Pain

Question 1

Nociceptors activated by

Answer 1

• mechanical: cut
• thermal:burn
• chemical: could be like an irritating skin cream

Question 2

What happens( pain travels)

Answer 2

1. impulse travels to spinal cord
2. Then to brain for processing
3. Vola! We have pain awareness
   - A fibers send a very fast impulse to brain causing very sharp pain
   - C fibers are slower and more generalized
   - endorphins can help to immediate that painful stimuli

Question 3

Gate- control Theory of pain

Answer 3

• gaits have to be open for the stimuli to be sent up to the brain
• if the guys are partially closed the brain will not feel as much stimuli

Question 4

Acute pain

Answer 4

-short duration 3

Question 5

Chronic pain

Answer 5

Long duration 6> months

• cause of pain is questionable
• mild to severe pain
• difficult to treat

Question 6

Pain

Answer 6

An unpleasant,subjective sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage

Question 7

Neuropathic pain

Abnormal pain process

Answer 7

• nerves are damaged and send crazy messages to the brain

- developed due to injury to the nerves, spinal cord, or brain

Question 8

Phantom pain

Answer 8

_a type of neuropathic pain

• feels pain when a person may have lost an extremity but still feels pain in it
• nerves by site of amputation may have been damaged sending false senses of pain

Question 9

Acute pain effects

Answer 9

• often triggers the sympathetic nervous system
• may bring changes in your vital signs
• psychological response is anxiety

Question 10

Chronic pain effects

Answer 10

• depression is common
• may not have symptoms of pain
• psychological response is depression or withdraw

Question 11

Factors effecting pain

Answer 11

1. Ethnicity and culture
2. Meaning of the pain
3. Previous experience with pain
4. age
5. Coping style
6. Physical status

Question 12

Localized pain

Answer 12

Pain that can be pointed to saying this is where it hurts

Question 13

Referred pain

Answer 13

Pain that is felt apart from where the tissue is being damaged

Question 14

Radiated or projected pain

Answer 14

• pain that follows a nerve track

- “shooting pain”

Question 15

Intensity of pain

Answer 15

• scale of 0-10

- reducing pain by atleast 3 points is a significant change

Question 16

Pain greater than 3

Answer 16

May not tolerate tolerate therapies very well

Question 17

Opioids

Answer 17

• bend to specific receptors on spinal cord to block message of pain to the brain
• should be prescribed for mild to severe pain
• can cause respiratory depression

Question 18

Around the clock dosing

Answer 18

• preventative

- maintains consistent serum levels

Question 19

Epidural anesthesia

Answer 19

• catheter or injection is made into epidural space around the spinal cord
• may involve loss of motor control
• high fall risk

Question 20

Addiction

Answer 20

A neurological disease characterized by lack of control over drug use, compulsive, craving for the drug, continued Use of drug despite harm