Pain Flashcards
Define Pain
Unpleasant sensory and emotional experience associated with actual or potential tissue damage
What causes pain?
Inflammation, infection, ischemia tissue, necrosis stretching of tendons, ligaments and joints. Chemicals, burns, spasms.
Somatic Pain
From the skin, muscles, bone. Conducted by sensory fibers
Visceral pain
Organs, sympathetic fibers, acute or chronic
Pain Pathway
Begins in the nociceceptors. Stimulated by temperature, chemical and physical means. It’s transmitted via myelinated a delta or unmyelinated C. 
Myelinated A Delta
Transmit very quickly
Unmyelinated C
Transmit very slowly. Example Chronic Pain
Spinal Nerves conduct pain from?
Dermatomes
Pain impulses (afferent) reach the spinal cord and
Stimulate muscles to reflexively move away and transmit impulses to the brain via the spinothalamic tract
2 findings to question gate control theory
- The injury or noxious stimulation initiates the change in behavior
- Neither pain behavior or nociceptor activity is held in similarity to the state of the injuries
Factors that modulate a pain response
Sensory input, previous experience, cultural factors, social/work environment, expectation of consequences and beliefs 
Pain response in infants
Infants, respond, physiologically, including tachycardia, increase blood pressure, facial expressions, and bodily responses
Young kids to teens response to pain
Young children have different coping mechanisms more words describe pain. This increases as they get older. There is a possible withdrawal in older kids. 
Acute pain and symptoms
Most reflective of actual tissue injury or damage symptoms are less than three months, local at injured area, accompanied by swelling and warmth, redness related to an injury, and increased pain when the area is provoked 
Chronic pain and symptoms
Linked to other factors such as chronic inflammation, changes in nerve sensitivity, emotions, prior traumatic injury, and changes that occur in the brain. Symptoms include pain that lasts more than 3 months, pain is not a result of injury, widespread pain, pain is unpredictable, hypersensitivity, pain accompanied by psychological factors.