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PPH6 > Acute Pain > Flashcards

Acute Pain Flashcards

1
Q

Define Pain

A

Unpleasant sensory and emotional experience associated with tissue damage or potential damage.

Pain is subjective and its an emotional experience

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2
Q

What is acute pain

A

results from actual or potential tissue damage.

“protect from damage”

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3
Q

What is chronic pain

A

Pain that last longer than the tissue healing process

may occur without a biological purpose

pain diffuse non specific

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4
Q

What is nociceptive pain

A

pain from physical or potential damage

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5
Q

what is neuropathic pain

A

Pain arising from damage to the nerve system.
It is due to disease or injury.

also known as neuralgia/ neurogenic

Is not relieved by opioids

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6
Q

What is the treatment for nociceptive pain

A

opioids

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7
Q

What is the Pain Biopsychosocial model

A

Biological: extent of illness of injury

psychological: fear, guilt, anxiety, depression, helplessness
social: The response of others to pain, demands of work, access to medical care

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8
Q

What are the biological factors affecting pain?

A

Biological factors initiate maintain and modulate pain

genetic tolerance

Stress pain modulation

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9
Q

What is genetic tolerance

A

The way the CNS proses and transmits pain information

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10
Q

How does stress modulates pain perception

A

A person under stress will exacerbate pain

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11
Q

What psychological factors affect pan

A

psychological factors influence the perception of pain

psychological stressors increase the likelihood of disease.

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12
Q

How do social factors affect pain

A

How the environment and people interact with the patient

expectations influence how pain is managed

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13
Q

Self management for a patient experiencing acute pain involves:

  1. The patient managing their recovery completely independent of the practitioner
  2. The patient taking an active role in their recovery
  3. The practitioner instructing the patient on what they should do to manage their recovery
  4. All of the above
A
  1. The patient taking an active role in their recovery
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14
Q

With regard to education for patients experiencing low back pain, evidence suggests:

  1. Written information is as effective as inperson education
  2. Two hours of in person patient education improves outcomes
  3. Six 5 minute sessions of inperson patient education improves outcomes
  4. None of the above
A
  1. None of the above
    or
  2. Two hours of in person patient education improves outcomes (missing usual care)
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15
Q

Education for a patient experiencing acute pain should include:

  1. Education about maintaining activity
  2. Education about the neurophysiology of pain
  3. Education about pain management strategies
  4. All of the above
A
  1. All of the above
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16
Q

A key feature of an active management plan for a patient experiencing acute pain is:

  1. Identifying previous pain experiences
  2. Identifying pain tolerance
  3. Identifying the capacity to learn
  4. Identifying the willingness to learn
A
  1. Identifying willingness to learn
17
Q

What the 6 steps of the active management plan for acute patients?

A
  1. Identify patients goals 2.Identify expectations 3.Identify willingness to learn
  2. Identify preferred method of learning
  3. First consult advice: Keep active, explanation of pain mechanisms, take home materials
  4. Planning of ongoing education approach
18
Q

What are the phases of tissue healing time?

A

Hemostasis
inflammation
proliferation
remodeling

19
Q

How long does the homeostasis phase last?

A

4-6 h bleeding

20
Q

what are the 3 stages of homostesis?

A

vascular spasm
platele plug formation
blood coagulation

21
Q

How long does the inflammation phase last?

A

3-4 days swelling redness and pain

22
Q

How long does the proliferation phase last?

A

4 weeks
fibroblast laying new collagen
epithelial bridges form

23
Q

How long does the remodeling phase last?

A

months to years
dermal tissue maturation
decrease celular activity

24
Q

How long does muscle healing time take?

A

grade 1 = 2-3 weeks
grade 2 = 3-6 weeks
grade 3= 3 months after surgeries

25
Q

How long does tendon healing time take?

A 
primary = 3-7 weeks 
secondary = 6 - 12 weeks
tertiary= 3-6 months
26
Q

How long does ligament healing time take

A

grade 1 = 1-4 weeks
grade 2 = 3-24 weeks
grade 3= 6 week to >1yr

27
Q

How long do bone healing time take

A

6-8 week average

Phalanges – 3 weeks •Metacarpals: 4-6 weeks •Distal radius: 4-6 weeks •Lower arm: 8-10 weeks •Humerus 6-8 weeks •Femoral neck: 12 weeks •Femoral shaft: 12 weeks •Tibia: 10 weeks

28
Q

Nociceptive pain:

a) Is usually acute
b) Usually resolves when tissues heal
c) Is the most common type of pain
d) All of the above

A

d)All of the above

29
Q

Education for a patient experiencing acute pain should include:

a) Education about maintaining activity
b) Education about the neurophysiology of pain c)Education about pain management strategies
d) All of the above

A

d)All of the above

PPH6 (6 decks)

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