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Anesthesia > Non-Pharmacologic Mngmt of Pain Control > Flashcards

Non-Pharmacologic Mngmt of Pain Control Flashcards

1
Q

Cold therapy

A

Cryotherapy

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2
Q

The cold stimulates these fibers.

A

A-delta

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3
Q

A-delta fibers inhibit what?

A

Pain transmission down C fibers.

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4
Q

Cold temps cause vasodilation or constriction?

A

Dilation

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5
Q

Heat increases the speed of this.

A

Nerve conduction

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6
Q

This is for a deep application of heat.

A

Ultrasound

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7
Q

Low frequencies of ultrasound penetrate how deep?

A

1-2 cm

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8
Q

High frequencies of ultrasound penetrate how deep?

A

5 cm

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9
Q

The use of ultrasound to drive medications (like steroids or anesthetic creams) deep into tissues.

A

Phonophoresis

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10
Q

Inhibits reflex contraction and pain transmission so that the muscle can stretch more.

A

Fluorimethane (counter irritant).

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11
Q

TENS stands for what?

A

Transcutaneous Electrical Nerve Stimulation

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12
Q

Drives a current to produce paresthesia where you have pain.

A

TENS

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13
Q

What nerve fibers are stimulated in TENS?

A

A-Delta

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14
Q

High or Low frequencies in TENS requires high intensity, and produces painful muscle contraction?

A

Low frequencies

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15
Q

TENS is used to treat chronic or acute pain?

A

Acute

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16
Q

Types of acute pain treated by TENS?

A
  • Traumatic pain (rib fractures).
  • Orofacial pain
  • Post-operative pain
  • Childbirth
17
Q

% success rate of TENS in treating acute pain?

A

77

18
Q

% success rate of TENS in treating chronic pain?

A

30

19
Q

Using a direct current to drive meds like steroid creams, lidocaine, and salicylates into the tissues.

A

Iontophoresis

20
Q

Contraindications for Iontophoresis.

A
  • Pacemakers, automated defibrillators.
  • Placing it over the anterio neck-carotid sinus area.
  • Transcranial or direct spinal placement.
  • Gravid uterus (preggers)
21
Q

This creates ill-defined tissue changes that reduce pain.

A

Low-power laser therapy.

22
Q

Low-velocity movements within normal range of motion.

A

Joint mobilization

23
Q

High-velocity movmeents which forces the joint beyond normal physiologic range.

A

Joint manipulation

24
Q

Acupuncture at this point reduces dental pain.

A

Hoku Point

25
Q

Where is the Hoku Point located?

A

Between thumb and index finger.

26
Q

Types of Behavioral Medicine

A
  • Biofeedback
  • Relaxation Therapy
  • Psychophysiologic Therapy
  • Hypnosis
27
Q

Training patients to recognize physiologic changes associated with pain and to control these changes.

A

Biofeedback

28
Q

Use skin temp or EMG activity so the patient can recognize increased muscle tension when it’s occurring, and tries to be aware and stop it.

A

Biofeedback

29
Q

The therapist provides trainin on recognition of tension and techniques of relaxation.

A

Relxation Therapy

30
Q

Combines biofeedback with relaxation therapy.

A

Psychophysiologic tx

31
Q

Five steps of hypnosis

A

1) Limit sensory input and motor output.
2) Fixation of attention
3) Monotonous visualization
4) Rapport and relationship
5) Gently return

32
Q

4 Stages of Hypnosis

A

1) Hypnoidal
2) Light Trance
3) Medium Trance
4) Somnambulism

33
Q

Stage of hypnosis where:

  • Eyelids flutter
  • Physical relaxation
  • Eyes close
  • Muscular lethargy
A

Stage 1 Hypnoidal

34
Q

Stage of hypnosis where:

  • Can’t open eyes
  • Deep and slow breathing
  • Progressive deepening of lethargy
A

Stage 2 Light trance

35
Q

Stage of hypnosis where:

  • Glove type anesthesia
  • Partial Amnesia
  • Hallucinations
A

Stage 3 Medium Trance

36
Q

Stage of hypnosis where:

  • Ability to open eyes without affecting the trance.
  • Anesthesia and amnesia
  • Post-hypnotic analgesia
  • Post-hypnotic hallucinations
  • Lip pallor
  • Age regression
A

Stage 4 Somnambulism

Anesthesia (11 decks)

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