Lesson 5 Flashcards
When does nociceptive pain develop?
Develops when functioning and intact nerve fibers in the periphery and the CNS are stimulated (triggered by events outside the NS from actual or potential tissue damage)
Where does somatic pain come from?
The joints, bones, muscles, and other soft tissues
Where does visceral pain come from?
The internal organs
What are the 4 phases of nociceptive pain?
Transduction, transmission, perception, modulation
Is nociceptive pain predictable and time-limited based on the extent of the injury?
Yes
Can nociceptive pain turn into neuropathic pain?
Yes, over time when pain has been poorly controlled
What is neuropathic pain?
Pain that does not adhere to the typical and predictable phases of nociceptive pain
Neuropathic pain implies an ____ of the pain message from an injury to the nerve fibers.
Abnormal processing
“Pain caused by a lesion or disease of the somatosensory nervous system”
Which pain is more difficult to assess and treat?
Neuropathic
Describe acute pain behaviors
- Short term
- Self limiting
- Follows a predictable trajectory
- Dissipates after injury heels
- Self protective (warns individual of actual or threatened tissue damage)
When is chronic pain diagnosed?
When pain continues for 6 months or longer (can last 5, 10, 15, or 20 years beyond initial instance of pain)
How is chronic pain behaviors divided into?
Malignant and nonmalignant
In chronic pain, does pain stop when the injury is heeled?
No
Myth: Clients with chronic pain must be malingering
Pain indicates pathology or injury and should not be considered a “normal process of aging” and not something to tolerate or accept later in life
Myth: Clients with demential do not feel pain
People with demential DO fee pain. The somatosensory cortex is generally unaffected by demential of the Alzheimer type (must assess body language instead of verbal communication for pain)