WellnessPro. - Test booklet -

Transcription

1 WellnessPro - Test booklet -

2 It's clear that pain is understood by anyone and that everyone feels it a bit differently. Overall, pain is an unpleasant sensation that occurs in varying degrees of severity and is a consequence of a number of processes. In order to manage pain, doctors discern its intensity and frequency and the circumstance from which it springs. Types of Pain Pain is typically categorized into two broad areas: acute and chronic. Acute pain is easier to diagnose and treat than chronic pain. It usually occurs after an injury, and people in this state look like they're in pain. This type of pain usually disappears when the injury heals. If you break your nose in a fall or cut yourself in your workroom, you probably feel the pain pulsing like a silent alarm throughout your body. With acute pain, your heart rate, respiratory rate, fight-or-flight response, and sweating increase. While acute pain is severe, the good news is that it lasts a relatively short time. Chronic pain is a lot more complex. A Closer Look at Chronic Pain An article on chronic pain in the Journal of the American Medical Association noted that chronic pain is expensive, mainly because of the resulting disability and absence from work. In recent studies, researchers say, "more attention has been paid to the impact of chronic pain on daily living." And what an impact it has. What is chronic pain? A typical definition says that chronic pain is not one thing, but a condition that varies depending on the person. The variables include where the pain is, what its cause is, and how an injury heals. In some cases, the pain is simply inexplicable. However, one description is consistently applicable: All chronic pain is long-term pain that persists even after healing has occurred or when the condition that's causing the pain does not go away. This is pain beyond what doctors expect to see from a condition or injury that does clear up. Some women with endometriosis have worse symptoms during their cycles, while others begin feeling pain a week before that. When these women describe their pain as chronic, it's because they're uncomfortable for at least 2 weeks of the month. People who get bad migraines usually experience them intermittently rather than every day. So in that way, you may perceive your migraines as not actually being chronic, but recurring. The Healing starts here! Chronic pain cannot have power over your thinking when you at least partly define it as something you will not allow to affect how you function. Unlike people in the throes of acute pain, patients with chronic pain often do not appear to be in pain -- but indeed they are! Research done with chronic pain sufferers show that some exhibit greater brain activity than healthy people when subjected to pain. This may be why they experience pain more severely. Yet, they've gotten good at "getting through" and soldiering on. Rather than seeing an elevated change in vital signs, like increased heart rate, one usually sees vegetative signs, and, not to be dismissed, such a person may appear depressed. People with chronic pain may have sleep disturbances, decreased libido, anhedonia (an inability to feel pleasure), constipation, lethargy, and personality change; lose their appetites; and sometimes are preoccupied with their bodies. These are all classic symptoms of chronic pain. But why the pain? Often, it's due to a disease, while at other times, it's the treatment of the disease that produces the pain. When a person has any type of surgery, they can be left with a long-term pain problem secondary to scarring, or even permanent nerve damage.

3 Chronic or persistent pain may range from mild to severe, and it is present to some degree for long periods of time. Some people with chronic pain that is controlled by medication can have "breakthrough pain," which occurs when the medication does not work and moderate to severe pain breaks through or is felt for a short time. This can occur several times a day, even when the proper dose of medicine is given. In treating chronic pain, it's important to understand the different potential types and mechanisms of pain. Referred pain is felt some distance from where the pain actually originates. In other words, the site of the pain is not necessarily the source. Osteoarthritis of the hip, for example, causes pain to be experienced in the knee. In acupuncture, a form of Chinese medicine, kidney problems can be indicated by pain in the knees. Phantom pain occurs when you have had a limb, breast, or other body part removed by surgery. People describe the pain or unpleasant sensations as if they were coming from the absent body part, but phantom pain is real and not in patients' minds. Somatic pain is caused by activation of a pain receptor. Remember, pain nerve endings, called nociceptors, are programmed to respond to various stimuli, such as heat, cold, and other physical sensations. The characteristics of the pain are very well localized aching, throbbing, and a gnawing feeling. Examples include joint and bone pain. This type of pain is generally very responsive to nonsteroidal anti-inflammatory drugs (NSAIDS) like aspirin, and when they are no longer helpful, one can use opiate medications to treat this type of pain. Visceral pain is also caused by activation of a pain receptor. The patient often feels achy, vaguely localized pain. It commonly originates in the abdomen or the chest, it does not feel as if it is limited to only one area. A good example of visceral pain is chest pain due to a heart attack. In this case, the pain occurs in the chest, but it can go up the neck and down the arm, too. This type of pain is a little more difficult to treat, but it can respond to opiates and adjuvant medications. Neuropathic pain is caused by destruction of a nerve in either the peripheral or central nervous system. Neuropathy can be best thought of as a seizure of a nerve. People often describe a severe, sharp, shooting, or stabbing pain or a burning, numb, or tingling sensation. Myofascial pain is muscle pain that occurs in conjunction with other pains. The trigger point is a localized, highly irritable spot in a taut band of skeletal muscle. Palpation of these trigger points will alter the pain, causing it to increase or radiate. You may feel as if you are having a muscle spasm. Authors: Ann Berger, MSN, MD, is one of the foremost specialists in pain management in the nation. A medical oncologist specializing in pain treatment, she has written and edited numerous books on pain and palliative care for patients and health-care providers.

4 Pain Throbbing, burning, aching, stinging the terms patients use to describe pain are often different because pain is personal and subjective. Pain is influenced by: age gender race / ethnicity psychosocial factors The International Association for the Study of Pain defines it as an unpleasant experience associated with actual or potential tissue damage to a person's body. Acute Vs. Chronic Pain There are two basic forms of physical pain: acute pain chronic pain Acute Pain Acute pain, for the most part, results from disease, inflammation, or injury to tissues. It is immediate and usually of a short duration. Acute pain is a normal response to injury and may be accompanied by anxiety or emotional distress. The cause of acute pain can usually be diagnosed and treated. Chronic Pain Many people suffer from chronic pain, which is defined as pain that persists continuously for at least two weeks. Chronic pain is associated with many health problems and may have different origins and is accordingly named neuropathic pain (due to peripheral nerve injury), noxious pain, inflammatory pain and sympathetic pain. Combinations may be present as well. Many treatment modalities have been developed over the years, such as pharmacological, physical, psychological, electrotherapeutic, cognitive and surgical (ablation, decompression) approaches to pain management. Chronic pain is continuous pain that persists for more than 3 months, and beyond the time of normal healing. Chronic pain ranges from mild to severe and can last weeks, months, or years to a lifetime. The cause of chronic pain is not always evident, although it can be brought on by chronic conditions such as: arthritis lupus fibromyalgia Pain Management Chronic pain can often interfere with a patient s quality of life, sleep, and productivity. Despite the adverse affects of chronic pain, it is often poorly managed.

5 Arthritis / Rheumatic Conditions Pain often accompanies disease of the bones, muscles, joints, and skin, which affect millions of Americans. Most of these diseases are chronic and may cause lifelong pain. In certain cases, such as with some rheumatic diseases, the sources of pain may include: inflammation of the synovial membrane (tissue that lines the joints) inflammation of the tendons inflammation of the ligaments muscle strain muscle fatigue A combination of these factors contributes to the intensity of the pain. Muscle Inflammation Muscle inflammation characterizes other painful disorders such as: polymyositis (characterized by inflamed and tender muscles throughout the body, particularly those of the shoulder and hip) dermatomyositis (characterized by patchy red rashes around the knuckles, eyes, and other parts of the body, along with chronic inflammation of the muscles) SOMETIMES THE CAUSE OF PAIN IS UNKNOWN In other cases, such as with fibromyalgia syndrome, the cause of the pain is unknown. A distinct characteristic of fibromyalgia is pain and tenderness in sensitive areas known as tender points. These tender points are distinct from trigger points as seen in other pain syndromes. It is important to consult with a physician to help determine the cause and treatment for your pain. Describing Your Pain There is no medical test that can convey the level of pain you are feeling. Only you can describe your pain. In order to provide an accurate description of your pain, it may be helpful to share the answers to the following questions with your doctor: How long have you had pain? Where is the pain located? Does the pain come and go or is it continuous? What makes the pain better or worse? Has the pain changed since your last visit with your doctor? What medications or treatments have you tried for the pain? Comprehensive Management Plan After you have been evaluated by your doctor, he or she will discuss the findings with you and design a comprehensive management plan for your pain. There are currently many treatment options available for pain, and scientists believe that research can help lead to more and better treatments for pain in the future. The Wellness Pro Bio Electrotherapy unit is proving to be a VERY effective option. Ask your doctor.

6 Research on Pain Pain research is conducted and funded by the NIH by many of its institutes and centers, including the NIAMS. Although some of this research on pain is not linked to any disease specifically, certain aspects of pain research are applicable to many diseases. Research on pain supported by NIAMS covers a broad spectrum from basic research to clinical studies to behavioral interventions. This research is needed to: determine the most effective drug and nondrug therapies and interventions, including complementary / alternative treatments remove barriers to effective treatment identify assessment tools for patients unable to describe their pain identify effective pain management strategies for individuals with disabilities and in underserved populations. That is why it is essential to support basic studies across the research spectrum and to encourage sharing of knowledge from experts in many disciplines. Why Is Behavioral Research Important to Understanding Pain? Pain has a profound effect on the quality of human life. Pain can cause disruptions in: sleep eating mobility Pain can interfere with daily living and affect overall ability to function. Progress is being made in understanding the physiological mechanisms involved in pain. However, understanding individuals' pain experience presents unique scientific challenges. It is important for people to manage their pain and minimize its negative impact. Some habits and routines can increase your pain level. Better Understanding Of Pain Perception / Pain Tolerance The levels of pain different people experience and their reactions to it vary widely, perhaps due to: psychological state age gender social environment cultural background genetic or physiological differences Pain perception needs to be examined at all levels of basic and clinical research, including behavioral research, with the goal of developing interventions to manage or prevent pain.

7 National Institute of Arthritis and Musculoskeletal and Skin Diseases: NIAMS provides information about rheumatic, bone, muscle, and skin diseases. It distributes patient and professional education materials and refers people to other sources of information. National Institute of Dental and Craniofacial Research: NIDCR provides information about craniofacialoral-dental diseases and disorders. It distributes patient and professional education materials and refers people to other sources of information. National Institute of Neurological Disorders and Stroke: NINDS provides information about neurological disorders. It distributes patient and professional education materials and refers people to other sources of information. American Chronic Pain Association: This association provides information on positive ways to deal with chronic pain and can provide guidelines on selecting a pain management center. American Pain Society: This society provides general information to the public and maintains a directory of resources, including referrals to pain centers. National Foundation for the Treatment of Pain: This organization provides support for patients who are suffering from pain, their families and friends, and the physicians who treat them.

8 THE SCIENCE The Gate Control Theory The gate control theory hypothesizes that nerves are only able to carry one signal at a time. By over-stimulating those nerves with electrical current the TENS unit is able to confuse the brain and, thereby, block the real pain signals from getting through. The Endorphin Theory The second theory is that the TENS unit stimulates the production of the body's own natural morphine-like substances known as endorphins. It is believed that electric current stimulates certain nerves, which in turn send messages to the brain causing it to release these natural pain relief chemicals. These endorphins then act in a similar manner to conventional narcotics to provide the body with overall pain relief. What kinds of pain respond to TENS? Pain that warns us of external danger and internal illness serves a useful purpose. But the chronic and acute pain associated with long-term illness, surgical incisions, and unknown diagnoses do not provide insight into illness, and therefore should be relieved. TENS is an excellent, non-drug alternative for chronic pain such as lowerback ache and arthritis. It is also useful in relieving acute pain associated with surgery, traumatic injury, and other conditions. How can TENS relieve pain? TENS can relieve pain by blocking the pain message sent by the body's nervous system. This is accomplished by placing electrodes over the painful area and administering a low-volt electrical current. The current overrides the nervous system's message of pain, thereby blocking it. Does TENS treatment have any risks or side effects? Unlike surgery or prescription drugs, TENS is virtually risk free from injury, side-effects or addiction. The lowvolt electrical current delivered by the electrodes only penetrates the skin to the level of the nerve fibers, usually only one to two inches. This poses no danger to most individuals. However, those with cardiac conditions and/or pacemakers, and pregnant women should consult their doctors before using TENS. Also, neck and head pain that requires locating electrodes on these areas of the body should be conducted only with the consent of a physician. Use caution when you drive or operate heavy machinery. Most importantly, always use TENS according to your physicians directions. What is the most effective way to use TENS? To achieve the best results of TENS therapy, it is important to remember that TENS merely activates the body's own pain-fighting mechanism. Placing electrodes directly over or around the painful area delivers pain-blocking current to the nerves leading to that area. Some healthcare professionals have found that placing the electrodes along acupuncture points and meridians is also effective. Also, it is good to vary the placement of the electrodes each treatment to avoid skin irritation.

9 How long does it take for TENS treatment to produce results? In most cases, studies show that it takes roughly 30 minutes for TENS treatment to begin to relieve pain. However, for conventional, high-frequency TENS treatment, there is no set treatment limit. Some patients find hours of pain relief from short 30-to-60 minute sessions. Others use their TENS units for several hours a day or all day, depending on the pain generated by daily activities. Always use your TENS unit according to your physician's directions. When can TENS treatment be administered? TENS can be administered any time of day or night. It is recommended that TENS not be used while sleeping. This is simply because movement during sleep may cause electrodes to come off or be pressed into the flesh, causing skin irritation. However, always use your TENS unit according to your physician's directions. Pain is a Symptom of many diseases. Millions of people suffer from chronic pain, which is defined as pain that persists continuously for at least two weeks. Chronic pain may have different origins, and is accordingly named neuropathic pain (due to peripheral nerve injury), noxious pain, inflammatory pain and sympathetic pain. Combinations may be present as well. Many treatment modalities have been developed over the years, such as pharmacological, physical, psychological, electrotherapeutic, cognitive and surgical (ablation, decompression) approaches to pain management. More and more practitioners around the world have reported outstanding and longer lasting results in the reduction of pain using the Wellness Pro 2010.

10 Questionnaire: What is a WellnessPro Device? MENS device TENS device Microcurrent device Rife device How many wave types WellnessPro has? ,000 1,000,000 Can you select your own frequency? Yes No Yes, in any desired range Yes, in the range from ,000 Hz Who can purchase WellnessPro? Health practitioners Anyone without prescription Anyone with a prescription Distributors If you have specific condition, can WellnessPro help you? Yes, it will cure you Yes, it will help with reduction of your pain No, it will not help you

11 Who can give medical advice related to usage of WellnessPro? Distributors Distributor Health practitioners Certified trainers Licensed health practitioners I have a pacemaker. Can I use the WellnessPro? Yes This unit should not be used Consult your doctor I m pregnant. Can I use the WellnessPro? Yes No, this device should not be use during pregnancy Consult your doctor How long is the warranty? 1 year 3 years 5 years Is there a money back guarantee period? Yes, 90 days Yes, 60 days Yes, 30 days If I want to advertise do I need to have Ads cleared by the company before I place them? No Yes

12 As a Wellness Pro Trainer I can give medical advice. True or False? True False Can Practitioners Bill Insurance for treatments using the Wellness Pro? No Yes What is the 2 nd largest industry on Earth? Food Internet Healthcare When I can expect my check? Immediately after your sale days after your sale 60 days after your sale 2 days after visualizing a sale Why is this moment in history so critical for helping people and generating income? Because Heathcare is the fastest growing industry Because as the Baby boomers are getting older they have more health problems Doctors prescriptions are necessary. True or False? True, Necessary False, Not Necessary I can advertise on the Internet less than 3,495. I can set any price I want. True or False? True False

13 What are the requirements to become a distributor? Own 1 unit Own 3 Units It s free to join Name of distributor: Signature: Date: