Flashcards in 7.1 Fundamental principles of cancer pain management Deck (9):
What are the pain initiators (NTs) and which are central and peripheral
Substance P: central
What are the pain inhibitors?
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
What 'opens' the pain gate?
Extent of injury
Inappropriate activity level
Anxiety or worry
Focusing on pain
What 'closes' the pain gate
Counter stimulation (heat, massage)
Intense concentration or distraction
Involvement and interest in life activities
What is the treatment of mild to moderate pain?
Non opioids - aspirin, NSAIDs or paracetamol
What is the treatment for moderate to severe pain?
Mild opioids (codeine) with or without non opioids
What is the treatment for severe pain?
Strong opioids (morphine) with or without non opioids