Pain Flashcards

1
Q

Define pain.

A

An unpleasant sensory and emotional experience associated with actual or potential tissue damage.

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2
Q

Define acute pain.

A

Pain that is primarily a symptom of a pathological process/injury; usually lasts < 3 months; treatment will eliminate acute pain symptoms

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3
Q

What percentage of patients ex[erience a change in acute to chronic pain.

A

20%

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4
Q

Define adaptive pain.

A

A positive form of pain that contributes to survival, promotes healing, and protects from injury.

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5
Q

Define chronic pain.

A

Pain that lasts beyond the ordinary duration of time that an insult or injury to the body needs to heal; lasts > 3-6 months

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6
Q

Define maladaptive pain.

A

A negative form of pain that results in disease and a pathologic functioning of the nervous system

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7
Q

What percentage of visits to primary care physicians were prompted by symptoms for which NO biomedical cause can be identified?

A

30-50%

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8
Q

What percentage of patients with chronic back pain had no physical basis for pain?

A

80%

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9
Q

Define Complex regional pain syndrome.

A

A chronic pain syndrome most often affecting 1 limb, usually after trauma or injury to that limb as a result of peripheral or nerve system damage; very uncommon

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10
Q

Define Fibromyalgia.

A

A disease of unknown etiology that causes muscle pain

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11
Q

In a 1999 study of 1800 people, what percentage experienced chronic pain?

A

50.4%

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12
Q

Chronic pain has a prevalence of _______ in children/adolescents, with ______ describing severe, frequent pain.

A

15 - 30%; 8%

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13
Q

Difference between Nociceptive and Neuropathic pain.

A

Nociceptive - Pain due to stimulation of nerve fibers

Neuropathic - Pain due to injury to nerves themselves

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14
Q

Difference between somative and visceral pain.

A

Somative - pain due to injury of a bone or tissue

Visceral - ill-defined pain that comes from the internal organs; difficult to describe

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15
Q

Describe active coping strategies.

A

1) Despite pain efforts to function

2) Despite pain efforts to distract oneself

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16
Q

Describe passive coping strategies.

A

1) Depending on others for help in pain control and Restriction of activities

17
Q

What are the 5 vital signs?

A

heart rate, respiratory rate, blood pressure, temperature, pain

18
Q

What are the opioids?

A

Morphine
Hydrocodone
Oxycodone
Hydromorphone

19
Q

How many patients receiving opioid treatment in a primary care setting becomes addicted?

A

1 in 4

20
Q

Children’s vocabulary for pain at age 6-18 months

A

Owie/ouchie

21
Q

Children’s vocabulary for pain at age 18 - 24 months

A

Use the word hurt

22
Q

Children’s vocabulary for pain at age 2 - 3 years

A

Can describe pain and explain what caused it.

23
Q

Children’s vocabulary for pain at age 3 - 5 years

A

Can describe the level of pain (no pain, a little pain, lots of pain)

24
Q

Children’s vocabulary for pain at age 5 - 7 years

A

Can better describe the level of pain

25
Q

Children’s vocabulary for pain at age 7 - 10 years

A

Can explain why something hurts

26
Q

Children’s vocabulary for pain at > 11 years

A

Can explain that pain is the body’s way of telling you that something is wrong