Pain Word Scramble
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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
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