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Research draft

pain

vr.tr.pain · INF.KNW

Let an agent handle pain respectfully as a subjective experience with types and clinical classifications, give only general information, and direct people to care.

Thing Registry Information and virtual systems

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent handle pain respectfully as a subjective experience with types and clinical classifications, give only general information, and direct people to care.

An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage (IASP), including acute and chronic pain.

What it is for: Pain warns of harm; chronic pain is a condition in its own right.

It can be describe and rate it; assess it clinically; manage it, with professional care; recognise signs that need urgent care.

Distinguishing features

Subjective experience

Acute versus chronic

Chronic primary and secondary pain in ICD-11

Self-report is the primary measure

What it looks like

Not visible; reported by the person and inferred from behaviour.

How it is recognised

Self-report and pain scales

ICD-11 chronic pain categories

Behaviour can indicate pain in people who cannot speak

Related models

is a kind of - experience

symptom and perception

is treated by - care

medicine

relates to - wellbeing

health

is classified in - codes

ICD-11

In practice

Families and kinds

acute pain

chronic primary pain

chronic secondary pain: cancer, postsurgical, neuropathic

headache and orofacial pain

Identifiers

ICD-11 code MG30 chronic pain group classification

Standards and regulation

IASP definitions

WHO ICD-11

Clinical guidelines on pain management

Controlled drug regulations for opioids

Failure modes and hazards

Dismissing pain

Giving medication advice

Missing red flags such as chest pain

Also called

chronic painchronic primary painchronic cancer related painchronic postsurgical or post traumatic painchronic neuropathic painchronic secondary headache or orofacial painchronic secondary visceral painchronic secondary musculoskeletal painback painmyofascial pain syndromeihtidharpainful respirationcancer painchronic musculoskeletal painAmplified musculoskeletal pain syndromeschildhood chronic painchronic primary visceral painskin painabdominal tendernessabdominal painabdominal crampsmusculoskeletal painallodyniahyperpathiasevere backacheFacet syndromecoccydyniapain in spinelow backachemiddle back painBohler's signgas painbody achepainful lymph glandsparotid painacute painful vision lossretrobulbar paincolicky painloin painradiating pain

+139

Where this came from

wikidata · CC0 1.0

Also registered as vr.tr.pain-cognition

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Experience What is felt.

Self-report comes first.

Description

Quality and location.

Description

Pain description.

  1. Where is the pain, and what is it like? definition
  2. How severe, on a scale? measurement

Duration

Acute or chronic.

Duration

Duration.

  1. How long has it lasted? measurement
  2. Is it getting worse? measurement
Urgency Red flags.

Some pain needs urgent care.

Red flags

Warning signs.

Red flags

Warning signs.

  1. Are there warning signs such as chest pain or sudden severe headache? boundary
  2. Which emergency number applies? action

Referral

Who to see.

Referral

Where to get care.

  1. Who should the person see about this pain? action
  2. How soon? boundary
Management Care options.

Management belongs with clinicians.

Options

Treatments.

Options

Treatment options.

  1. What do guidelines say about managing this type of pain? provenance
  2. What must the agent not advise? boundary

Chronic pain

Long-term support.

Chronic

Chronic pain support.

  1. Where can people with chronic pain get support? action
  2. Which services exist? action
Respect Believing people.

Respect matters.

Validation

Acknowledgement.

Validation

Acknowledgement.

  1. Does the response take the person pain seriously? boundary
  2. Is the language respectful? boundary

Privacy

Health data.

Privacy

Data handling.

  1. Is health information handled lawfully? boundary
  2. What should not be shared? boundary

What the second pass must settle

  • Should pain types be separate entries?
  • How should agents respond to people in pain?
  • How should red-flag symptoms be listed reliably?