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Consistent application of gate control theory in the screening and selection of patients for implantable therapy

Authors
  • Randolph, Patrick D.1
  • Greak, Lynnette1
  • 1 Psychological Services Texas Tech University Health Sciences Center, Pain Management Center, Dept. of Anesthesiology 3601 4th Street, Room IC-282, Lubbock, TX, 79430, USA , Lubbock
Type
Published Article
Journal
Current Review of Pain
Publisher
Current Medicine Group
Publication Date
Feb 01, 1999
Volume
3
Issue
1
Pages
48–60
Identifiers
DOI: 10.1007/s11916-999-0064-3
Source
Springer Nature
Keywords
License
Yellow

Abstract

The purpose of this article is to provide pragmatic instruction in the identification of favorable candidates for implantable devices. Protocol for psychological assessment and decisionmaking is submitted with particular attention to the consistent application of gate control theory. Strategies are discussed with reference to the influence of culture in the decision-making process,multidisciplinary assessment and treatment, pain management rather than cure, dynamic rather than one-time decisions, and psychological selection criteria.The holistic paradigm is highlighted as an explanatory model from which procedures can evolve. A template is submitted in the structuring of recommendations.

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