Pain/Control, Pt. Mobility, Documentation

Question 1

Nociceptive pain

Answer 1

pain from tissue damage. Cut at the arm is a nociceptive pain.

Question 2

Referred pain

Answer 2

• pain perceived at a site next to or at a distance from the sight of injury. EX: Heart attack feels pain at arm but location is heart

Question 3

Neuropathic pain

Answer 3

• abnormal function of the nervous system due to injury. Nerve irritation.

Note that neuropathic pain is perceived as sharp, burning or radiating pain from peripheral or central nervous system injury or disease

Question 4

Discuss how a warm, cool and massage decrease the perception of pain

Answer 4

a. Stimulates sensory receptors that will decrease pain signals to the brain
b. Dilates blood vessels which increase flow of oxygen to the muscle
c. Facilitates stretching of soft tissues that will decrease stiffness and becomes more flexible/loose for more comfort
d. Helps resolve inflammation

Question 5

Analgesic

Answer 5

• absence of pain or noxious stimulation, relief of pain. “loss of pain” (aspirin or Tylenol)

Question 6

Anesthetic

Answer 6

• loss of sensation of due to medication, drugs, or nerve damage; numbness and refer to the lost of the ability to feel sensation and pain. “loss of feeling” (numbing meds) causes muscle weakness & relaxation

Question 7

Which one of these terms stops the transmission of nerve impulses: Anesthetic, Analgesic

Answer 7

Anesthetic stop transmission of nerve impulses

Question 8

Which one of these terms alters the perception of pain - in the brain CNS: Anesthetic, Analgesic

Answer 8

Analgesic alters pain perception

Question 9

Where does the perception of pain occur

Answer 9

• sensory cortex
  Perception of pain occurs when nociceptors are stimulated & transmit signal thru sensory neurons in spinal cord. Then sent to brain, then sent

Question 10

What has priority in the nervous system pain or sensation? How does this knowledge explain pain control from the use of warm, cool or massage

Answer 10

Sensation has priority in the nervous system - gate theory of pain

Warm and cool is a sensation input

Question 11

Pain assessment in soap note?

Answer 11

Subjective

Question 12

Patient’s assessment of functional ability in soap note?

Answer 12

Subjective

Question 13

What family and care givers say in soap note

Answer 13

Subjective

Question 14

Measured data, treatment provided, PTA observation in soap note

Answer 14

Objective

Question 15

Comparison between patient and normal or patient progress or lack of progress in soap note

Answer 15

Assessment

Question 16

Progressive plans and intended additions/increases to patients treatment in soap note

Answer 16

Plan

Question 17

How often should a patient be moved when bed bound?

Answer 17

Every two hours

Question 18

How often should a chair or wheelchair bound patient’s position be adjusted?

Answer 18

Every 15 minutes

Question 19

What is orthostatic hypotension and in what conditions and activities would you expect this problem to occur?

Answer 19

Orthostatic hypotension is brought on by a sudden change in body position, most often when shifting from lying down to standing. This type of hypotension usually lasts only a few seconds or minutes.