Pain Assessment Flashcards
1
Q
Pain Impacts
A
- Function
- Quality of life
- Relationships
- Family structure
- Financial resources
2
Q
Pain Definition
A
- Unpleasant sensory & emotional experience
- Associated with actual & potential tissue damage
3
Q
Nociceptors
A
- PNS fibers
- Carry painful stimuli to CNS
- Located in various body tissues
4
Q
Nociceptors Activation
A
- thermal stimuli
- mechanical stimuli
- chemical stimuli
5
Q
Pain Pathway
A
- PNS impulse
- Spinal cord CNS
- Pain blocked/allowed to continue
- thalamus
- Limbic system
- Cerebral Cortex
6
Q
Limbic System
A
- Production of emotional responses
7
Q
Cerebral Cortex
A
- recognition of pain
8
Q
Components of Pain
A
- Sensory/physical
- Emotional/affective
- Cognitive
- Social
9
Q
Sensory/Physical Pain
A
- Action in pain nerves
- Effect on physiological status
- Severity
10
Q
Emotional/Affective Pain
A
- Feelings caused by pain
- Fears
- Knowledge
- Limbic system
11
Q
Cognitive Pain
A
- Pain effects on behaviour
- Coping strategies
- Meaning of pain
12
Q
Pain Classification
A
- Duration
- Frequency
- Form
- Associated with cancer
13
Q
Duration
A
acute vs chronic
14
Q
Frequency
A
continuous vs intermittent
15
Q
Form
A
nociceptive vs neuropathic
16
Q
Associated with Cancer
A
- With cancer or cancer treatment
- Own class
17
Q
Pain Types
A
- Visceral
- Somatic
- Cutaneous
- Referred
- Parietal
18
Q
Visceral Pain
A
- organ linning inflammation
19
Q
Somatic Pain
A
- any pain felt
20
Q
Cutaneous Pain
A
- superficial somatic pain
21
Q
Referred Pain
A
- felt in different place than origin
22
Q
Parietal Pain
A
- abdominal cavity linning inflammation
23
Q
Neuropathic Pain
A
- damage to nervous system
24
Q
Acute Pain Assessment
A
- Focused/emergent history
- Involve others (family/witness)
- Observation of patient & behaviors
25
Q
Acute Pain Red Flags
A
- Sudden onset
- Explosive headache
- Painful breathing
- Chest pain
- Abdominal pain
- Unrelieved by appropriate medication
26
Q
Influencing Factors of Pain
A
- Age
- Sex
- Culture
- Spiritual
- Family & social support
- Meaning
- Anxiety level
- Coping style
- Fatigue
- Previous experiences
27
Q
Nurses Role in Pain Assessment
A
- Observe
- Notice/monitor changes
- Reassessment
- Subjective data
- Advocate for treatment modifications
- Explore complimentary/companion/paramedicine therapies
28
Q
Effects of Poorly Managed Pain
A
- Reduced cognitive/mental function
- Sleeplessness
- Anxiety/fear
- Hyperglycemia (high blood sugar)
- Increased HR/CO
- Decreased respiration depth, cough, sputum retention
- Decreased immune response
- Muscle spasm
- Immobility
- Decreased gastric & bowel motility
- Decreased urinary output
- Increased suffering for client & loved ones
- Development of chronic pain
29
Q
Pain Assessment Techniques
A
- OLDCARTSS
- OPQRSTU
- Numeric pain severity scale
- Pain/distress severity scale
- FACES (visual analogue scale)
- FLACC
- Brief pain inventory
- Universal pain assessment tool
