7.1 Fundamental principles of cancer pain management Flashcards Preview

Block 5 > 7.1 Fundamental principles of cancer pain management > Flashcards

Flashcards in 7.1 Fundamental principles of cancer pain management Deck (9):
1

What are the pain initiators (NTs) and which are central and peripheral

Glutamate: cetrral
Substance P: central
bradykinin: peripheral
Prostaglandins: peripheral

2

What are the pain inhibitors?

Serotonin
Endorphins
Enkephalins
Dynorphin

3

What are the three factors that influence he gate control theory?

Amount of activity in pain fibres
Amount of activity in other peripheral fibres
Messages that descend from the brain

4

What 'opens' the pain gate?

Extent of injury
Inappropriate activity level
Anxiety or worry
Tension
Depression
Focusing on pain
boredom

5

What 'closes' the pain gate

Medications
Counter stimulation (heat, massage)
Positive emotions
Relaxation/rest
Intense concentration or distraction
Involvement and interest in life activities

6

What is the treatment of mild to moderate pain?

Non opioids - aspirin, NSAIDs or paracetamol

7

What is the treatment for moderate to severe pain?

Mild opioids (codeine) with or without non opioids

8

What is the treatment for severe pain?

Strong opioids (morphine) with or without non opioids

9

What changes the personal context of pain?

Previous treatment experiences
Impact on QoL
Expectations of relief