Abstract

Psychological factors are associated with difficulties in the management of acute pain. Extension of the model of multidisciplinary management of chronic pain to the management of acute pain can enhance patient care. This article describes the role of the clinical psychologist on the Acute Pain Service (APS) team. The psychologist as a consultant to the anesthesiologist, rather than as a care provider, will be emphasized. It will address (1) the current knowledge of psychological issues that influence the measurement and management of acute pain, (2) types of patient care situations that are likely to benefit from psychological consultation, (3) specific psychological issues that create problems in acute pain management, (4) practical matters related to defining a consultation question, preparing the patient to meet the psychologist, choosing a psychologist, and (5) psychological consultation financial issues.

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