Pain Flashcards
Technique in which a battery-powered device blocks pain impulses from reaching the spinal cord by delivering weak electrical impulses directly to the surface of the skin
Transcutaneous Simulation
Dosage form that contains no pharmacologically active ingredients but may relieve pain through psychological effects
Placebo
Method of pain control in which the patient creates a mental image, concentrates on that image, and gradually becomes less aware of pain
Guided imagery
Point at which a person is not willing to accept pain of greater severity or duration
Tolerance
Observable activity in the nervous system that allows one to detect pain; Protective physiological series of events—- transduction, transmission, perception, and modulation— that brings awareness of actual or potential tissue damage; the normal pain process
Nociception
First process of nociception; converts energy produced by noxious stimuli into electrical impulses, beginning in the periphery when the pain-producing stimulus sends an impulse across a peripheral pain nerve fiber, known as a nocireceptor
Transduction
Second process of nociception; Nociceptive impulses are transmitted from the site of injury to the brain
Transmission
Third process of nociception; The brain interprets the quality of the pain and processes this information making one aware of nociceptive impulses and perceives pain, resulting in one’s reaction
Perception
Fourth and final phase of nociception; Neurons activate endogenous descending inhibitory mediators to help produce an analgesic effect, hindering the transmission of nociceptive impulses
Modulation
A temporary increase in pain in someone who has been relatively stable and an adequately controlled level of baseline pain; Occurs spontaneously or in relation to a specific predictable or unpredictable trigger
Breakthrough pain
Combination of drugs with at least two different mechanisms of action to optimize pain control, which allows for lower-than-usual doses of each medication, lowering the risk of side effects
Multimodal analgesics
Known as coanalgesics; Drugs that are originally developed to treat conditions other than pain but also have analgesic properties
Adjuvant
A type of breakthrough pain not associated with any known cause and is often chronic
Idiopathic
Pain that results from a pathology or disease of the somasensory system, often described as “burning”, “sharp”, or “shooting”
Neuropathic
Combination of drugs with different underlying mechanisms being administered on a time schedule by being rotated
Multimodal