Chapter 11 Flashcards
Neuropathic Pain
Often perceived long after site of injury heals (i.e. amputation)
Sources of Pain
Visceral pain: deep
Examples: acute appendicitis, ulcer pain, and cholecystitis
When assessing a patient’s pain, the nurse knows that an example of visc
Somatic pain
comes from musculoskeletal tissues or body surface
Deep somatic pain
comes from sources such as blood vessels, joints, tendons, muscles, and bone
Pain described as aching or throbbing
Cutaneous pain
derived from skin surface and subcutaneous tissues; injury is superficial
Pain described as sharp, burning sensation
The nurse is assessing a patient’s pain. The nurse knows that the most reliable indicator of pain would be the:
Patient’s vital signs.
Physical examination.
Results of a computerized axial tomographic scan.
Subjective report.Correct
Referred pain
felt at a particular site but originates from another location
i.e. inflamed appendix in RLQ may have referred pain in periumbilical ar
Acute pain
is self-limiting, often short term (<6 months), can dissipates after an injury heals
**Examples: surgery, trauma, and kidney stones
When evaluating a patient’s pain, the nurse knows that an example of acute pain would be:
Arthritic pain.
Fibromyalgia.
Kidney stones.Correct
Low back pain.
Chronic pain
Can be further divided i
is diagnosed when pain continues for >6 months
**Chronic nonmalignant pain is often associated with musculoskeletal conditions, such as arthritis, low back pain, or fibromyalgia
Developmental Competence: The Aging Adult
Although common, pain is not normal process of aging; it indicates pathology or injury
Subjective Data: Pain
-Pain is always subjective
-Pain is whatever the experiencing person says it is, existing whenever he or she says it does
Nonverbal Behaviors of Pain
Acute
Guarding, grimacing, moaning, agitation, restlessness, stillness, diaphoresis, or change in vital signs
Acute pain behaviors
Nonverbal Behaviors of Pain
Chronic
Behaviors that have been associated with chronic pain include bracing, rubbing, diminished activity, sighing, and change in appetite
Chronic pain behaviors