Vital Signs - Unit 1 - Pain

Question 1

Pain - def

Answer 1

An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such.

Question 2

Acute pain - occurs …

Answer 2

abruptly after an injury or disease, persists until healing occurs, and often is intensified by anxiety or fear.

Question 3

Chronic pain - may be..

Answer 3

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.

Question 4

What are the 5 dimensions of pain?

Answer 4

Physiological, Affective, Behavioral, Cognitive and Sensory

Question 5

Physiologic Consequence of Pain - some are..

Answer 5

increased HR, blood pressure, increased catecholamines, glucose, etc.

Question 6

What are some potential complications of pain?

Answer 6

MI, tachycardia, impaired wound healing, atelectasis (collapsed lung), etc.

Question 7

Affective Dimensions of Pain - emotions - negative emotions may…while positive may..

Answer 7

increase pain while positive emotions may decrease pain.

Question 8

Affective Dimension of Pain - explains why antidepressants and anti anxiety meds may help those with chronic pain. T/F?

Answer 8

True!

Question 9

Behavioral Components of pain - those that…

Answer 9

control pain, reduce pain, prevents pain onset, etc.

Question 10

Cognitive Components of Pain - refers to..

Answer 10

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.

Question 11

Sensory Components of Pain - recognizes..

Answer 11

the stimulus as painful and can be described according to Location, Intensity, Quality and Pattern.

Question 12

What is the 10 CM Visual Analog Scale (VAS) ?

Answer 12

No pain –> Some pain –> TERRIBLE!!!!

Question 13

10 CM No pain/worst pain scale.

Answer 13

No pain = 1….10 = worst.

Question 14

Wong-Baker Faces Paint rating is..

Answer 14

The faces!!

Question 15

Nonverbal Pain Scale - no pain =…

Answer 15

relaxed, calm expression.

Question 16

Nonverbal Pain Scale - slight or mild pain =…

Answer 16

Stressed, tense expression.

Question 17

Nonverbal Pain Scale - Moderate pain =

Answer 17

guarded movement, grimacing.

Question 18

Nonverbal Pain Scale - Severe pain =

Answer 18

moaning, restless.

Question 19

Nonverbal Pain Scale - Worst Pain =

Answer 19

crying out, increased intensity of other pain behaviors.

Question 20

What are some words for “quality” of pain?

Answer 20

Throbbing, shooting, stabbing, sharp, heavy, tiring, sickening, nagging, annoying, etc…….

Question 21

What are some words used for “pain pattern?”

Answer 21

Steady, constant, rhythmic, continuous, period, brief, momentary, transient, intermittent.

Question 22

What to chart (with pain) -

Answer 22

Self report with all sensory descriptions (most important!!!), all reports from others close to patient, behaviors, physiologic measurement changes, etc.