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SPON MED SURG 2 PAIN
SOPN MED SURG 2 PAIN
| Question | Answer |
|---|---|
| unpleasant feeling, entirely subjective something only the subject can describe | What is pain for $1000- Alex? |
| Stimuli can be physical, mental, or emotional | Pain |
| All pain is real regardless of its cause, EVEN WHEN the cause remains unknown | Cardinal Rule of Pain |
| free nerve endings located extensively in the skin and mucosa and less frequently in selected deeper structures | pain receptors |
| these chemicals are released by damaged and/or anorexic tissues | hisatimes, bradykinn, prostaglandins, and acidsCHEMICAL PAIN |
| burns | THERMAL PAIN |
| swelling creating pressure or pain receptors of adjoining conditions | MECHANICAL PAIN |
| where does the preception of pain take place | cerebral cortex |
| the point at which a person 1st feels pain, relatively consistent within an individual and between different individuals | pain threshold |
| the maximum degree of pain intensity a person is willing to experience. Varies person to person | pain tolerance |
| usually lasts no longer than 3 months. Commonly accompanied by increased muscle tension and anxiety | Acute Pain |
| Longer than 3 months. Source unknown, cannot be eliminated, often person cannot identify site. World centers on pain and how to modify it. | Chronic Pain |
| Pain felt in areas other than those stimulated | referred pain |
| pain where no physical pathology has been found or where pain appears to have a greater psychological basis rather than a physical one | Psychogenic pain |
| sharp spasm like pain along the course of one or more nerves ie; sciatic nerve | neurological pain |
| discomfort perceived by the individual to be occuring in an extremity that has been amputated | phantom limb pain |
| observation | objective info |
| listen to patients interpretation | subjective info |
| when a patient is medicated the nurse must document the pain level, return to the patient in 20-30 min and document at what level the patient gets relief at. | Pain scale |
| TENS - produces a tingling vibration or buzzing sensation to the area of pain - counter irritation | transcutaneous electric nerve stimulation |
| used for moderate to severe pain | narcotics |
| most widely used for pain control | Opiates |
| Opiates | Morphine, Demerol, Codeine, Toredol, Ultram, and Percocet |
| effects the mood of the patient and helps in treatment of pain especially when used with narcotic | Tranquilizers / Antizanxiety |
| Analgesic | mild to moderate pain. |
| Creating a leison on the nerves, cord, or brain. Lose all sensory input, therefore unaware of injuries | Severing Sensory Nerves |