Vital Signs - Unit 1 - Pain Flashcards
Pain - def
An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such.
Acute pain - occurs …
abruptly after an injury or disease, persists until healing occurs, and often is intensified by anxiety or fear.
Chronic pain - may be..
malignant or nonmalignant but lasts for a prolonged period of time during prolonged tissue pathology or pain that persists beyond the normal healing period for an injury or disease.
What are the 5 dimensions of pain?
Physiological, Affective, Behavioral, Cognitive and Sensory
Physiologic Consequence of Pain - some are..
increased HR, blood pressure, increased catecholamines, glucose, etc.
What are some potential complications of pain?
MI, tachycardia, impaired wound healing, atelectasis (collapsed lung), etc.
Affective Dimensions of Pain - emotions - negative emotions may…while positive may..
increase pain while positive emotions may decrease pain.
Affective Dimension of Pain - explains why antidepressants and anti anxiety meds may help those with chronic pain. T/F?
True!
Behavioral Components of pain - those that…
control pain, reduce pain, prevents pain onset, etc.
Cognitive Components of Pain - refers to..
the meanings, beliefs, attitudes, and expectations of the person experiencing pain. Depends on culture, environmental factors, etc. Must set a goal with the patient to find a desired outcome.
Sensory Components of Pain - recognizes..
the stimulus as painful and can be described according to Location, Intensity, Quality and Pattern.
What is the 10 CM Visual Analog Scale (VAS) ?
No pain –> Some pain –> TERRIBLE!!!!
10 CM No pain/worst pain scale.
No pain = 1….10 = worst.
Wong-Baker Faces Paint rating is..
The faces!!
Nonverbal Pain Scale - no pain =…
relaxed, calm expression.
Nonverbal Pain Scale - slight or mild pain =…
Stressed, tense expression.
Nonverbal Pain Scale - Moderate pain =
guarded movement, grimacing.
Nonverbal Pain Scale - Severe pain =
moaning, restless.
Nonverbal Pain Scale - Worst Pain =
crying out, increased intensity of other pain behaviors.
What are some words for “quality” of pain?
Throbbing, shooting, stabbing, sharp, heavy, tiring, sickening, nagging, annoying, etc…….
What are some words used for “pain pattern?”
Steady, constant, rhythmic, continuous, period, brief, momentary, transient, intermittent.
What to chart (with pain) -
Self report with all sensory descriptions (most important!!!), all reports from others close to patient, behaviors, physiologic measurement changes, etc.
