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Psychological evaluation – Depression, anxiety, somatization, and hypochondriasis are associated with worse outcomes for spinal cord stimulators. Experts recommend psychological evaluation prior to placement. A diagnosis with a psychiatric disorder is not a strict contraindication to stimulator placement.
As an outcome measure specifically designed for spinal cord injury, the Spinal Cord Independence Measure is a tool that evaluates how safely, cheaply, and independently a patient can do basic activities of daily living.
This includes an evaluation of limb function to determine what the patient is capable of doing independently, and teaching the patient self-care skills. [18] Independence in daily activities like eating, bowel and bladder management, and mobility is the goal, as obtaining competency in self-care tasks contributes significantly to an individual ...
Psychological evaluation is a method to assess an individual's behavior, personality, cognitive abilities, and several other domains. [a] [3] A common reason for a psychological evaluation is to identify psychological factors that may be inhibiting a person's ability to think, behave, or regulate emotion functionally or constructively.
Patient selection is key, and candidates should pass rigorous psychological screening as well as a medical workup to assure that their pain syndrome is truly medication-resistant. [21] After recuperating from the implant procedure, the patient will return to have the system turned on and programmed.
Therapeutic assessment is a psychological assessment procedure which aims to help people gain insight and apply this new insight to problems in their life. [1] This paradigm is contrasted with the traditional, information-gathering model of psychological assessment, the main goal of which is to accurately diagnose, plan treatments, and evaluate treatment effectiveness.
However, research has shown there is a difference between rural patients and non-rural patients having more access to different self-management approaches. Physicians in these areas may be readily prescribing more pain medication in these rural cities due to being less experienced with pain management.
Pediatric psychology is a multidisciplinary field of both scientific research and clinical practice which attempts to address the psychological aspects of illness, injury, and the promotion of health behaviors in children, adolescents, and families in a pediatric health setting.