Comfort Flashcards
What is the difference between pain threshold and pain tolerance?
Pain threshold- the point at which a person feels pain
Pain Tolerance- the level of pain a person is willing to accept
What is pyschosomatic pain?
Psychological pain that turns into physical pain
What is somatic pain ?
Pain in the skin, muscles, joints, tissue
Cramping, aching, sharp pain
What is visceral pain?
Internal organ pain
What is the difference between acute vs chronic pain?
Acute- sudden onset, exhibit pain behaviors and sympathetic system response
Chronic - pain for longer than 6 months,normal VS, withdrawn or depressed, no pain response
Parasympathetic kicks in
How would you asses a patients pain?
COLDSPA
Character – sharp, shooting, burning, stabbing, dull
Onset- when did pain start -constant or interment
Location- Where is the pain? Does it radiate?
Duration-How long does it last, does anything make it better Severity- How bad is it-use pain rating scale
Pattern- What makes it better r worse
Associated Factors- Any other symptoms and how does it affect the client
What are some pharmacological pain interventions and when to use them?
Non opioid analgesic:NSAIDS & APAP
- for mild to moderate pain
Opioid analgesic- narcotics
- for severe pain
Co analgesic (combination drug)
-moderate persistent pain
What are some non pharmacological pain interventions?
Distraction
Music
Massage therapy,warm bath
Relaxation
What is fragmented sleep?
interrupted sleep, struggle to fall asleep and often feels unrefreshing
What are some sleeping considerations when dealing with older population?
-more likely to have insomnia due to illness, depression, pain, cognitive issues
medications may affect sleep
increase fall risk when using the bathroom at night
What is insomnia?
difficulty falling asleep, staying asleep or waking up too early or poor sleep quality
What can contribute to poor sleep hygiene?
Stimulants
Medication
alcohol to induce sleep
irregular sleep schedule
jet lag
exercising near bedtime
What are are the two types of chronic insomnia?
Primary (idiopathic)- lifelong trouble with sleep results in daytime sleepiness
Secondary (comorbid)- due to mental illness, medications, and substance abuse
What is narcolepsy ?
The brain’s inability to regulate the sleep-wake cycle
- Fleeting urges to sleep
What is obstructive sleep apnea? WHat are some clinical manifestations?
Partial or complete obstruction
snoring
frequent arousal
morning headache
excessive daytime sleepiness
Witnessed apneic episodes
