Week 4 - Pain + Awareness Flashcards

1
Q

What is pain? (2)

A
  • an unpleasant sensory and emotional experience associated with actual or potential tissue damage
  • it is whatever the experiencing person says it is, existing whenever they say it does
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2
Q

Pain web map and interrelated concepts

A
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3
Q

What are the impacts of pain to an individual? (6)

A
  • physical
  • psychological
  • emotional
  • social
  • spiritual
    and financial consequences
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4
Q

What does unrelieved pain cause for families? (3)

A
  • slows recovery
  • creates burden for family
  • increases cost to the system
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5
Q

What is pain the leading cause of? (3)

A
  • most common reason people seek health care
  • chronic pain is the most common cause of long-term disability
    major cause of absenteeism, underemployment, and unemployment
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6
Q

Will the number of people who need treatment for pain rise as the population ages?

A

yes

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7
Q

What is pain on a pathological note? (3)

A
  • normal physiological response to tissue injury
  • symptom of pathology associated with a disease process
  • result of an alteration of the somatosensory system
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8
Q

Pain is ____.

A

protective

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9
Q

Why is pain often referred to as the 6th vital sign?

A
  • it tells us that something is wrong
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10
Q

What are the 4 neurological processes that pain is felt?

A
  1. Transduction
  2. Transmission
  3. Perception
  4. Modulation
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11
Q

What occurs in transduction? (2)

A
  • noxious stimuli cause cell damage with the release of sensitizing chemicals
  • these substances activate nociceptors and lead to generation of action potential
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12
Q

Which sensitizing chemicals are released in transduction? (5)

A
  • Prostaglandins
  • Bradykinin
  • Serotonin
  • Substance P
  • Histamine
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13
Q

What occurs in transmission? (4)

A
  • Action potential continues from:
    1. site of injury to spinal cord
    2. spinal cord to brain stem and thalamus
    3. Thalamus to cortez for processing
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14
Q

What are the 2 types of fibers? are they fast or slow? Why?

A

A fibers - fast bc myelinated
B fibers - slow, burning transmission bc unmyelinated

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15
Q

What occurs in perception?

A
  • conscious experience of pain
    ie. I understand this stimulus is painful
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16
Q

What occurs in modulation? (2)

A
  • neurons originating in the brain stem descend to the spinal cord and release substances (ie. endogenous opioids) that inhibit nociceptive impulses
  • basically qa protective mechanism that block CNS from getting AP
    see slide 7 for diagram