Pain And Pain Mngmt Flashcards
An unpleasant sensory and emotional experience with actual or potential tissue damage
It is the 5th vital signs
Pain
“Pain is whatever the experiencing person says it is, existing whenever he or she says it does.”
Pain assessment and management are mandated by the:
The Canadian Council on Health Services Accreditation (CCHSA)
▫️“Noxious” (tissue-damaging) stimuli at site
▫️from organs. (visceral) and somatic (skin, mucous membranes, muscled, tendons)
▫️associated with tissue damage
▫️describe as: sharp, aching, throbbing, dull, cramping
Nociceptive pain
▫️injury/malfunction of peripheral or central CNS
▫️Associated with chronic neurological conditions (ALS, MS, diabetic neuropathies, post stroke, CNS tumor)
▫️described as: numbness, tingling sensation, burning, shooting.
example: carpal tunnel, panthom pain
Neuropathic Pain
types of Pain
▫️acute
▫️procedural
▫️chronic
▫️
It is a transient increase in pain caused by specific activity/event
i.e. dressing changes, IV insertions, repositioning, ambulation, catheterization
▫️procedural pain
Factors that influence pain response
▫️past experience ▫️anxiety ▫️learned responses ▫️depression ▫️age ▫️genetics ▫️expectations
It is a programmable syringe pump to allow patients to self-administer their own intravenous pain medication
▫️Patient Controlled Analgesia
Assessment barriers:
▫️Cognitive impairment
▫️delirium
▫️dementia
Is pain a normal part of aging?
No
Some pain medications ____ block pain-sensitizing chemicals
- prevent pain before it is felt
▫️ NSAIDs - ibuprofen, naproxen
▫️ corticosteroids- dexamethasone
other pain control/management such as ____ work on neurotransmitters and opioid receptors in the Spinal Cord once pain is recognized
- manages pain once it is felt
▫️opioids (morphine)
Pain may also be classified by location or etiology:
▫️cancer-related pain
▫️MS pain
▫️back pain (acute flare up vs chronic)
Examples that are cause by acute causing pain:
▫️broken bones
▫️UTIs
▫️Pain after surgery or injury
▫️ pain is >3 mos.
▫️ gradual or sudden onset, mild to severe
▫️pain does not go away, rather periods of increasing/decreasing pain
Chronic pain
