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Caring Interventions > Unit 3 Comfort > Flashcards

Unit 3 Comfort Flashcards

1
Q

Definition of Comfort

A

Relief of pain.

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2
Q

Definition of Pain

A

“An unpleasant sensory & emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”

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3
Q

Nociceptors

A

Results from an external stimuli on an uninjured, fully functional nervous system. Temporary pain unless underlying cause is not treated.

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4
Q

Gate Control Theory

A

Stimulation of small (pain) fibers causes gates to open, stimulation of large (heat, cold, mechanical) fibers causes gates to close.

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5
Q

Somatic Pain

A

Originates from nociceptors located in skin & musculoskeletal tissues, localized, described as sharp

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6
Q

Visceral Pain

A

Originates form internal body organs & linings of body cavities, described as dull, deep, aching

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7
Q

Referred Pain

A

Sensed in a region other than the site of origin

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8
Q

Phantom Pain

A

pain felt in an amputated limb or body part, recurring, described as shooting, stabbing, squeezing, throbbing, or burning.

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9
Q

Biological Pain Stimuli

A

Bacteria, viruses

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10
Q

Mechanical Pain Stimuli

A

Shearing forces, fractures

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11
Q

Thermal Pain Stimuli

A

Extreme heat (burn) & extreme cold (frostbite)

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12
Q

Electrical Pain Stimuli

A

Electrical burn, electrical shock

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13
Q

Chemical Pain Stimuli

A

Cleaning solutions, tobacco smoke, acids/bases, radiation

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14
Q

Nociceptive Pain

A

results from external stimuli on an uninjured, fully functional nervous system. Temporary pain unless underlying cause not treated

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15
Q

Neurotic Pain

A

caused by nerve malfunction or injuries resulting from trauma, disease, chemicals, infections, & tumors. Consequent spontaneous pain may be due to damage of either peripheral or central nerves.

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16
Q

COLDSPA

A 
Character
Onset
Location
Duration
Severity
Pattern
Associated factors
17
Q

Numeric

A

0-10 pain scale: 0 = no pain to 10 = pain as bad as it can be

18
Q

FLACC

A

For infants: faces, legs, activity, cry, consolability

19
Q

FACES

A

For children: relate pain to faces (see next slide)

20
Q

PAINAD

A

Dementia: breathing, vocalization, facial expression, body language, consolability

21
Q

NANDA Approved Pain Related Diagnosis

A

Acute Pain

Chronic Pain

22
Q

Nursing Diagnoses Related to Acute Pain

A

Disturbed Sleep, Pattern, Risk for Infection, Impaired Skin Integrity

23
Q

Nursing Diagnoses Related to Chronic Pain

A

Insomnia, Hopelessness, Imbalanced, Nutrition Less/More Than Body Requirements, Social Isolation, Self-Care Deficit

24
Q

Nursing Diagnoses for Clients with prescribed opioids

A

Risk for Constipation
Ineffective Breathing Pattern
Fear
Nausea

25
Q

Rest

A

a condition in which the body is in a ↓ state of activity, with the consequent feeling of being refreshed.

26
Q

Sleep

A

a state of rest accompanied by altered consciousness and relative inactivity

27
Q

Stages of Sleep: NREM Sleep

A
  • Stage I: very light sleep, lasts just a few minutes, 5%
  • Stage II: can be roused with relative ease, 50-55%
  • Stage III: deeper sleep, arousal difficult, 10%
  • Stage IV: greatest depth of sleep, very difficult to arouse, 10%
28
Q

Insomnia

A

difficulty falling or remaining asleep, intermittent sleep, early awakening, most common

29
Q

Narcolepsy

A

uncontrollable desire to sleep

30
Q

Sleep Apnea

A

sleep-disordered breathing, episodes of breathing cessation (10-20 seconds) during sleep

31
Q

Restless Leg Syndrome

A

cannot lie still; creeping, crawling or tingling sensations in the legs

32
Q

Sleep Deprivation

A

Sleep deprivation: decrease in the amount, consistency, or quality of sleep,

Symptoms: irritability & impaired mental abilities

33
Q

Somnambulism

A

Sleepwalking

34
Q

Enuresis

A

Urinating during sleep or bedwetting

35
Q

Top 10 Leading Causes of Death in US in 2011

A
  • Heart disease
  • Malignant neoplasms
  • Chronic lower respiratory disease
  • Cerebrovascular diseases
  • Accidents (unintended injuries)
  • Alzheimer disease
  • Diabetes mellitus
  • Influenza & pneumonia
  • Kidney disease
  • Intentional self-harm (suicide)
36
Q

Kubler-Ross: 5 Stages of Death

A
  1. Denial: “They made a mistake in the diagnosis.”
  2. Anger: “Why me? Why did this happen to me?”
  3. Bargaining: “If I can just see my grandchild born.”
  4. Depression: “I can’t bear the thought of not seeing my daughter get married.”
  5. Acceptance: “Now I can go in peace knowing everything is fine.”

Caring Interventions (11 decks)

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