Deck 04_Pain

Question 1

What is the difference between acute and chronic pain?

Answer 1

• acute pain: less than 6 months
• chronic pain: more than 6 months. You don’t know the origin of where the pain came from. Waxes and wanes (increases and decreases) in terms of severity.

Question 2

What is the difference between nociceptive and neuropathic pain?

Answer 2

nociceptive pain: sensory pain (cutaneous, somatic: muscle fractured bone, and visceral (organ pain–referred pain).

neuropathic pain: nerve pain

Ex. diabetic neuropathy and fantom limb pain

Question 3

Identify examples of each type of pain.

Answer 3

-Acute pain: sore throat

-Chronic pain: endometriosis

-Cutaneous pain: papercut

-Somatic pain: Torn muscle

-Visceral pain: appendicitis

Question 4

What are common biases and misconceptions about pain?

Answer 4

• that knowledge about opioids means the pt. is a drug seeker
• no reason for pain if no physical cause
• regularly administered analgesics leads to tolerance
• amount of tissue damage indicates pain intensity
• pain threshold and tolerance are the same for everyone
• pain is part of growing old
• pain perception and sensitivity decrease with age
• physical and behavioral signs verify pain existence and severity
• patients who fall asleep do not have pain

Question 5

What are the guidelines for pain management? (give medication around the clock to keep it in the therapeutic range)

Answer 5

• use different types of pain-relief measures
• be proactive: provide pain-relief measures before severe pain

*use pain measures the patient believes are effective

• match measures with pain severity
• allow enough time for the measure to work
• keep an open mind
• stay on top of it.

*protect the patient

*provide information and education