P.E.A.K. AI Automation Of Pan Management & The Correlation Between Psychology, Empathy, Anxiety & Knowledge Can Help Kids And Adults!
Mental health and emotion is still subject to self-reporting and automation, creating a tremendous gap when it comes to capturing emotion or anxiety data. Children being able to express themselves, especially with pain and especially with emotionally challenged kids with autism is one of the biggest problems in healthcare. The same is true for adults in healthcare, especially with self-reporting where there is a huge need for PEAK tools.
The Supply of Therapists / Trained Hospital Staff stagnates even as the need for support rises!
•Labor costs rise as problem increases
•Quantity of patients per staff increases
•Shortage of 500,000 therapist & 50,000 nurses
Treating anxiety and providing psychological support has been shown to help reduce pain and reduce analgesic use and providing digital therapy support. Providing therapy support for kids with autism can help therapist with cognitive repetitive task and allow the therapist to focus on the core ABA therapy, and insights from PEAK can help modulate behavior and medication .
PEAK AI Platform provides key insights that are valuable in today’s new evidenced-based billing. MeduPal PEAK 1) Tablet and 2) Desktop and/or Bedside Robot can focus on the patients that need the most human support and MeduPal can help with the other patients:
•Labor costs is reduced to as low as $2.70 Per Hour
•Staff can handle more patients more efficiently
•In addition, valuable insights from PEAK data
Psychology and Perception of Pain
The perception of pain involves far more than mere sensation. The affective and evaluative components of pain are often as important as the production and transmission of the pain signal. These emotional aspects are most prominent in chronic pain patients, but knowledge of the psychology of pain can greatly improve the treatment of acute pain as well. Pain and its perception The limbic system, where emotions are processed, modulates the amount of pain experienced for a given noxious stimulus. It has been shown in cancer patients that the affective component of pain can be completely blocked by frontal lobectomy. Lobectomized patients still register severe pain, but it doesn’t ‘‘bother’’ them. Pain can thus be viewed as merely a ‘‘signal’’ that something is wrong somewhere in the body, until it reaches the emotional brain, where this signal becomes what we feel as pain.
The emotional response to pain involves the anterior cingulate gyrus and the right ventral prefrontal cortex. These centers are also activated by social rejection. Serotonin and norepinephrine circuits are also involved in the modulation of sensory stimuli, which probably influence how depression and antidepressant medications affect the perception of pain.
The perception of even acute pain is highly dependent on the context in which it occurs. There are reports of soldiers in battle who suffer a compound fracture, and report only twinges of pain. In laboratory studies of experimental pain in which context, fear, and anxiety are controlled, the placebo effect and opioids are much less effective. This occurs because the reduction of both the fear and anxiety is a large part of the placebo effect and of the function of opioidS.
Focusing one’s attention on pain makes the pain worse. Patients who have somatic preoccupation or hypochondriasis are overvigilant about bodily sensations. It has been found that by attending to these sensations, they amplify them to the point of feeling painful.
Conversely, distracting patients is highly effective in reducing their pain. Burn patients undergoing treatments or physical therapy experience excruciating pain, even after they have been given opioids. It has been shown that these patients report only a fraction of this pain if they are distracted with a virtual-reality type of video game during the procedure.
Anxiety, fear, and a sense of loss of control contribute to patient suffering. Treating anxiety and providing psychological support has been shown to improve pain and reduce analgesic use. Improving patients’ sense of control and allowing them to participate in their care is also helpful. Physicians should try to create an environment that is nonthreatening. For procedures, prepare needles and other equipment out of sight from the patient. In addition to assuring that procedures are performed in the least painful way possible, use nonthreatening terms such as ‘‘mild discomfort’’ instead of ‘‘pain.’’ It is also helpful to distract patients with conversation about subjects that interest them, such as their hobbies or family.
Patients who have low levels of pain remember it as being worse than they originally reported, which tends to worsen with time. Almost all patients report relief with treatment, even when true measured changes in pain scale are not significant, and sometimes when measured pain is worse . Learned pain Pain can be a learned response, rather than a purely physical problem. Just as cancer patients can develop nausea as a learned response to treatment and experience it even before chemotherapy is administered, patients can learn to have pain even in the absence of a physical stimulus . In some cases, pain can be entirely ‘‘in the mind,’’ as in the case of a butcher who slipped and caught his arm on a meat hook, and was reported to be suffering in great agony. When he learned that the hook had merely caught on his sleeve and his arm was uninjured, his pain resolved. Patients can learn to feel different amounts of pain just by viewing other people.
When laboratory subjects were shown models demonstrating high pain tolerance, they required 3.48 times greater stimulus before they rated it as painful, compared with those subjects who observed models who showed poor tolerance. Nonaversive shock, usually described as ‘‘tingling,’’ was rated as painful by only 3% of those who had viewed a tolerant model, compared with 77% of the subjects who viewed models who showed poor tolerance.
Expectations and Medication
Patients’ expectations of how much pain they should have also influence how much pain they feel, their response to treatment, and whether or not the condition becomes chronic and disabling. The results of minor whiplash injuries have been shown to be highly variable in different regions. This has been attributed to the local cultures and expectations. Any messages that communicate to patients that they have a serious or debilitating injury may contribute to deconditioning and maladaptive postures that worsen their pain.
Prescribing medications can contribute to the problem. Patients who are not given sick leave and are told to ‘‘act as usual’’ have much better outcomes. The placebo effect is also influenced by patients’ and physicians’ expectations. It can be assumed that the ‘‘nocebo’’ effect (ie, the perception of harm resulting from a patient’s beliefs) can also result from messages that inadvertently increase the patient’s anxiety and expectations of pain. Beliefs and coping Other psychosocial issues, such as what patients believe about their pain, their coping skills, their tendency to ‘‘catastrophize,’’ self-efficacy, locus or control, and their involvement in the ‘‘sick role,’’ all have an impact on how much pain patients feel, and how it affects them. In successfully getting low back pain patients back to work, the most important factor identified has been a reduction in subjective feelings of disability. Patients diagnosed with fibromyalgia have to stop catastrophizing to improve, and they must be persuaded that they have PSYCHOLOGY OF PAIN the capacity to be more functional. Consequently, physicians should focus on improved function and long-term management.
Patients should be led to understand that they themselves have an important role in distracting themselves, and that they can minimize the interference that pain has in their lives. Chronic pain Chronic pain patients commonly have problems with the psychological and emotional aspects of pain. Preexisting psychological factors have been shown to be very important in the development of chronic pain after surgery and in complex regional pain syndrome (CRPS), tension-type headaches, and fibromyalgia. The National Institutes of Health Technology Assessment Conference Statement identified six factors that correlated with treatment failures of low back pain—all were psychosocial. Even chronic, episodic, low back pain may have a vital component of socioeconomic and psychological influences. There is a vicious cycle in which pain causes disability and stress, which in turn worsens the perception of pain.
Pain empathy is a specific subgroup of empathy that involves recognizing and understanding another person's pain. Empathy is the mental ability that allows one person to understand another person's mental and emotional state and how to effectively respond to that person. When a person receives cues that another person is in pain, neural pain circuits within the brain are activated. There are several cues that can communicate pain to another person: visualization of the injury causing event, the injury itself, behavioral efforts of the injured to avoid further harm, and displays of pain and distress such as facial expressions, crying, and screaming. From an evolutionary perspective, pain empathy is beneficial for human group survival since it provides motivation for non-injured people to offer aid to the injured and to avoid injury themselves.
Psychology of Pain
Understanding the impact of fear, expectations, and attention can help physicians deal more effectively with acute pain. Psychological issues are particularly prominent in chronic pain. Though acute care physicians my not be treating these psychological conditions, they can help by referring patients to the appropriate psychological or multidisciplinary setting. References Fields H. Depression and pain: a neurobiological model.
*George R. Hansen, MD, Jon Streltzer, MD, Department of Emergency Medicine
MeduPal Robots have the potential to simultaneously automate mundane and routine tasks and enable skilled employees to focus their energies on the higher-level work they were hired and trained to do. Can reduce labor tasks by 50-90%, if you're using hospital or pharmacy techs that you're paying $20 an hour, and they're spending some number of hours doing deliveries or tasks, if it's four hours a day or whatever that ends up being, you can replace that with a much lower operational cost of even less than $6 an hour with MeduPal Robots (depending upon hours used).
MeduPal unique design can also deliver 24/7 and communicate/guide patients regarding food/health, mail, video telepresence and medical devices.
Our core empathy and anxiety engine and platform provides the most personalized way to converse between patients and caregiver staff and we have a patent pending new not disclosed modular low-cost robot that will change healthcare forever. We have integrated our patent pending emotion anxiety software into Telehealth of 60 Veteran Hospitals and can provide emotion technology and data.
MindHeart's mission-critical technology will allow health system clients to:
Robot/Software with personalized emotion anxiety-relief companionship (PEAC) with specific guidance/help (Covid, Calming Portal, Procedures) that provides the ability for hospital caregiver to:
● 1)DELIVER Covid-19 testing & food/medicine to patient without risking staff (and patient) exposure
● 2)SCREEN Visitors for temperature without risking staff (and patient)
● 3)PRE-SCREEN via group-scanning visitors for temperature without risking staff ● 4)TELEHEALTH via pre-selected robot avatar or via caregiver-to-patient (and robot-to-patient)
● 5)REMOTE PATIENCE MONITORING for in-patient or remote patient monitoring (RPM)
Improve Patient Satisfaction
Generate Revenue And Save Labor (Insurance * CPT Codes)