Exam 2: Pain Assessment Flashcards
What is Nociceptive Pain?
Is one of the main routes for developing pain;
Nociceptive Pain is the typical route and is the result of mechanical, thermal, or chemical trauma which is reported back tot he CNS. Prime examples include slamming your finger in a car door or touching a hot stove) and most cases are acute and predictable, simplifying their treatment.
What is Visceral Pain and how is it often described? What are common symptoms?
Visceral Pain is pain that resides in internal organs and is often described as dull, deep, squeezing, or cramping. Symptoms often including;
N &V, pallor, and diaphoresis (Excessive/abnormal sweating)
What is Deep Somatic Pain and how is it often described? What are it’s symptoms?
Deep Somatic Pain is a form of somatic pain whose quality is often described as aching or throbbing and occurs in muscoskeletal tissues and is often easy to localize.
Symptoms of Deep Somatic Pain often include;
Nasaue, tachycardia, and hypertension.
What is Cuteanous Somatic Pain and how is it often described? What are its accompanying symptoms?
Cuteanous Somatic Pain is pain that occurs on the body’s surface and often is noted a sharp, superficial, burning sensations that are also accompanied by naseau, tachycardia, and hypertension.
What is Refered Pain and how is it often described?
Refered Pain is pains that occur AWAY from the source. Such as how cardiac episodes causing arm and neck pain.
Tell of the developmental differences associated with Pain in infants.
It is important to note that not only can infants feel pain before being born, but that they typically require adequate analgesia (pain medications) during painful procedures!
What is a developmental difference noted in premature infants?
Premature infants are noted to possibly have less inhibitory transmitters which act to block painful sensations. Therefore they may feel pain more frequently than full term babies.
Is pain normal in the aging process? What is the general census regarding pain relief medication in older adults?
No, pain is NOT a normal part of the aging process and is still a sign that something is wrong. And older adult patients are often noted to need an adequate amount of analgesia as well.
Describe the effects of Dementia on pain assessment in older adult patients. How do you overcome any associated difficulties dementia may have on pain assessments?
Dementia, as it affects the brain, can possibly hinder an older adult patients ability to report pain.
Therefore it is important for a nurse to note body language in the event of an older patient with dementia is having trouble accurately reporting pain.
What are factors that effect pain perception?
Genetics, hormones, and even societal expectations can effect pain tolerance and perception.
What are Objective Signs of Pain?
Objective Signs of Pain include;
Tachycardia
Elevated BP
Hypoventilation
N/V
Spasms
Limited ROM
Anxiety
Depression (in cases of Chronic Pain)
