Stanford Five in
pain management
Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals pr ...
is an augmented set of
medical history
The medical history, case history, or anamnesis (from Greek: ἀνά, ''aná'', "open", and μνήσις, ''mnesis'', "memory") of a patient is information gained by a physician by asking specific questions, either to the patient or to other peo ...
obtained by the clinician during the medical interview for patients with pain. Unlike the
OPQRST
__NOTOC__OPQRST is a mnemonic initialism used by medical professionals to accurately discern reasons for a patient's symptoms and history in the event of an acute illness. It is specifically adapted to elicit symptoms of a possible heart attack. ...
of pain history designed to elicit aspects of the pain experience itself, the Stanford Five is designed to assess and present the
pain
Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
experience as viewed from the patient's primary belief system.
Components
A cornerstone of interdisciplinary pain management, its creation is attributed to
Sean Mackey of Stanford University. The following are the components of the Stanford Five :
* Cause: What tissue abnormalities the patient believes to be the cause of the current problem.
* Meaning: The presence of any
sinister beliefs related to the pain, in terms of tissue damages, that precludes activities
* Goals: What the patient expects to achieve with further treatment
* Treatment: What the patient believes needs to be done now and in the future to help resolve the problem
* Impact: What impact does the primary problem have on the patient's life including interference on vocational, social, recreational activities, and in general the patient's
quality of life
Quality of life (QOL) is defined by the World Health Organization as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards ...
References
{{reflist, refs =
[{{cite book , last = Thernstrom , first = Melanie , title = The Pain Chronicles: Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans, Healing, and the Science of Suffering , publisher = Farrar, Straus and Giroux , year = 2010 , isbn = 0865476810 , url-access = registration , url = https://archive.org/details/isbn_9780865476813 ]
External links
Pain Management Doctor & Clinic
Pain management