Pain Flashcards
What is pain?
An unpleasant sensory and emotional experience associated with actual or potential tissue damage
Is pain multifactoral?
Yes
What fibers do pain run on?
C fibers, A delta fibers
What kind of pain runs on C fibers?
Chronic pain
What kind of pain runs on A delta fibers?
Acute pain
Nociceptive pain
Pain experienced from injury
Neuropathic pain
Pain experienced from nerves
Difference between acute vs chronic pain
Acute is fast acting, immediate
Chronic is slow/gradual, over time
Acute time frame
3-6 months
Chronic time frame
more than 6 months
Treatment of chronic pain
Managing and mitigating
What are the pain assessment tools?
Numerical Rating Scale
Visual Analog Scale
Wong-Baker FACES
FLACC scale
FLACC scale
5 criteria (Face, Legs, Activity, Cry, Consolability) scale is a behavioral pain assessment tool used to evaluate pain in children and adults who are unable to speak for themselves
A Neuro assessment, assesses if the patient is…
Patient is alert and oriented to person, place, and time (x3)
What slows down when you are in acute pain?
Decreased immune responses
Decreased GI motility
What speeds up when you are in acute pain?
Increased respiration
Increased heart rate
increased blood pressure
Your patient has requested to try electroacupuncture for chronic pain. Which of the following, is part of the patient’s PMH, would prompt the nurse to contact the provider to have the order continued
- Febrile seizure
- Wolff-Parkinson-White syndrome
- Negative human chorionic gonadotropin test (negative pregnancy test)
- Positive respiratory polymerase chain reaction test
Wolff-Parkinson-White syndrome
They experience tachycardia due too increased electrical stimulation. Introducing more electrical stimuli could cause a-fib
Which assessment indicates chronic pain is being relieved?
Improved alertness
You care caring for a patient who recently underwent right above-the-knee amputation and complains of pain the the amputated limb. How should you respond?
Treat the pain as real
What do you do after you treat a patient experiencing pain?
Re-assess them!
What patient would have neuropathic pain?
Diabetic patient
What are the three types of pain?
Nociceptive pain
Neuropathic pain
Inflammatory pain
6 Ps of Pain
Pain distal
Passive Pressure
Parathesia
Pallor
Paralysis
Pulses