Exam 3-Pain Flashcards
pain
psychogenic pain
pain influenced by factors not related to injury
4 processes of pain physiology
- Transduction
- Transmission
- Modulation
- Perception
somatic pain
in skin, bones, joints, muscles, chest and abd wall
visceral pain
deep down, internal organs
neuropathic pain
nerve pain
Physiological effects
Cardiovascular
In acute pain: increased HR, SBP, myocardial oxygen demand
Physiological Effects
Respiratory
increased RR, bronchospasm, pneumonia, atelectasis
Physiological Effects
GI
delayed gastric emptying, constipation, wt loss
Physiological effects
Musculoskeletal
muscle spasms, increased muscle tension, impaired mobility, weakness, fatigue
Physicological Effects
GU
decreased urine output, retention, fluid overload, hypokalemia
Physiological Effects
Sensory
pallor, dia[horesis, dilated pupils in acute, constricted in chronic, rapid speech in acute, slowed speech in chronic
Physiological Effects
Immune
infection, impaired function
Nurses Role in Pain Management
- Assess for pain
- administer meds
- teach about pain meds
- monitor side effects
- evaluate effectiveness
Barriers to management in older adult
- desires to be good pt
- perception that no one wants to hear them
- accustomed to dismissal of concerns
- won’t make a difference
SOCRATES
- Site
- Onset
- Character
- Radiation
- Associations
- Time course
- Exacerbating
- Severity
