CH 3: systemic v musculoskeletal pain Flashcards
Which type of onset pain?
- Recent, sudden
- Does not manifest as observed for years without progression of symptoms
Systemic
Which type of onset pain?
-May be sudden or gradual depending on history
Musculoskeletal
What type of musculoskeletal onset pain is usually associated with acute overload stress, traumatic event, repetitive motion; can occur as a side effect of some medications?
Sudden
What type of musculoskeletal onset pain is secondary to chronic overload of affected part; may be present off and on for years?
Gradual
Which type of pain based on description?
- Knifelike quality of stabbing from inside out, boring, deep aching
- Cutting, gnawing
- Throbbing
- Bone pain
- Unilateral or bilateral
System
Which type of pain based on description?
- Usually unilateral
- May be stiff after prolonged rest, but pain
- Achy, cramping pain level decreases
- Local tenderness to pressure is present
Musculoskeletal
Which type of pain based on intensity?
- Related to degree of noxious stimuli; usually unrelated to presence of anxiety
- Mild to severe
- Dull to severe
Systemic
Which type of pain based on intensity?
- Mild to severe
- May depend on person’s anxiety level- level of pain may increase in a client fearful of a serious condition
Musculoskeletal
Which type of pain based on duration?
-Constant, no change, awakens person at night
Systemic
Which type of pain based on duration?
- Duration can be modified by rest or change in position
- May be constant but is more likely to be intermittent, depending on activity or position
Musculoskeletal
Which type of pain based on pattern?
- Restriction of active, passive, accessory movements observed
- One or more particular movements “catch” client and aggravate pain
Musculoskeletal
Which type of pain based on pattern?
- Although constant, may comes in waves
- Gradually progressive, cyclic
- Night pain
- Location: chest/shoulder
- Accompanied by shortness of breath, wheezing
- Eating alters symptoms
- Sitting up relieves symptoms
- Symptoms unrelieved by rest or change in position
- Migratory arthralgias (pain last for 1 week in one joint, resolve, and appear in another joint)
Systemic
Which type of pain based on aggravating factors?
- Altered by movement
- Pain may become worse with movement
- Some myalgia decreases with movement
Musculoskeletal
Which type of pain based on aggravating factors?
- Cannot alter, provoke, alleviate, eliminated, or aggravate symptoms
- Organ dependent
Systemic
What is the aggravating systemic pain for esophagus?
Eating or swallowing affects symptoms
What is the aggravating systemic pain for heart?
Cold, exertion, stress, and heavy meal, especially when combined, bring on symptoms
What is the aggravating systemic pain for GI?
Peristalsis (eating) affects symptoms
Which type of pain based on the relieving factors?
-Organ dependent
Systemic
What is the relieving factors for systemic pain of the gallbladder?
Leaning forward may reduce symptoms
What is the relieving factors for systemic pain of the kidney?
Leaning forward to affected side to reduce symptoms
What is the relieving factors for systemic pain of pancreas?
Sitting uptight or leaning forward
Which type of pain based on relieving factors?
- Symptoms reduced or relieved by rest or change in position
- Muscles pain relieved by short periods of rest without resulting stiffness except in the case of fibromyalgia
- Stretching
- Heat, cold
Musculoskeletal
