Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Pain
| Question | Answer |
|---|---|
| Nature of pain: Only the client knows | Subjective,highly individualized |
| Pain is the leading cause of: | disability |
| The Joint Commission standard requires that pain be assessed on a regular basis; has become known as.. | 5th vital sign |
| Cellular damage causes the release of neurotransmitters (3 types) | thermal, mechanical,chemical |
| Neurotransmitters | Prostagladins, bradykinin,potassium, histamine, substance P |
| Neurotransmitters surround the pain fibers, spreading the pain message and causing an: | inflammatory response |
| How do nerve impluses travel? | along the afferent (sensory) nerve fibers to the spinal cord |
| Pain impulses ascend the spinal cord to the: | thalamus |
| The thalamus transmits the pain information to: | higher brain centers that perceive pain |
| 2 types of sensory nerves fibers: | A Delta fibers and C fibers |
| A Delta Fibers | Fast myelinated: send sharp, localized, distinct sensations (Sharp) |
| C Fibers | Slow, smal, unmyelinated: send poorly localized, burning, persistant pain (chronic) |
| Conversion of stimulus into electical energy (thermal, mechanical, Chemical) | Transduction |
| Sending of impluse across a sensory pain nerve fiber (nociceptor) | Transmission |
| The patient's experience of pain | Perception |
| Inhibition of pain/release of inhibitory neurtransmitters | Modulation |
| Pain has emotional and cognitive components, in addition to: | a physical sensation |
| Gating mechanisms in the CNs: | regulate/block pain impluses |
| The basis for nonpharmacological pain relief interventions | Closing the gate |
| Motor impulse is controled by: | Motor neuron |
| Sensory impluse is controlled by: | Sensory neuron |
| Types of Pain: Protective, identifiable, short duration; limited emotional response | Acute/Transient pain (threat unless realeaved) |
| Types of Pain: Is not protective, has no purpose, may or may not have an identifiable cause | Chronic/persistent (non cancer) |
| Types of Pain: Occurs sporadically over an extended duration | Chronic episode (GERD, migraine, sickle cell) |
| Types of Pain: can be acute or chronic | Cancer |
| Types of Pain: Musculoskeletal, visceal or neuropathic | Inferred pathological (bone, joint, muscle aching) |
| Types of Pain: Chronic pain without identifiable physical or psycholgical cause | Idiopathic (complex regional pain center- physical/psychological) |
| Approach to pain "A" | Ask about the pain regularly, be systematic |
| Approach to pain "B" | Beleive the patient and family |
| Approach to pain "c" | Choose pain control options appropriate for the patient |
| Approach to pain "d" | Deliver interventions in a timely manner |
| Approach to pain "e" | Empower patient and their families to control their pain and course of action |
| Nursing Assessment: | Patients expression of pain, characteristics, onset and duration, location, intensity/severity (0-10), quality/description, pattern |
| Nonpharmological interventions: | relaxation/guided imagery, distraction, music, cutaneous stimulation, herbals, reducing pain perception |
| what do you need a physician order for? | Heat/Cold, TENS, Meds, herbal |
| Analgesic acute pain management: | narcotics (Opiods), non-narcotics (non opiods), Anjuvants/coanalgesics (combo drugs) |
| Delivery systems of pharmacological pain control: | PCA, Local/regional analgesics (edpideral), topical agens/transdermal patches (lidocaine) |
| Fentanyl patch: | For cancer patients, lowers respiratory rate, lasts 48-72hrs, 100x more potent than morphine. Causes drowsiness, constipation |
| What is the antidote for a narcotic OD? | Narcan |
| Barriers to effective pain management... | Physical dependence, addiction, drug tolerance, placebos, jaded RN, family, bais experience |
| Goal of pallative care: | to learn how to live life fully with an incurable condition |
| Hospice | programs for end-of-life care |
| ANA | support aggresive treatment of pain and suffering |
| Evaluating the appropriateness of pain medication will require nurses to: | evaluate clients 15-30mins ager administration |
Created by:
aeponton
Popular Nursing sets