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Nursing Concepts > Pain > Flashcards

Flashcards in Pain Deck (90)
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61
Reversed

regional anesthesia administered into the epidural space int he spinal cord to block a group of sensory nerve fibers (through a catheter)

Epidural Infusion

62
Reversed

pain that originates from skin, muscle, bone, or tissue

Somatic Pain

63
Reversed

pain that originates from viscera or hollow organs

Visceral Pain

64
Reversed

pain that originates from nerve damage

Neuropathic Pain

65
Reversed

pain that is perceived from a missing limb

Phantom Pain

66
Reversed

the least amount of stimulation that a person requires to perceive pain

Pain Threshold

67
Reversed

maximum amount & duration of pain that person is willing to endure

Pain Tolerance

68
Reversed

heightened, severe response to pain

Hyperalgesia

69
Reversed

inactive substance or treatment given instead of one that has a proven effect

Placebo

70
Reversed

drug-seeking behavior that simulates true addiction in patients with pain who are receiving inadequate pain medication

Pseudoaddiction

71
Reversed

subjective highly individualized protective difficult to assess cannot see has limits can delay healing not equal to amount of damage can have without trauma

Properties of Pain

72
Reversed

Transduction Transmission Perception Modulation

Four Phases of Physiological Process of Pain

73
Reversed

process converting energy produced by pain stimuli into electrical energy

Transduction

74
Reversed

process in which cellular damage from injury results in the release of excitatory neurotransmitters

Transmission

75
Reversed

process in which the brain & CNS extracts information about pain such as location, duration & quality

Perception

76
Reversed

process in which the brain releases inhibitory neurotransmitters to hinder the transmission of pain & help produce an analgesic effect

Modulation

77
Reversed

special cells in dorsal horn regulate pain transmission control the gate the gate can be opened or closed (allow or block pain impulses)

Gate Control Theory of Pain

78
Reversed

Risk for Caregiver Role Strain Ineffective Coping Fatigue Impaired Physical Motility Acute Pain Chronic Pain Bathing Self-Care Deficit Dressing Self-Care Deficit Risk for Situation Low Self-Esteem Social Isolation

Nursing Diagnoses Applicable for Pain

79
Reversed

nerve fibers that when stimulated, close the impulse gate resulting in no pain

Large A Nerve Fibers

80
Reversed

nerve fibers that when stimulated, open the impulse gate resulting in pain

Small C Nerve Fibers

81
Reversed

Age Fatigue Neurological Function Gender Attention Previous experience Family Support Spirituality Culture Anxiety Depression Coping Style

Factors Influencing Pain Experience

82
Reversed

chronic pain without identifiable cause

Idiopathic Pain

83
Reversed

"PQRSTU" Palliative or Provocative Factors- what makes pain worse? Quality- describe the pain? Relief measures- what do you take at home? Region- show me where it hurts? Severity- scale of 1-10? Timing- constant, intermittent or both? Ur effect- what does the pain inhibit?

Components of Pain Assessment

84
Reversed

transient episodes of pain that occur in patients with chronic pain that has been previously reduced to tolerable levels

Breakthrough Pain

85
Reversed

Know patient's previous response to alagesics Select proper medications when more than one is ordered Know accurate dose Assess right time interval for administration Choose right route

Nursing Principles for Administering Analgesics

86
Reversed

prostoglandins histamine bradykinin substance P

Excitatory Neurotransmitters

87
Reversed

endorphins endogenous opioids serotonin norepinephrine GABA (gamma-aminobutyric acid)

Inhibitory Neurotransmitters

88
Reversed

"ABCDE" Ask about pain regularly...Assess pain systematically Believe patient & their family Choose pain control options Deliver interventions logically Empower patients & families...Enable them to control their course

Clinical Approach to Pain Assessment

89
Reversed

care of a patient that offers treatments to help patients live, perhaps years, with a variety of incurable conditions including pain

Palliative Care

90
Reversed

care for the terminally ill allowing patients to continue to live at home in comfort & privacy with help of a healthcare team

Hospice Care