WEEK 10 PAIN

Question 1

what is the number one reason why people seek health care?

Answer 1

pain

Question 2

severe pain is an _____

Answer 2

emergency

Question 3

pain threshold vs pain tolerance

Answer 3

pain threshold : minimum intensity at which a person begins to perceive pain

pain tolerance : maximum amount of pain a person can bear

Question 4

idopathic pain

Answer 4

pain with no identifiable cause

Question 5

how long does one have pain before it is considered chronic?

Answer 5

greater than 6 months beyond tissue healing

Question 6

types of nociceptive pain

Answer 6

somatic, visceral, cutaneous

Question 7

nociceptive pain is activated by

Answer 7

chemical substances, tissue
damage, extreme temperature, pressure
changes

Question 8

neuropathic pain

Answer 8

nerve pain arising from somatosensory system. described as “pins and needles”

Question 9

cancer pain

Answer 9

can be acute or chronic, usually R/T tumor, pathological processes, invasive procedures, chemotherapy, radiation-induced pain, infection, neuropathies

Question 10

PQRST

Answer 10

Precipitating cause, quality, region, severity, timing

Question 11

FLACC

Answer 11

Face, legs, activity, cry, consolability

Question 12

CRIES

Answer 12

crying, requries oxygen, increased vital sign, expressioni, sleeplessness

Question 13

NVPS

Answer 13

nonverbal pain scale

Question 14

behavioral responses to pain

Answer 14

body movements (guarding), facial expressions, moaning, crying, restlessness, frequent requests

Question 15

pain descriptors

Answer 15

aching, throbbing, stabbing, pounding, sharp, gripping, dull, tearing, radiating, cutting, burning, scalding

Question 16

nonpharmacological pain interventions

Answer 16

positioning, distraction, CBT, acupuncture, acupressure, chiropractic therapy, CAM-therapeutic touch, cutaneous stimulation i.e TENS unit

Question 17

most common and effective method of pain relief

Answer 17

analgesic

Question 18

NSAID

Answer 18

Vary little in analgesic potency but do vary
in anti-inflammatory effects, metabolism,
excretions, and side effects
Have a ceiling effect
Narrow therapeutic index
E.g. acetaminophen, ibuprofen, aspirin

Question 19

No ceiling on analgesia
Dosage can be steadily increased to relieve
pain
E.g., morphine, oxycodone, hydromorphone
Alert: sedation, respiratory depression, other
side effects; nausea, vomiting, itching, urinary
retention, myoclonus, altered mental
processes.
for moderate to severe pain.

Answer 19

opioid (narcotic)

Question 20

Patient-controlled analgesia

Answer 20

It is a
computerized intravenous pump with a syringe of a
prescribed opioid medicine usually morphine,
fentanyl, or hydromorphone.

Question 21

Routes of Administration

Answer 21

Oral
Nasal
Transdermal
Rectal
Subcutaneous
IM
IV
Intraspinal
PCA – patient controlled analgesia

Question 22

pain clinic

Answer 22

treats inpatient and outpatient
to find most effective pain relief

Question 23

Palliative Care

Answer 23

learning to live life to it’s
fullest with an incurable condition

Question 24

cares for patients at end-of-life

Answer 24

Hospice