizing management of low back pain through the pain and disability drivers management model: A feasibility trial. PLoS One. 2021 Jan 20;16(1):e0245689.</ref>PDDM besets the multidimensional elements from the International Classification of Functioning, Disability and Health framework. This model includes the following five biopsychosocial domains that drive pain and disability:<ref name=":0">Naye F, Décary S, Tousignant-Laflamme Y. [https://archivesphysiotherapy.biomedcentral.com/articles/10.1186/s40945-022-00137-2 Development and content validity of a rating scale for the pain and disability drivers management model]. Arch Physiother 2022; 12(14).</ref>
 
* Nociceptive pain drivers
* Nervous system dysfunction drivers
* Comorbidity factors
* Cognitive-emotional drivers
* Contextual drivers (social and environmental)
 
Each domain is further divided into two categories: (1)modifiable drivers of pain and disability, and (2)more complex and/or less modifiable elements. <ref name=":0" />Based on the assessment results, the provider can weigh the relative contribution of each domain in the patient’s profile.<ref>Tousignant-Laflamme Y, Cook CE, Mathieu A, Naye F, Wellens F, Wideman T, Martel MO, Lam OT. Operationalization of the new Pain and Disability Drivers Management model: A modified Delphi survey of multidisciplinary pain management experts. J Eval Clin Pract. 2020 Feb;26(1):316-325. </ref>
 
=== Pain and Disability Drivers Model and Gunshot Injuries ===


== Resources  ==
== Resources  ==

Revision as of 12:15, 21 April 2024

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (21/04/2024)

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Introduction[edit | edit source]

General Rules in the Management of Gunshot Injuries[edit | edit source]

  1. Build a therapeutic alliance and trust relationship with your patient
  2. Explain your roles and your abilities
  3. Be realistic and set your patient's expectations
  4. Agree on some mutual goals and responsibilities with your patient
  5. Ongoing collection of information related to patient's history
  6. Use trauma-informed approach
  7. Avoid re-traumatisation of your patient
  8. Be sensitive to unrevealed story of captivity or torture

Pain and Disability Drivers Model[edit | edit source]

Pain and Disability Drivers Model (PDDM) provides an assessment frame to standardise healthcare provider's approach for the management of gunshot injuries. It "identifies the domains driving pain and disability to guide clinical decisions." [1]PDDM besets the multidimensional elements from the International Classification of Functioning, Disability and Health framework. This model includes the following five biopsychosocial domains that drive pain and disability:[2]

  • Nociceptive pain drivers
  • Nervous system dysfunction drivers
  • Comorbidity factors
  • Cognitive-emotional drivers
  • Contextual drivers (social and environmental)

Each domain is further divided into two categories: (1)modifiable drivers of pain and disability, and (2)more complex and/or less modifiable elements. [2]Based on the assessment results, the provider can weigh the relative contribution of each domain in the patient’s profile.[3]

Pain and Disability Drivers Model and Gunshot Injuries[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ Longtin C, Décary S, Cook CE, Martel MO, Lafrenaye S, Carlesso LC, Naye F, Tousignant-Laflamme Y. Optimizing management of low back pain through the pain and disability drivers management model: A feasibility trial. PLoS One. 2021 Jan 20;16(1):e0245689.
  2. ↑ 2.0 2.1 Naye F, Décary S, Tousignant-Laflamme Y. Development and content validity of a rating scale for the pain and disability drivers management model. Arch Physiother 2022; 12(14).
  3. ↑ Tousignant-Laflamme Y, Cook CE, Mathieu A, Naye F, Wellens F, Wideman T, Martel MO, Lam OT. Operationalization of the new Pain and Disability Drivers Management model: A modified Delphi survey of multidisciplinary pain management experts. J Eval Clin Pract. 2020 Feb;26(1):316-325.
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