3. Pain Flashcards
what to use when palpating for temp
dorsal aspect of hand
crepitation
abnormal grating / crunching sound felt or heard over joints
palpating for vibrations aka tactile fremitus over chest you use
ulnar/ side of hand
when palpating for pulsatility or thrills over chest you use
palm
percussion sound over bones
flatness
percussion sound overlungs adult and children
adult = resonance
children = hyperresonance
percussion sound over abdominal areas
tympany
percussion sound over dense organs
dullness
when percussing how d you do it
use non dominant hand to tap and dominant hand over the pt
What is acute pain
short duration with a cause
What is chronic pain
persistent pain
What is nociceptive pain
pain caused by harmful stimulus
What is neuropathic pain
sensitivity to touch and temp, caused by nervous system
What is nociplastic pain
altered pain receptors, no actual problem/ damage
What is referred pain
pain felt in diff place from origin
What is idiopathic pain
pain from unknown origin
angina
chest pain
fibromyalgia
chronic pain all over the body and fatigue
abbey pain scale is for?
assess pain for pt with dementia who cant communicate properly
diaphoresis
excessive perspiration
if flat sounds can be heard where its not supposed to it can indicate
mass
when pain or tenderness is present do you palpate it first or last
last
full abdomen can sound as
dull sound
How to use abbey pain scale, what does it look at?
Vocalization (e.g., groaning, crying)
Facial expression (e.g., grimacing)
Body language (e.g., guarding, tension)
Behavioral changes (e.g., agitation)
Physiological changes (e.g., temp, pulse, BP)
Physical changes (e.g., skin tears, bruising)
———–> Score = higher means more pain.
