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System Screenings I > Assessment of Pain > Flashcards

Assessment of Pain Flashcards

1
Q

A common, uncomfortable sensation and emotional experience associated with actual or potential tissue damage

A

Pain

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2
Q

The _________ requires that pain be assessed and documented for all patients in all health care facilities; repeated assessment; prompt treatment of reported pain; pain intensity be recorded

A

Joint Commission

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3
Q

Sudden, of short duration, and usually associated with surgery, injury, or acute illness

A

Acute pain

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4
Q

Persistent, lasting weeks or months or longer, and usually associated with prolonged disease

A

Chronic

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5
Q

The transmission of pain impulses from the site of injury or tissue damage to the dorsal horn of the spinal cord and brain

A

Nociception

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6
Q

Carry sharp, well-localized pain which is quickly transmitted

A

Myelinated A-delta fibers (large)

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7
Q

Carry dull, burning, diffuse, and chronic pain, which is slowly transmitted

A

Unmyelinated C-polymodal fibers (small)

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8
Q

What are some influences (5) that can impact the perception of pain?

A
  1. Emotions
  2. Cultural background
  3. Sleep deprivation
  4. Previous pain experience
  5. Age
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9
Q

True or False:

Newborns may be more sensitive to pain stimuli than older infants and children.

A

True; newborns are less able to modify pain impulses

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10
Q

Why do people have individualized responses to pain?

A

Pain is analyzed in the brain and everyone is different

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11
Q

Which vital sign is pain known as?

A

5th

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12
Q

When a patient complains of pain, how should it be assessed?

A
  1. Onset,
  2. Quality
  3. Intensity
  4. Location
  5. Associated symptoms [nausea, fatigue, behavior change, etc.]
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13
Q

Why is it difficult to assess pain in older adults?

A
  • Cognitive impairment (sometimes there is need for family member to describe the patient’s expression of pain)
  • Dementia patients are especially difficult to assess
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14
Q

Name some (8) possible behaviors related to pain

A
  1. Facial expressions
  2. Vocal expressions
  3. Body movements
  4. Changes in vital signs
  5. Pallor
  6. Pupil dilation
  7. Dry mouth
  8. Decreased attention span
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15
Q

Name 4 classic pain patterns.

A
  1. Bone and tissue pain may be tender, deep, and aching
  2. Heavy, throbbing, and aching pain may associated with a tumor pressing on a cavity
  3. Burning, shock like pain may indicate nerve tissue damage
  4. Cramping spasms may define visceral or colic pain
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16
Q

Pain scale generally used with adults or adolescents who possess the cognitive capability to understand the pain scale; Rate pain from 0-10

A

Numeric Pain Intensity Scale

17
Q

Pain scale is used to assess pain in preterm and full-term infants up to 6 weeks; infant’s facial expression, cry, breathing pattern, arm and leg movements, and state of arousal are observed and scored

A

Neonatal Infant Pain Scale

18
Q

Pain scale meant to be used for children as young as the age of 3 years; the pain scale of has pictures of real children making a face, according to the pain rating, 0-10 scale

A

Oucher Scale

19
Q

Pain scale best used for premature infants but can also be used for full-term neonates and infants; gestational age, behavioral state, HR, O2 saturation, brow bulge, eye squeeze; nasolabial furrow to assess procedural pain in preterm and full-term neonates btw 28 and 40 wks gestation

A

Premature Infant Pain Profile (PIPP)

20
Q

Pain scale is used to assess adults or those with the cognitive capability to understand the pain scale; mutidimentional measure of pain, allowing a measure of intensity, quality, and localization of the pain

A

Painometer

21
Q

Pain scale is meant to be used for children as young as the age of 3 years; cartoon face depicting pain on a 0-5 scale

A

Wong/Baker Faces Rating Scale

22
Q

Pain scale assesses procedural and surgical pain in newborns and infants; crying requires O2, increased vital signs, expression, sleepiness

A

CRIES scale

23
Q

Pain scale used for nonverbal children, assessing face, legs, activity, cry, and consolability; used most commonly to assess acute pain ass’d with surgery in children between 2 months and 7 years

A

FLACC

24
Q

Pain abnormality; A form of chronic pain caused by a primary lesion or dysfunction of the CNS that persists beyond expected after healing; postherptic neuralgia, diabetic peripheral neuropath, trigeminal neuralgia, radiculopathy

A

Neuropathic pain

25
Q

Pain abnormality, the presence of regional pain (beyond the site of specific nerve injury) with motor, sensory, and autonomic changes; follows a predominantly traumatic noxious event w/(o) specific nerve injury

A

Complex regional pain syndrome (CRPS)

System Screenings I (23 decks)

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