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Foundations Test 4 > Pain 2 > Flashcards

Pain 2 Flashcards

1
Q

Factors Influencing Pain: Physiological -

A

Age; Fatigue; Genes; Neurological function

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2
Q

Factors Influencing Pain: Social -

A

Attention, Pervious Experience, Family and social support

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3
Q

Factors Influencing Pain: Spiritual -

A

patient might have spiritual distress, don’t ignore, important to patient, can call chaplain

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4
Q

Factors Influencing Pain: Psychological -

A

anxiety, coping styles

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5
Q

Factors Influencing Pain: Cultural -

A

meaning of pain, ethnicity

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6
Q

Age Factor Influencing Pain

A

pain in infant/old adult - not the same because they can’t communicate as effectively

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7
Q

Fatigue Factor Influencing Pain

A

pain more prevalent

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8
Q

Gene Factor Influencing Pain

A

passed on from parents about pain threshold

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9
Q

Neurological Function Factor Influencing Pain

A

disruption in cognitive or psych ability will alter perception of pain

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10
Q

Attention Factor Influencing Pain

A

can make pain worse

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11
Q

Previous experience Factor Influencing Pain

A

because patient did okay first time then okay for second time, but if bad experience then not as open to it again

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12
Q

Anxiety Factor Influencing Pain

A

increases perception of pain, don’t have to treat both, handle one at a time

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13
Q

Coping styles Factor Influencing Pain

A

internal/external locus of control; family can project it to you; not angry at you, just patient coping mechanism

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14
Q

Meaning of Pain Factor Influencing Pain

A

some cultures might see pain as punishment

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15
Q

Ethnicity

A

ex. Africain American can be more dramatic

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16
Q

fear will

A

intensify pain

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17
Q

PGA -

A

lets patient control pain medication

18
Q

Client’s expression of pain –

A

Single most reliable indicator of the existence and intensity of pain and any related discomfort is whatever the patient says it is

19
Q

characteristics of pain:

A

onset and duration, location, intensity, quality, pattern, relief measure, relief measures, contributing symptoms, behavior effects, influence on ADLS, client expectations

20
Q

onset and duration

A

ask when, how long, how often, etc.

21
Q

location

A

point to where it hurts

22
Q

superficial pain -

A

stimulation of skin; short duration; localized; sharp

23
Q

deeper visceral pain -

A

stimulation of internal organs; diffuse; radiating; duration varies; sharp or dull

24
Q

referred pain -

A

perception of pain is in an unaffected area; may assume any characteristic

25
Q

radiated pain -

A

sensation extends from initial site to another; pain travels along body parts; may be intermittent or constant (as with MI)

26
Q

intensity -

A

mild-moderate-severe; most subjective & most useful characteristic for reporting pain; use descriptive scales is more objective (visual analog scale, verbal descriptor scale, numerical scale)

27
Q

numerical scale

A

most common 0 -10, ten worst pain; when document write as fraction so if pain is 6 then write 6/10

28
Q

quality -

A

subjective; no specific vocabulary to describe pain; use client’s own words

29
Q

pattern -

A

precipitating or aggravating

30
Q

relief measures -

A

what makes it better

31
Q

contributing symptoms -

A

depression, anxiety, fatigue, insomnia, etc.

32
Q

behavioral effects -

A

lifestyle; verbalization; non-verbal cues

33
Q

influence on ADLS -

A

hygiene, sexual relations, job, social activities

34
Q

client expectations -

A

ask “what is an accepted level of pain”

35
Q

A-B-C’s of Pain Management

A

Ask, believe, choose, deliver, empower

36
Q

A =

A

ask - about pain regularly; assess pain systematically

37
Q

B =

A

believe - the client / family in their report of pain & what relieves it

38
Q

C =

A

choose - pain control options appropriate for client, family & setting

39
Q

D =

A

deliver - interventions in timely, logical, and coordinated fashion

40
Q

E =

A

empower - clients / families; enable them control to greatest extent possible

Foundations Test 4 (9 decks)

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