Pain Management Applications Flashcards
7 cards from real BCH practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pain Management Applications flashcards as text
A BCH is working with a client who has phantom limb pain. Which hypnotic approach has shown the most clinical support for this condition?
Answer: Creating a mirror-box visualization or virtual limb sensation through suggestion
Hypnotic approaches that create virtual limb sensations or mirror-box visualizations can reorganize cortical pain maps and reduce phantom limb pain.
The concept of 'pain behavior' is important in hypnotic pain management because:
Answer: Reinforced pain behaviors can maintain chronic pain independent of tissue damage
Learned pain behaviors such as avoidance, guarding, and moaning can perpetuate chronic pain through operant conditioning even when the original injury has healed.
When a client in hypnosis spontaneously increases their report of pain intensity, the hypnotist should:
Answer: Calmly redirect using suggestions for comfort while monitoring the client's state
A calm, redirective response maintains therapeutic rapport while monitoring the client and guiding them toward relief without dismissing or escalating their experience.
Which hypnotic suggestion format is considered most effective for pain management according to current evidence?
Answer: Permissive and indirect suggestions that engage the client's imagination
Permissive, indirect suggestions invite collaboration and engagement from the client's own healing resources, producing more reliable and lasting pain relief.
A child with recurrent procedure-related pain (e.g., injections) would most benefit from which hypnotic strategy?
Answer: Imaginative involvement such as visiting a favorite cartoon world during the procedure
Children's naturally high imaginative capacity makes active storytelling and fantasy engagement the most developmentally appropriate and effective pain distraction technique.
A post-mastectomy client reports persistent burning pain and hypersensitivity at the surgical site. This presentation most likely reflects:
Answer: Neuropathic pain requiring a hypnotic approach targeting central sensitization
Burning pain and hypersensitivity after surgery are hallmarks of neuropathic pain involving central sensitization, which hypnosis can address by modulating central nervous system processing.
In hypnotic pain management, 'symptom substitution' refers to:
Answer: Replacing a pain sensation with a different, more neutral or pleasant sensation
Symptom substitution transforms the pain sensation into something more tolerable, such as warmth, tingling, or pressure, while respecting the body's signaling function.