chap 9 Flashcards

1
Q

pain is…

A

subjective

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2
Q

consequences of untreated pain

A
  • unnecessary suffering
  • physical/psychosocial dysfunction
  • immunosuppression
  • sleep disturbances
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3
Q

source of pain stimulates peripheral nerve endings

A

nociceptors

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4
Q

joint commission standards for pain management

A

require to improve pain assessment and management for all patients

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5
Q

transduction

A

injured tissue releases chemicals that affect nociceptors sending pain message up sensory neuron

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6
Q

transmission

A

pain impulse relays pain from spinal cord to brain

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7
Q

perception

A

pain perceived by brain

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8
Q

modulation

A

pain message is inhibited by brain stem neuron release of endogenous neurotransmitters

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9
Q

classification of pain

A
  • nociceptive pain
  • neuropathic pain
  • inflammatory pain
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10
Q

nociceptive pain

A

normal response to noxious injury of tissues such as skin, muscles, visceral organs, joints, tendons, or bones

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11
Q

neuropathic pain

A

initiated/caused by primary lesion/disease in the somatosensory nervous system

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12
Q

inflammatory pain

A

result of activation and sensitization

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13
Q

types of pain

A
  • acute
  • chronic
  • cancer
  • intractable
  • cutaneous
  • visceral
  • deep somatic
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14
Q

acute pain

A
  • < 6 months
  • associated w/ specific injury
  • predictable beginning/ending
  • self protective
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15
Q

chronic/persistent pain

A
  • long term
  • associated w/ specific cause of injury
  • constant pain
  • does not stop when injury heals
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16
Q

intractable pain

A

high resistance to pain relief

17
Q

cutaneous pain

A

superficial pain

18
Q

visceral pain

A

poorly localized, dull, or diffused pain

19
Q

deep somatic pain

A

comes from sources such as blood vessels/joints/tendons/muscles/bone

20
Q

7 dimensions of pain

A
  • physical
  • sensory
  • behavioral
  • sociocultural
  • cognitive
  • affective
  • spiritual
21
Q

QUESTT (pain in children)

A
  • Q: question child
  • U: use pain rating scales
  • E: evaluate behavior/physiologic changes
  • S: secure parents’ involvement
  • T: take cause of pain into account
  • T: take action and evaluate results
22
Q

acute pain behaviors

A
  • guarding
  • grimacing
  • moaning/agitation
  • restlessness
  • stillness
  • diaphoresis
  • change in VS
23
Q

chronic pain behaviors

A
  • bracing
  • rubbing
  • diminished activity
  • sighing
  • change in appetite
  • sleep
24
Q

when to reassess after pain medication

A

30 minutes

25
Q

pain assessment tools

A
  • visual analogue scale (VAS)
  • numeric rating scale (NRS)
  • numeric pain intensity scale (NPI)
  • verbal descriptor scale
  • simple descriptive pain intensity scale
  • graphic rating scale
  • verbal rating scale
  • faces pain scales
26
Q

3 most common pain assessment tools

A
  • numeric rating scale (NRS)
  • verbal descriptor scale
  • faces pain scales
27
Q

pain in neonates/infants

A
  • N-PASS: neonates pain, agitation, & sedation scale
  • Wong Baker FACES pain rating scale
  • FLACC scale
28
Q

FLACC scale

A
  • face
  • legs
  • activity
  • cry
  • consolability