Normal and abnormal pain findings

Question 1

Acute Pain – Normal Findings

Answer 1

Reported Pain: Intensity “mild to moderate” (e.g., ≤4 on Numeric Rating Scale).
Tolerance: Patients can identify tolerable pain levels for functioning.
Adverse Effects: Minimal or no adverse effects from pain or treatment.
Function: Adequate pain control supports rehabilitation and functional activities.

Question 2

Acute Pain – Abnormal Findings

Answer 2

Reported Pain: Intensity >4, interfering with daily activities.
Vital Signs: Increased heart rate or blood pressure.
Respiration: Hypoventilation or hypoxia due to limited coughing.
Joint Effects: Stiffness due to severe pain.
Other Effects: Nausea, vomiting, or pruritus associated with severe pain.

Question 3

Neuropathic Pain – Normal Findings

Answer 3

Sensation: Normal sensation over affected areas.
Skin and Tissues: No swelling, masses, deformities, or lesions.
Sensory Changes: No changes in sensation.
Pain Levels: Pain is manageable and not worsening during low stimulation periods.

Question 4

Neuropathic Pain – Abnormal Findings

Answer 4

Sensation: Decreased or increased sensation, numbness, or absence of sensation (analgesia).
Sensory Changes: Hyperalgesia or allodynia.
Skin and Tissues: Lesions, open wounds, or changes in hair distribution.
Pain Worsening: Severity increases at night or during low stimulation periods.

Question 5

Chronic Pain – Normal Findings

Answer 5

Management: Pain managed effectively with timing of activities and interventions.
Physical Activity: Integrated into daily routines.
Support Systems: Adequate social and financial support.
Quality of Life: Maintains acceptable quality of life.

Question 6

Chronic Pain – Abnormal Findings

Answer 6

Emotional Impact: Fear, anxiety, depression, or social isolation.
Mobility: Limited mobility and function.
Family Dynamics: Distress caused by chronic pain.
Quality of Life: Diminished quality of life.
Energy Levels: Fatigue or inability to complete daily tasks.