PAIN

Question 1

Characteristics

Answer 1

subjective
protective
personal experience
sensory stimulation and perception

Question 2

Process

Answer 2

Nociceptor=pain receptor
1. accepts message
2. message sends to peripheral nerves
3. goes to brain
4. brain tells you what to feel and where

Question 3

Adverse Effects

Answer 3

Decrease gastric acid/intestinal motility
increase HR, BP
decrease immune function
myocardia and o2 demand increases
healing impaired

Question 4

Nursing Considerations

Answer 4

pain is subjective
most reliable indicator
assess vitals before/after
don’t wait to give meds
titrate for max efficiency w/least AE

Question 5

Factors

Answer 5

age
gender
socioculture
psychosocial

Question 6

When to Assess

Answer 6

admission
every 2 hours
complaints of pain
60-90 mins after meds
before and after procedure

Question 7

Types

Answer 7

1. Duration
2. Etiology
3. Pathology
4. Characteristics

Question 8

Duration

Answer 8

Acute:
- <7 days
- little tissue damage

Chronic:
- >3 months
- not always identifiable cause

Breakthrough:
- comes and goes
- flares despite treatment

Question 9

Etiology

Answer 9

Cancer:
- bone
- aching
- deep

Burn:
- superficial
- tingling

Question 10

Pathology

Answer 10

Neuropathic:
- peripheral nerve pain
- numbness, tingling, burning

Nociceptive:
- tissue and organ pain

Visceral:
- organ pain

Question 11

Characteristics

Answer 11

Idiopathic:
- no identifiable cause

Phantom:
- amputation
- pain where limb was

Referred:
- pain in one spot but felt in another
- ex. gallbladder

Radiating:
- located in one area that travels
- ex. sciatic nerve

Intractable:
- doesn’t go away regardless of treatment

Question 12

Scales

Answer 12

FLACC
Wong- baker face
numeric
glasgow coma